Quality & Regulatory

The newly proposed Sepsis-3 definition has been the subject of great controversy and consternation since its publication in The Journal of the...Read More »

CMS recently released the 2017 ICD-10-PCS code updates and...Read More »

When it comes to providing high-quality patient care, most American hospitals simply don’t. That’s if the recent round of five-star rankings from...Read More »

The federal government could delay implementation of the physician payment reforms under the Medicare Access and CHIP Reauthorization Act (MACRA...Read More »

Prime Healthcare Services hospitals in California allegedly pressured emergency department (ED) physicians to admit Medicare patients without the...Read More »

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 »