Quality & Regulatory

MLN Matters article SE1121 emphasizes that coders must consider all documentation from licensed treating physicians and attending...Read More »

The bane of many CDI specialists’ existence is trying to get physicians to buy into good documentation practices. But a recent notice issued by...Read More »

Effective December 15, Trailblazer Health Enterprises, LLC,...Read More »

On December 7, CMS published a final rule in the Federal Register that will give qualified organizations such as employers and consumer...Read More »

Starting in January 2012, facilities could see pre-payment reviews from auditors involved in a new CMS demonstration program,...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

If you’ve started using your PEPPER to help you identify potential issues at your...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

In my previous entry, I talked about the PEPPER process and how it can be used to...Read More »

The auditing arm of the Department of Health and Human Services (HHS) plans to crack down on hospital performance in the areas of reporting of...Read More »

On October 20, CMS released its long-awaited final rule governing accountable...Read More »

Coders and CDI specialists need to understand the implications coding and sequencing may have on readmissions data and cohort selection, says ...Read More »