If you haven’t seen the OIG report “Medicare Compliance Review of University of Cincinnati Medical Center [UCMC] for Calendar Years 2010 and 2011...Read More »
Of all the Recovery Auditor denials, hospitals reported appealing about 50% with more than a 50% success rate—it’s 50/50 game that hospitals...Read More »
In the first half of the 2014 fiscal year, the Office of the Inspector General (OIG) reported more than $3 billion in audit recoveries, nearly $3...Read More »
As more facilities face the specter of reimbursement losses related to the Readmission Reduction Program, CDI programs may be asked to take a...Read More »
Physician evaluation and management (E/M) payments cost Medicare $32.3 billion in 2010—about 30% of all Part B payments that year—and of that...Read More »
Sara Baine, MSN-Ed, CCDS, and Rhonda Peppers, RN, BS, CCDS, present a professional approach to querying for SOI/ROM, to deomnstrate the effects on the medical record, financial impact on the facility and physician, educational needs for CDIs and providers, and how SOI/ROM improves quality data...
Cheryl Manchenton, RN, BSN, describes how new regulations and federal and state payment reforms link quality performance to financial incentives and reimbursement. This presentation discusses best practices for CDI to support accurate quality outcomes data, processes for flagging potential or...
Shannon Newell, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, and Richard D. Pinson, MD, FACP, CCS, describe how hospitals get paid for their performance by CMS using outcomes derived from ICD-9-CM (soon to be ICD-10-CM) codes. In the IPPS FY 2014 final rule, CMS refined and further expanded...
Katy Good, RN, BSN, CCDS, CCS, and Benjamin Keeler, RN, BSN, PCCN, MHI, explain how to leverage your CDI program to improve hospital rankings and SOI/ROM; assist in the transition to pay for performance; initiate real-time quality improvement and monitoring; and improve core measure compliance...
