If the hospital documentation, including history and physical and progress notes, doesn't support medical necessity of an inpatient surgical procedure, the physician&'s Part B claim for performing the procedure would be denied. A recent transmittal...Read More »
The ACDIS California Chapter has been meeting since 2009. Originally three separate groups planned to meet in southern, central, and northern regions of the state to network and share ideas. Such efforts morphed into monthly telephone conference calls which allowed CDI professionals throughout...Read More »
CMS is currently looking for 850 volunteers from various specialties and sizes for the January 26-30 ICD-10 end-to-end testing. During this testing phase,...Read More »
After announcing its intention to essentially cut a deal with hospitals in order to settle a backlog of pending denials’ appeals, it now appears that CMS may not have the authority to do so, according to a letter to HHS Secretary Sylvia Burwell...Read More »
In exchange for dropping appeals, CMS says it will provide partial payment of previously denied claims to acute care and critical access hospitals,...Read More »
The CDI Pocket Guide 2015 update is under development, and authors Dr. Richard Pinson and Cynthia Tang hope to exceed your expectations. If you’re a previous buyer please share your suggestions and any "wish list" items with them at info@...Read More »
CMS and its contractors will conduct three ICD-10-CM/PCS testing periods in November, March, and June, according to a recent MedLearn Matters (MM8858).
