In Part 1 of this series I introduced the developing story of UnitedHealth Group, Inc. vs. the United States of America, and my intent to write a series of articles on this civil fraud action. Why? Because I find this to be an incredibly interesting...Read More »
The work of a CDI professional can at times seem isolating and unimportant. Does it matter if a query gets answered? When we educate physicians and tell them what they document matters, are they listening?
Then a case comes along and demonstrates...Read More »
Postoperative complication coding guidelines continue to cause difficulties for coders and CDI professionals. So, let’s analyze the steps needed to ensure complete, accurate, and compliant coding.
The selection of a principal diagnosis, secondary diagnosis, present on admission (POA) status, and discharge status on each claim determines whether a pneumonia discharge will be included in Hospital Value-Based Purchasing Program and Hospital...Read More »
CMS released its list of quality measures under consideration (MUC) in November and the National Quality Forum’s (NQF) Measure Applications Partnership (MAP) begun its annual review of the list, according to a blog post from the American Association of Professional Coders (AAPC).
