Hospitals on average misidentify between 7% and 10% of incoming patients when registration staff search the electronic health record (EHR) database for patient records, according to Becker's Hospital CFO.Read More »
$14.2 million. That’s what Medicare paid New York-Presbyterian Hospital in overpayments for 123 claims because the hospital did not have “adequate controls to prevent the incorrect billing of Medicare claims,” according to the Office of the Inspector General (OIG).Read More »
The new MCC/CC lists in 2017 IPPS Final Rule released by CMS on August 2, include several new codes and many new combination codes with greater specificity. Most, however, have little effect on CDI specialists’ daily work. One item, however, hypertension, should raise some interest.Read More »
The newly proposed Sepsis-3 definition has been the subject of great controversy and consternation since its publication in The Journal of the American Medical Association (JAMA) on February 23, 2016. That controversial definition discarded the concept of SIRS as the basis for defining sepsis...Read More »
CMS recently released the 2017 ICD-10-PCS code updates and guidelines, which include changes to certain root operations. Of the updates, the most notable modifications include the addition of root operation for...Read More »
When it comes to providing high-quality patient care, most American hospitals simply don’t. That’s if the recent round of five-star rankings from CMS are to be believed. About 1,700 hospitals (39%) earned just three out of five stars, an “average” rating. Just as consumers need to examine...Read More »
Prime Healthcare Services hospitals in California allegedly pressured emergency department (ED) physicians to admit Medicare patients without the medical necessity for an inpatient admission, according to the...Read More »
