Since the inception of the permanent recovery audit contractor (RAC) program, government auditors have identified claims errors in excess of $350—$313.2 million of which were identified as overpayments and recouped by the government. ...Read More »
CDI Week is almost upon us and with it, a slew of activities, appreciations, and—most importantly—stories. We often speak of the patient’s story in CDI, being faithful to the record, and getting the details right: if we do those things, we hope the patient can have a happy ending. Physicians,...Read More »
In response to President Barack Obama’s January 18 executive order aimed at reducing federal regulatory burdens, the American Medical Association (AMA) conducted a survey of its members seeking their input on the issue. More than 2,000 physicians responded. Of these, three out of five of named...Read More »
The more I learn about ICD-10, the more worried I get. At this point my worries are more related to knowing enough to be dangerous but not knowing nearly enough to truly understand or feel confident about our CDI program’s preparation efforts. Two...Read More »
This month’s question was submitted on July 31, 2023, and focuses on the proper DRG classification for transcatheter aortic valve replacement (TAVR) with MCCs. Please note that the questions and answers have been de-identified for the purposes of this article.
I recently had occasion to stop and think about how I approach a chart for a clinical documentation review. For me, it has become an almost instinctual process, so I found it instructive to examine my process in a more systematic...Read More »
Last week more than 700 CDI professionals attended the 4th Annual ACDIS Conference at the Hilton Walt Disney Resort in Orlando. From the physician advisor preconference, to the poster session, and the terrific vendors in the exhibit hall to the three tracks of educational sessions, it...Read More »
