Quality & Regulatory

The federal government has extended the comment period for the proposed rule...Read More »

Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an...Read More »

Safety-net hospitals may not have adequate resources to comply with federal and state sepsis quality improvement standards required of acute care...Read More »

CMS reported that it plans to begin audits that would include chart reviews for validity of diagnoses in 2020 after a recent study by the Office...Read More »

The American Hospital Association (AHA) and other hospital groups filed a lawsuit December 4 challenging CMS’ hospital price transparency final...Read More »

Carolinas Hospital in Florence, South Carolina, received $431,757 in Medicare overpayments for incorrectly billed inpatient and outpatient...Read More »

As Medicare continues to incentivize high care value, rather...Read More »

by Cheryl Ericson, RN, MS, CCDS, CDIP and Cathy Farraher, RN, MBA, CCM, CCDS

Clinical validation is a process in which diagnoses...Read More »

A recent coding productivity survey conducted by ACDIS’ parent company, HCPro, had some positive findings:

• Under ICD-9, the average
...Read More »

Improper Medicare payments have fallen to their lowest level since 2010 due to “aggressive program integrity measures,” according to CMS. The...Read More »