CMS sought comments from healthcare providers regarding proposed implementation of accountable care organizations (ACOs). ACOs are a collaboration of various providers who work together to manage and coordinate care for Medicare beneficiaries and, in return, may receive payments for shared...Read More »
The Commission on Certification for Health Informatics and Information Management (CCHIIM) recently announced ICD-10 recertification requirements for individuals certified by the American Health Information Management Association (AHIMA).
In the document, “ICD-10 CE Requirements for...Read More »
The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal year (FY) 2010—the largest in history—and $3 billion in total civil fraud claims, according to a DOJ press release. Of that...Read More »
CMS has modified the additional documentation request (ADR) limits (i.e., medical record request limits) for the RAC program in 2011, according to document posted November 10 on the...Read More »
A recent ACDIS poll asked “which type of professional comprises the majority of your CDI program chart reviewers?” The greatest number of respondents (66%) indicated they primarily employed registered nurses (RNs)...Read More »
Recently, Robert S. Gold, MD, estimated that 60% of facilities nationwide implemented CDI programs, a best guess derived from an initial ACDIS survey taken in 2007 which put the percentage of acute care facilities with CDI programs at roughly 50.
Q:Our program does not typically include query information as part of the medical record. If the physician responds to a faxed query, we scan the fax into our electronic record. However, we resolve most queries in person or through a secure messaging system in our EMR (...Read More »
