Quality & Regulatory

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 »

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 »