Insufficient documentation. That’s the biggest reason for improper payments for Healthcare Common Procedure Coding System (HCPCS) code 99234, Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date,...Read More »
HACs declined by 13% between 2014 and 2017, preventing an estimated 20,500 deaths and $7.7 billion in healthcare costs, according to preliminary data from the AHRQ.Read More »
Although bundled payment programs have the potential to generate data that can be used to reduce costs and improve the Medicare program, the overall pool of participants and the design of voluntary bundled payment programs may reduce the value of the data and the programs overall, U.S. GAO said...Read More »
Q: I have a question about DRG 963. I’ve heard that we need three different trauma diagnoses from at least two different body site categories for this DRG. The DRG Expert has a list of all diagnoses under DRG 963, but it doesn’t...Read More »
According to a recent survey conducted jointly by ACDIS and its partner 3M, 47% of 575 total respondents indicated they have a concurrent program in which CDI specialists and...Read More »
Sepsis is a common clinical finding in patients admitted to the hospital. Documenting the presence of sepsis is critical to best determine each individual patient’s needs for care. However, clinicians often vary in their definitions of sepsis or fail to note the presence of sepsis in the medical...Read More »
ACDIS National requires local chapters be led by at least three individuals from three different organizations. It’s a section of the agreement that brings up a lot of questions from new folks, so ACDIS wanted to provide a bit of the reasoning behind the requirement.Read More »
