We’re officially less than 100 days until the annual ACDIS Conference. As you begin to plan your itinerary, we’ll be posting regular updates to keep you in the loop on speakers, sessions, special events, and more.Read More »
Even though Promise Hospital of Ascension, a 54-bed transitional care hospital located in Gonzales, Louisiana, closed before the Office of the Inspector General (OIG) began auditing it for fraudulent Kwashiorkor claims, the agency found errors resulting in more than $450,000 in overpayments. In...Read More »
CMS continues to transition from volume-based to value-based payments and Alternative Payment Models (APM), including bundled payment models, with the goal to have 30% of its payments tied to APMs by 2016 and 50% by 2018. In 2011, CMS sought out providers to test four broadly defined bundled...Read More »
The American Hospital Association (AHA) expressed concerns about the 2017 inpatient prospective payment system (IPPS) proposed rule, including the documentation and coding adjustment (DCA), changes to disproportionate share hospital (DSH) payments, and the implementation of various quality...Read More »
CMS underpaid Medicare Advantage plans for the cost of treating patients with multiple chronic conditions, which the organization admitted to in November. However, a new report from healthcare consulting company, Avalere Health, shines a light on some of the specifics. Read More »
I have previously addressed the issue of auditor denials. However, given the industry changes I have witnessed in the last 12–18 months, it is time to revisit this problem. And, per communications with colleagues in the CDI world, I suspect the same...Read More »
