News: CMS must assess, strengthen documentation requirements and medical reviews to address $23 billion in improper payments, GAO says

April 11, 2019
CDI Strategies - Volume 13, Issue 15
Denials & Appeals, News, Quality & Regulatory

Insufficient documentation led to approximately $23 billion in improper Medicare payments in FY 2017, the GAO said in a March 27...Read More »

News: Despite participation drop, CMS to accept applications for BPCI Advanced Model Year 3

April 4, 2019
CDI Strategies - Volume 13, Issue 14
News, Quality & Regulatory, Outpatient CDI

CMS announced that it will soon begin accepting applications to participate in its second cohort of the BPCI Advanced Model starting in January...Read More »

News: AHA comments on potential changes to CMS star rating methodology

April 4, 2019
CDI Strategies - Volume 13, Issue 14
News, Quality & Regulatory

At the beginning of March 2019, CMS...Read More »

News: CareWell Urgent Care to pay $2 million to settle upcoding allegations

April 4, 2019
CDI Strategies - Volume 13, Issue 14
News, Quality & Regulatory

CareWell Urgent Care Centers, which operates 16 urgent care centers in Massachusetts and one in Rhode Island, has agreed to pay $2 million to...Read More »

News: Newsweek publishes list of the world’s top 10 hospitals

March 28, 2019
CDI Strategies - Volume 13, Issue 13
News, Quality & Regulatory

Newsweek has partnered with a global market...Read More »

News: BPCI Advanced participation down 16% in the first five months

March 28, 2019
CDI Strategies - Volume 13, Issue 13
News, Quality & Regulatory

The number of providers participating in...Read More »

News: CAUTI, CLABSI, c. diff rates decline from 2016 to 2017

March 28, 2019
CDI Strategies - Volume 13, Issue 13
News, Quality & Regulatory

Acute care hospitals reduced c. diff infections by 13%, CLABSIs by 9%, and CAUTIs by 5% in 2017, according to...Read More »

How to round with providers

March 27, 2019
News, Education, Physician Queries

With Erica E. Remer, MD, FACEP, CCDS, the president of Erica Remer, MD, Inc. in Beachwood, Ohio. Co-hosted by Laurie Prescott, MSN, RN, CCDS, CDIP, CRC, the CDI...

News: AMA on track to revise E/M codes, set new documentation guidelines

March 21, 2019
CDI Strategies - Volume 13, Issue 12
Clinical & Coding, News, Outpatient CDI

The American Medical Association’s (AMA) current procedural terminology (CPT) editorial panel...Read More »

News: Quality varies among affiliates of U.S. News & World Report’s honor roll hospitals, study finds

March 21, 2019
CDI Strategies - Volume 13, Issue 12
Clinical & Coding, News, Quality & Regulatory

Surgical outcomes at hospitals on...Read More »

Pages