A significant portion of updates in the Fiscal Year 2015 IPPS final rule pertain to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program.Read More »
Safety net hospitals—those with a Medicare Disproportionate Share patient percentage in the highest quartile—have a higher risk of reimbursement reductions associated with various Value-Based Purchasing (VBP) initiatives such as the Hospital Readmission Reduction Program (HRRP), according to a...Read More »
Due to the continued delay in awarding new Recovery Auditor (RA) contracts, CMS made modifications to the current RA contracts allowing them to restart some reviews. Most will be done on an automated basis, but a limited number will be complex reviews of topics selected by CMS. In the meantime,...Read More »
Have you started dual coding for ICD-9 and ICD-10? Two facilities shared their experiences during a July AHA webinar. The first task is to determine what dual coding means for your facility, said Nelly Leon-Chisen, RHIA, director of coding and classification for the AHA. Are you coding...Read More »
The next ACDIS Quarterly Membership Conference Call is scheduled for Wednesday, August 27 (note: not typical Thursday), from 1 to2 p.m. Eastern. Dial-in instructions will be sent to ACDIS members this week (please check your spam filters and email permissions to ensure you receive...Read More »
Q: How would the following be viewed if it was included in a cardiology consult note:
“Mr. X has paroxysmal atrial fibrillation. He had a recurrence last night which was asymptomatic. We think this happens all the time at home. This is not a pacing...Read More »
Q:In my facility, we are supposed to send an e-mail to our physician advisor (PA) and to administration if a query is not answered within a week. However, this policy doesn’t work well because administration does not do anything with that information, and the PA doesn’t...Read More »
