Thirty-three percent of hospital executives said their organization’s average rate of denials is in the “danger zone” (i.e., more than 10% of all claims), according to a recently released survey by...Read More »
Each fall we join our revenue cycle, quality, and coding colleagues in a race to read and understand the impacts of the newest ICD-10-CM coding changes and the Inpatient Prospective Payment System (IPPS) final rule. As CDI professionals, we can...Read More »
Hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and are meaningful EHR users could see a 2.8% payment increase, if the...Read More »
by Linnea Archibald
Winter is a time for hunkering down, a time to reflect as the year winds down and prepare as the new one approaches. November and December tend to be filled with a quiet sort of busyness, the kind of busyness that looks like lingering around a holiday dinner...Read More »
by Carolyn Riel
The inpatient prospective payment system (IPPS) was first implemented in 1983 to help combat unnecessary or excessive services being charged when Medicare was reimbursing on a fee-for-service model. Before the IPPS, the International Classification of Diseases (...Read More »
by Leyna Belcher, MSN, RN, CCDS, CCDS-O
According to Margaret Thatcher, “You may have to fight a battle more than once to win it.” In healthcare, the ultimate ongoing battle is fighting denials. These denials have become a battleground as payers lack oversight and are inconsistent...Read More »
