You may be wondering why so many CDI departments are expanding their review processes to include consideration of how CMS quality measures will be affected by claims data.Read More »
The Hospital Readmissions Reduction Program (HRRP) allows CMS to penalize hospitals with excess readmissions, as written in Section 3025 of the Affordable Care Act, which added section 1886(q) to the Social Security Act. Specifically, the...Read More »
About 41% of CDI programs currently review medical records for quality improvement items, according to an online ACDIS membership poll. Although CMS implemented the VBP reimbursement model as required by the Affordable Care Act (ACA) in 2011, many CDI programs have only recently started...Read More »
A number of inpatient prospective payment system changes in recent years, due primarily to the Affordable Care Act, have allowed CMS to adjust healthcare reimbursement based on quality metrics and data. But some providers are unaware that many quality scores for themselves and hospitals are...Read More »
Nearly 60% of patients say that online reviews matter to them when choosing a physician, according to a study conducted by the Journal of the American Medical Association (JAMA) in 2014. However, the scope and usefulness of those online reviews are limited, according to a study conducted by JAMA...Read More »
Mortality reviews are becoming more prevalent in the CDI world. But what do they really mean for CDI specialists? Some organizations have mortality review committees, but such reviews don’t always fall under CDI; they could be managed by the quality...Read More »
These last several months have seen a dizzying array of changes, controversies, and regulations along with an equally dizzying array of discussion, advice, and opinions. Some are straightforward progress, while some result in confusing and sometimes...Read More »
by James S. Kennedy, MD, CCS, CDIP, CCDS
Bronchopulmonary infections, such as acute bronchitis and pneumonia, represent frequent reasons for physician and facility encounters, resulting in ICD-10-CM code assignments that factor greatly in severity and risk adjustment inherent to...Read More »