Quality & Regulatory

The healthcare industry’s transition to value-based care model has pros and cons, according to a report released by NEJM Catalyst. Read More »

Q: I am with a CDI program that is starting to explore the severity of illness/risk of mortality (SOI/ROM). I personally have...Read More »

The fiscal year (FY) 2017 IPPS proposed rule included some significant changes to Patient Safety Indicator (PSI) 90, one of which is a new name:...Read More »

The backlog of Medicare appeals could be cleared by 2021, according to...Read More »

by Trey La Charité, MD

I have previously addressed the issue of auditor denials. However, given the industry changes I have...Read More »

The American Hospital Association (AHA) expressed concerns about the 2017 inpatient prospective payment system (IPPS) proposed rule, including the...Read More »

Editor’s note: The ACDIS Advisory Board submitted the following comments to CMS on June 16 regarding the 2017 IPPS...Read More »

CMS issued a final rule last week to revamp the way it pays for tests under the Clinical Laboratory Fee Schedule (CLFS). Now starting January 1,...Read More »

Recovery Auditor medical record requests and automated and complex denials all fell slightly in the first quarter of 2016, as did the average...Read More »

For the first time in 50 years, the American Medical Association updated its AMA Code of Medical Ethics, according to a...Read More »