Quality & Regulatory

Q: The risk adjustment index is still not very clear to me. What are indexed...Read More »

This morning, the “CMS guy,” as he referred to himself, took the stage to open Day 2 of the 2018 ACDIS conference. David S. Nilasena, MD, MSPH, MS...Read More »

At the 2018 AHA Annual Membership Meeting on Monday, May 7, CMS...Read More »

The OIG will scrutinize how CMS collects overpayments, according to a recent...Read More »

This report allows hospitals to monitor their baselines period performance for all domains and measures required for the Hospital VBP Program.Read More »

Humana, Inc. launched a value-based Hospital Incentive Program that will pay general acute care hospitals more money for delivering on key quality...Read More »

As part of the FY 2019 IPPS proposed rule, CMS said they...Read More »

By Allen Frady, RN-BSN, CCDS, CCS, CRC

Following the March Coordination and Maintenance Committee meeting on ICD-10, CMS released...Read More »

Q: What strategies would you recommend for building an effective denials...Read More »

The rule includes updates to quality initiatives and changes to the 2019 ICD-10-CM/PCS codes. Coming in at 1,883 pages,...Read More »