For calendar years (CYs) 2012 and 2013, Medicare overpaid Nebraska Methodist Hospital in Omaha more than $111,000 for 19 inpatient and outpatient claims, including insufficiently documented sepsis and septic syndrome.Read More »
With the release of the 2017 Inpatient Prospective Payment System final rule on August 2, 2016, CMS announced a delay in implementation of the NOTICE act. CMS is submitting a revised version of the Medicare Outpatient Observation Notice (MOON...Read More »
The newly proposed Sepsis-3 definition has been the subject of great controversy and consternation since its publication in The Journal of the American Medical Association (JAMA) on February 23, 2016. That controversial definition discarded...Read More »
Like dozens of other attendees at this year’s ACDIS Conference in Atlanta, Georgia, Mercedita Morales, RN, BSN stopped by our booth to sign up for an ACDIS membership. Little did she know that she would be the 5,000th person to become a part of our association. A CDI...Read More »
Physician engagement is a lot like football, or so says Richard E. Wild, MD, JD, MBA, FACEP, Chief Medical Officer for the Atlanta Region Centers for Medicare and Medicaid (CMS). “You can be a great quarterback, but if you have no team backing you up and supporting you, you’re...Read More »
If you’ve ever read an issue of HCPro’s flagship newsletter Medical Records Briefing … if you’ve ever picked up an issue of Briefings on Coding Compliance Strategies and turned to the column “Clinically Speaking”… if you’ve been a...Read More »
Some providers who entered bundled payment programs in their initial phase are more reluctant to continue to participate when they have financial risk, according to a new ...Read More »