For years, providers have complained that federal statutes known as the Stark laws have impeded their ability to improve the quality and efficiency of their healthcare delivery, according to ...Read More »
By Cheryl Manchenton, RN, BSN, CCDS
If you search for Patient Safety Indicator (PSI) 90 (Patient Safety and Adverse Events Composite) in the Agency for Healthcare Research and Quality’s (AHRQ) Version 7.0 software released in October 2017, you won’t find it.
Lately, it seems as if every CMS update includes the initiative to “reduce the regulatory burden.” Outside of CMS, the American Hospital Association (AHA) and other provider led groups also...Read More »
by Allen Frady, RN-BSN, CCDS, CCS, CRC
More than a decade ago, I received a claim from patient financial services with a denial due to an “incorrect code.” The patient was pre-certified through the insurance company for a femoral popliteal bypass graft. We correctly coded the...Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Like it or not, provider documentation is the foundation for everything done in medicine. Without it, nothing is accomplished. As healthcare reform progresses (and hospital reimbursement shrinks), the need for excellent provider...Read More »
People are human. This goes for clinicians, coders, and for CDI personnel. Mistakes happen. If left unchecked, however, mistakes become habits. Effective CDI programs understand this and take appropriate steps to ensure occasional...Read More »
CMS plans to launch a new voluntary bundled payment model—the Bundled Payments for Care Improvement Advanced (BPCI Advanced)—to “improve quality of care, coordination, and...Read More »
