By Melissa Varnavas
Ask my mother. Ask my father. Ask my husband. Heck, you can even ask my nieces and nephews. For that matter, go ahead and ask ACDIS Director Brian Murphy or ACDIS Editor Linnea Archibald. Everyone knows I am absolutely no good at following the rules.Read More »
by Susan Schmitz, JD, RN, CCS, CCDS, CDIP
If you’re anything like me, I imagine you were quite relieved when the fiscal year (FY) 2020 inpatient prospective payment system (IPPS) final rule came out. The proposed rule with its thousands of CC and hundreds of MCC downgrades proved...Read More »
HACs declined by 13% between 2014 and 2017, preventing an estimated 20,500 deaths and $7.7 billion in healthcare costs, according to preliminary data from the AHRQ.Read More »
Prior to 1983, Medicare reimbursed based on actual charges that inpatient healthcare facilities billed (often referred to as “fee-for-service” payments). The more tests, procedures, and services ordered by physicians, the more an organization was paid. This created the potential for unnecessary...Read More »
Although bundled payment programs have the potential to generate data that can be used to reduce costs and improve the Medicare program, the overall pool of participants and the design of voluntary bundled payment programs may reduce the value of the data and the programs overall, U.S. GAO said...Read More »
This FAQ was created by the authors of the ACDIS/AHIMA “Guidelines for Achieving a Compliant Query Practice (2019 Update),” to provide additional clarity.Read More »
For many years now, healthcare reimbursement has been based not only on whether care was provided but on how well that care was provided and the patient’s outcome following that care.
While the premise for quality programs is largely the same across the board—measure the quality of care...Read More »
According to this year’s CDI Week Industry Survey, only 10.38% of respondents (most of whom work in inpatient settings) don’t review for quality measures, continuing a year-over-year decline. For most folks on the inpatient side of the CDI world, reviewing for quality isn’t an expansion area...Read More »
