Nearly 30% of respondents to a recent ACDIS poll indicated that “only God or the government can tell” whether ICD-10-CM/PCS implementation date will hold fast to its current October 1, 2014 perch, with somewhat good reason....Read More »
Three out of four Recovery Auditors (RAs) list medical necessity of cardiovascular procedures as their top issue, according to CMS data published in May 2012. Medical necessity of minor surgery or other treatment billed as an inpatient stay is the top issue for the fourth RA.
In the April edition of the CDI Journal, ACDIS published the joint ACDIS/AHIMA practice brief on “Guidelines for Achieving a Compliant Query Practice.” Relating to that publication, a sample query...Read More »
In its FY 2014 IPPS proposed rule, CMS not only redefines inpatient status, but it also discusses the ‘why’ and ‘how’ physicians should document the defining characteristic of all admissions: medical necessity.Read More »
CDI professionals must educate facilities and physicians about the importance of accurately capturing the entire disease process because physicians, unfortunately, are frequently reluctant to document additional disease processes in the charts of patients who are obviously about to die.Read More »
Q: We recently had a difficult case regarding a query for acute renal failure. Here is the scenario:
An 80-year-old woman came into the emergency room (ER) because she ran into the bumper of a car while driving her electric scooter and sustained a...Read More »
