It’s been more than 12 years since AHIMA published its first recommendations governing coder-physician interactions. Since “Developing a Physician Query Process,” published in 2001, much in the healthcare industry has changed—and much change is still to come.
A November report from the Government Accountability Office (GAO) calls on CMS to provide better oversight of its key audit contractors specifically related to Medicaid. The report called the National Medicaid Audit Program (NMAP) “inefficient...Read More »
Connolly Healthcare, the Recovery Auditor (RA) for Region C, continues to focus on complex inpatient reviews of a long list of MS-DRGs. Regardless of whether this is your hospital’s RA, you need to ensure that your records reflect the...Read More »
It has been three years since ACDIS last surveyed its membership about physician query practices. In 2010, 382 CDI professionals participated. This year’s survey garnered 517 respondents, primarily CDI specialists.
“That’s really a tremendous response rate,” says Drew K. Siegel,...Read More »
Earlier this month, CMS released a quick tip sheet “Communicating with your Payers about ICD-10.” In it, the agency listed several questions facilities can use to connect with various payers to ensure readiness for the transition slated for October 1, 2014. Questions include:
On October 16, Representative Sam Graves (R-MO) introduced legislation to reform Recovery Auditors (RA) through various financial penalties and program limitations. (Read a related article in CDI ...Read More »
