After saying the Merit-based Incentive Payment System (MIPS) was doomed to fall short of its policy goals, the Medicare Payment Advisory Commission (MedPAC) voted in favor of ending the...Read More »
This year, 751 hospitals will be hit with a payment reduction from Medicare due to high rates of patient injuries. These hospitals will lose 1% of their Medicare payments over fiscal year 2018.Read More »
by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
In 2015, I wrote 44 appeal letters challenging DRG validation/coding denials. In 2016, I wrote 88 appeal letters. Last year, I penned 159. We already received more than 40 DRG validation denials in January of this year. Does this trend...Read More »
As the CDI profession matures, programs are instituting career ladders to create advanced positions for seasoned CDI professionals looking for a change in their responsibilities. Whether it be the addition of a second–level reviewer, an educator, or even an informaticist, the options for CDI...Read More »
CMS will make a settlement option available for providers and suppliers (appellants) with fewer than 500 appeals pending at the Office of Medicare...Read More »
