The 2017 Inpatient Prospective Payment System (IPPS) guidelines contain several fundamental changes, and certainly some challenges insofar as clinical documentation improvement (CDI) and coding practices are concerned.As an advocate for integration of coding guidelines into our CDI practice, the 2017 IPPS certainly offers an opportunity for tighter collaboration between the…
If you would allow me to vent a little today, then please indulge me. If you are not in the particular mood for what some might call a rant, well, you should read anyway, because this promises to be an entertaining and thought-provoking example.    The topic is a common criticism…
The 2017 Inpatient Prospective Payment System (IPPS) final rule brings with it a number of changes that are likely to have an even bigger impact on documentation, coding, and revenue than ICD-10 itself. An unprecedented number of dramatic changes will go into effect on Oct. 1.I knew that things were…
One item that has not yet received much attention is a guideline addressing the ability of a facility to report or not to report a diagnosis provided by a physician.What is a facility to do when a physician documents a diagnosis that may be unsupported by the clinical circumstances reflected…
Given the massive number of new ICD-10 codes and the Oct. 1, 2016 compliance date, HRS and ICD10monitor are producing a special-edition Internet broadcast that will focus on the imperative of pre-bill auditing.The free broadcast will air live at 1:00 p.m. on Thursday, Aug. 4. The 60-minute live event is being sponsored…
One thing always remains the same in healthcare: change. With the implementation of ICD-10 we found out how disruptive some of these changes can actually be, and it appears that this was only a precursor to even more change in healthcare, with the implementation of new quality payment initiatives.During the…
ICD-10 implementation success to date has been a result of collaboration and leveraging technology and education. Just as we experienced with planning for the successful implementation of ICD-10, we have learned that it takes a team of healthcare colleagues working together and sharing expertise across the continuum of patient care…
EDITOR’S NOTE: The following are the transcribed remarks by Mark Laudenberger during the May 24 edition of Talk Ten Tuesdays broadcast that honored the late Robert S. Gold, MD. Good morning, everyone – it is an extreme honor to be able to speak today on the life of Dr. Robert Gold.…
EDITOR’S NOTE: This is the final installment in a two-part series examining how to manage a CDI program using Key Performance Indicator management strategies.If your set goals are not achievable, you may need to go back and look at the process. How can we eliminate things like duplicative work, administrative…
Over the last few years, many provider organizations have encouraged collaboration among the revenue cycle team, clinical documentation improvement (CDI), case management, utilization management (UM), and coding staffs. There are many different and unique goals that each one of these lines of business have, yet they also have the mutual…