Quality & Regulatory

CMS released the 2019 OPPS final rule on Friday,...Read More »

When a patient comes into the hospital and, despite the medical staff’s best efforts, dies, the documentation in the record should accurately...Read More »

by Melissa Varnavas
It’s that time of the year again: time to pull down the tome that is the inpatient prospective payment system (...Read More »

By Sam Antonios, MD, MMM, FACP, SFHM, CPE, CCDS
Consider the story of a patient—say, a pneumonia patient—whose treatment cost a lot...Read More »

FEATURES
7 Concurrent coding
12 CMS-HCC version...Read More »

Auditors could be able to extrapolate findings to larger pools of claims, according to a CMS...Read More »

Q: We’re seeing an increase in the volume of medical record requests from external auditors. How can...Read More »

The rate of most HACs continued to decline from 2014 to 2016, according to the latest national...Read More »

By Cheryl Manchenton, RN, BSN, CCDS

If you search for Patient Safety Indicator (PSI) 90 (Patient Safety and Adverse Events...Read More »

Two physicians and three nurses were sentenced last week in a $11.3 million Medicare fraud scheme involving false and fraudulent claims for home...Read More »