Q: If the acute respiratory failure is due to pneumonia and the respiratory failure resolves rather quickly, but the patient remains in the hospital for treatment of pneumonia, shouldn’t pneumonia be sequenced as the principal diagnosis? The basis of this question is not solely about...Read More »
Healthcare in America is in flux. Although tabled on Friday, March 24, the proposed American Health Care Act (AHCA) – the attempted replacement for the Affordable Care Act (ACA) –nevertheless raises many healthcare policy questions and uncertainty regarding the status of previous pay-for-...Read More »
Q: If a patient is in a three-tiered DRG, but has a three-day length of stay (LOS), is it correct that the next review need not occur till the LOS equals or exceeds three days? Do we need to capture a possible CC or MCC?
During its four-year existence, the National Quality Forum’s Measure Applications Partnership (NQFMAP) repeatedly suggested adding new measures or improvements to existing performance measures. This year, however,...Read More »
