Two new publications from AHIMA offer guidance and best practices for CDI programs. The Clinical Documentation Improvement Toolkit, released in April, and the “Guidance for Clinical Documentation Improvement Programs” (aka the CDI Practice Brief), released in the May Journal of AHIMA, outline...Read More »
The next quarterly conference call is scheduled for Thursday, February 18, 2-3 p.m. E.S.T. ACDIS members have received dial-in instructions via e-mail; if you are an ACDIS member and did not receive your instructions, please contact ACDIS member relations specialist Sue...Read More »
In its January release, The Medicare Payment Advisory Commission (MedPAC) recommended Congress adjust Medicare’s hospital inpatient payments over three years to recover overpayments that have resulted from recent documentation...Read More »
Come October 2013, healthcare facilities will switch from reporting ICD-9-CM codes to the internally accepted ICD-10-CM code set.
CMS developed General Equivalence Mappings (GEMs) in order to help translate ICD-9 codes to ICD-10. Providers can use the GEMs “as a sort of...Read More »
Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review with a list of 24-DRGs in December 2009. A few weeks later it added 15 more DRGs to its list.
Connolly’s list was the first published, so it provided a good preview
Some hospitals will start to receive Program for Evaluating Payment Patterns Electronic Reports (PEPPER) this month, according to TMF Health Quality Institute.
TMF contracts with CMS to produce the reports. State Medicare Quality Improvement Organizations previously produced and
Effective January 1, CMS stopped paying for the CPT codes physicians use to bill consultations. This dramatic change provides a window of opportunity for CDI specialists, who are well-positioned to not only break the bad news to physicians, but also provide them with education on how to...Read More »
In less than a year, ACDIS networking groups have grown from one or two in key locations to more than 25 local chapters across the country. They range in formality and official affiliation but share in their mission to bring quality CDI practices to their facilities and share lessons learned...Read More »
