Clinical validation is definitely a hot topic in CDI right now. According to the 2017 CDI Industry Survey (which will be made available during CDI Week), 85.13% of respondents sent at least one to five clinical validation queries in the last month. Yet, only 41.81% have a policy governing these...Read More »
As the role of coded data expands beyond statistical reporting and DRGs to accurate depictions of clinical scenarios, it’s becoming increasingly difficult to determine when a condition reaches a reportable threshold, according to a new ACDIS White Paper “...Read More »
Those familiar with the CDI Journal, a bimonthly publication, know that each edition focuses on a particular topic related to CDI. Thus far, this year included editions on CDI education, querying, quality measures, and CDI in non-traditional settings. The ACDIS team is already thinking...Read More »
Appeals cost providers roughly $118 per claim—extrapolated nationwide that amounts to as much as $8.6 billion in administrative costs necessary to recover initially denied claims, according to a new report from Change Healthcare,...Read More »
By Jocelyn E. Murray, RN, CCDS
What are the similarities and differences between CDI audits and coding compliance audits? Are both necessary? It’s our collective responsibility to provide the insight that defines the two specialties and the critical efforts both bring to the table...Read More »
No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is distributed by TMF Health Quality Institute under contract with CMS and summarizes facility-specific data statistics for Medicare services that may be at risk for improper payments...Read More »
