The battle over timely reviews for Medicare claims denials continues despite a federal court’s decision to dismiss an American Hospital Association (AHA) lawsuit in December. The suit, brought by the AHA and several hospitals, sought to have the courts compel the Department of Health and Human...Read More »
“Better, Smarter, Healthier” was the headline which topped a January announcement shifting value-based purchasing (VBP) goals and shortening implementation deadlines.
By 2016, 85% of all traditional Medicare payments will be tied to quality or value. By 2018, 90% of all payments will have...Read More »
The Department of Justice (DOJ) recovered $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014; $2.3 billion of which against federal healthcare programs,...Read More »
The Government Accountability Office (GAO) found that while CMS’ transparency tools such as its Hospital and Physician Compare websites “provide some clinical quality information relevant to consumers, they often lack condition-specific information for the type of non-urgent procedures that...Read More »
As you put the final touches on your itinerary, we have a couple more speaker previews that we’d like to share with you. This week, we spoke with Allison Clerval, RN, BSN, CCDS and Kathleen M. Shindle, RN, BSN, CCDS, who will present “A Matter of Life and Death: CDI Impact on Mortality Risk...Read More »
Quality. If we had a dollar every time that word is used, we would be wealthy. But money isn’t everything. Just consider the evolution of the CDI profession.
True, the CDI profession was built on a financial platform – it’s how...Read More »
Every October, the Office of the Inspector General (OIG) hands the public a cheat sheet of sorts—its annual Work Plan—releasing its list of audit targets for the coming calendar year. Sometimes its priorities echo those from previous years, other times they...Read More »
