Three university hospitals saw a doubling of Recovery Auditor (RAC) audit activity from 2010–2011 to 2012–2013, and a nearly three-fold increase in overpayment determinations, according to a new study in the Journal of Hospital Medicine.Read More »
For calendar years (CYs) 2010 and 2011, Medicare paid hospitals $711 million for claims that included a diagnosis code for Kwashiorkor, a form of severe protein malnutrition typically found in third-world countries that is extremely rare in the United States.Read More »
There are a lot of changes coming with ICD-10—including an update to the exam for the Certified Clinical Documentation Specialist (CCDS) credential. Beginning in mid-January 2016, the exam will include ICD-10-related questions.Read More »
As healthcare reform bring changes in reimbursement and focus, it also brings a shift in job titles, roles, and responsibilities throughout the industry, James U. King, senior partner, chief quality officer and children's hospitals practice lead at executive staffing firm Witt/Kieffer, told ...Read More »
Medicare’s Value-Based Purchasing ties reimbursement to quality measures, assessing criteria such as mortality, patient satisfaction, and other items.Read More »
When Melanie Halpern, RN-BC, MBA, CCDS, CCRA, CDI manager at University of Medicine and Dentistry of New Jersey, began her CDI career in 2004, she didn’t have international aspirations. When she found out about the International Surgical Health Initiative (ISHI), she had to get involved. We...Read More »
by Brian Murphy, CPC
Let’s move forward with full implementation of ICD-10 on October 1, 2015, both for hospitals and physicians. But let’s also see a more transparent application process for the Cooperating Parties, allowing physicians/clinicians full representation at the table...Read More »
