How should we handle denied claims when the payer refuses payment under the billed status? Do we need to document that the status was changed only...Read More »
CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office...Read More »
This episode--part 3 of a 3-part clinical series, sponsored by 3M--covered common diagnosis questions sent in from listeners of the ACDIS Podcast. With special guest Dawn R. Valdez, RN,...
The American Hospital Association (AHA) and other hospital groups filed a lawsuit December 4 challenging CMS’ hospital price transparency final...Read More »
Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient...Read More »
Earlier this month, the CMS held a call to discuss the MS-DRG CC/MCC comprehensive analysis discussed in the fiscal year (FY) 2020 Inpatient...Read More »
As part of the ninth annual Clinical Documentation Integrity Week, ACDIS conducted a series of interviews with CDI professionals on a variety of...Read More »