Which types of clinicians will get “special status” from CMS for the Quality Payment Program (QPP) data submissions this year? CMS recently updated its website with a tool (available online) providers can use to check to see whether they are...Read More »
Researchers at NYU Langone found that many informal consultations between referrers and radiologists were captured incompletely or inadequately in the electronic health record (EHR), according to...Read More »
Although the transition to ICD-10-CM/PCS was fairly smooth, two years later billing and coding experts say that, in most cases, the codes are not being put to their intended use.Read More »
The Department of Justice (DOJ) and the Department of Health and Human Service Office of Inspector General announced on Thursday, July 13, charges against 412 individuals responsible for $1.3 billion in false billing. This fraud takedown is the largest in DOJ history,...Read More »
“One of the key components for a successful CDI program is the ability to review records concurrently […] Since the documentation takes place so rapidly in the outpatient world, though, concurrent review is difficult,” said Tammy Combs, RN, MSN, CDIP, CCS, CCDS, director and lead nurse planner...Read More »
CMS released the 2018 Outpatient Prospective Payment System (OPPS) proposed rule last week on Thursday, July 13. With CDI programs increasingly looking at outpatient records, the need to read and digest the OPPS proposed rule has never been greater. This particular proposed rule, however,...Read More »