Our Advisory Board and volunteer committees are the cornerstone of our association, from writing industry guidance to vetting materials posted in our member Resource Library, maintaining and updating our credentialing programs, reviewing regulatory updates,...Read More »
by Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CDIP, CCS
As we move into 2026, the Year of the Horse, a time traditionally associated with momentum and purposeful forward movement, it’s a great time to evaluate where you are as a CDI program. It is an opportunity to move forward...Read More »
CMS announced it is adding 80 new procedure codes to the fiscal year (FY) 2026 ICD-10-PCS code set, available for discharges occurring from April 1 through September 30, 2026, ...Read More »
CMS recently published a fact sheet detailing improper payments across Medicare and Medicaid programs in fiscal year (FY) 2025, including overpayments, underpayments, and payments that lacked...Read More »
Kaiser Permanente has reached a settlement agreement with the United States Department of Justice over documentation practices impacting some Medicare Advantage (MA) risk adjustment payments from 2009‒2018. According to the Office of Inspector General (OIG)...Read More »
Q: What are some documentation gaps in behavioral health encounters?
A: Many times, we see a lack of specificity regarding symptoms, severity, and treatment details required for accurate ICD-10-CM coding, as well as incomplete...Read More »
