In 2008, the Office of Inspector General (OIG) reviewed a sample of nearly 300 Medicare hospitalizations from two counties in a one-week period in order to analyze current methods of identifying adverse events in hospitals. According to a report released this month, vulnerabilities exist in...Read More »
For CDI specialists, the physician signature is one more critical piece of documentation to keep an eye on. Actually, it’s one of primary reasons to query the physician according to the AHIMA physician query practice brief, “Managing an Effective Query Process”. CMS Transmittal 326 (Change...Read More »
The question of whether to retain queries as a permanent part of the medical record increased in importance this spring as recovery audit contractors (RAC) included queries on the list of records they requested as part of complex audits.
“Once upon a time, there were no query police, But...Read More »
The Association of Clinical Documentation Improvement Specialists (ACDIS) is pleased to comment on the Centers for Medicare & Medicaid Services’ (CMS) proposed changes to the Medicare hospital inpatient prospective payment system (IPPS) and proposed fiscal year (FY) 2011 rates, as published...Read More »
Every institution reading this column has likely received its first recovery audit contractor (RAC) denials regarding the documentation and coding of excisional debridement procedures (86.22). Our hospital is no exception. While we knew that this...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
Those working in CDI and quality improvement (QI)/ core measure review may have to rethink the old adage of playing separate roles. As Shakespeare writes in As You Like It, “All the world’s a stage … and all are merely players. … One man in his time plays many parts.”
Q: What quality-/core measure–focused training materials do you recommend for CDI specialists?
A: Some training materials may be at your disposal already and you may not be aware of them. Check with your Quality Improvement Organization.Read More »
