Connolly Healthcare, CMS’ recovery audit contractor (RAC) for Region C, announced its first targets for complex review with a list of 24-DRGs in December 2009. A few weeks later it added 15 more DRGs to its list.
Connolly’s list was the first published, so it provided a good preview
He spent 10 years as an emergency department nurse, three years working in surgery, and several more years working nights in the ICU. With nearly 20 years of nursing experience, Steven Brush decided he had had enough. He needed a change from long hours and odd shifts. After all...Read More »
Most organizations evaluate performance by looking at calendar year data, so set aside some time in January to run some reports and analyze your program. If you’re not the data manager for your program, make an appointment to sit down with your data person/report developer/manager to review...Read More »
There is a poster that I’ve seen in several hospital departments around the country: “TEAM: Together Everyone Achieves More.” The problem, as I see it, is that developing a team takes more than just a poster. It takes collaboration, patience, and...Read More »
The rift between CDI and HIM professionals can sometimes feel too great to cross.
Nevertheless, documentation improvement is not “an us versus them concept; it’s a we concept,” says Colleen Stukenberg, MSN, RN, CMSRN, CCDS, a member of the ACDIS advisory board and clinical...Read More »
CDI programs are maturing, moving beyond review primarily of acute care Medicare patients. Two areas some hospitals have chosen to explore are OB/GYN and pediatrics.
All physicians benefit from CDI education, and all specialties need to document severity of illness with appropriate ICD-9-...Read More »
