The largest source of estimated revenue loss in the healthcare mid-cycle in 2016 was attributed to inadequate documentation, according to a report by the Advisory Board.Read More »
The improper payment rate for hospital outpatient services for the 2016 CERT report period was 5.4%, at a projected cost of $3.1 billion, which accounts for 7.5% of the overall Medicare fee-for-service improper payment rate.Read More »
Q:A patient had a kidney/pancreas transplant. The dialysis fistula he had is not working, but remains in place and unused for over a year. He has stable stage IV CKD. His diabetes is no longer being treated, and A1c,...Read More »
Q:What would be the ideal way to code a case where a patient has ongoing encephalopathy after a subdural hematoma multiple years ago? I keep seeing documentation as a brain injury with ongoing encephalopathy, but is...Read More »
Before my time in CDI, in the cold, deep darkness of the ED night, sepsis was an annoyance. Everywhere there was a sepsis flag popping up in the EHR, few of which actually meant anything.Read More »