News

The move comes amid localized spikes in COVID-19 cases occurring nationwide. Federal officials said Friday that they are ending an emergency blanket waiver intended to reduce administrative burden on nursing homes amid the continuing COVID-19 pandemic. The Centers for Medicare & Medicare Services (CMS) said that effective August 14, nursing…
The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM. This type of patient care is very helpful for…
Even with a relatively low mortality rate, the U.S. had a population of 325 million that was entirely vulnerable to the novel coronavirus. The case fatality rate is skewed older. Consider this: one out of every six people over the age of 80 may ultimately succumb to COVID-19. We do…
A Talk Ten Tuesdays listener recently sent me a question that encouraged a dialogue between us. The question was “can obesity class 3 be assigned the code for morbid obesity?” I had to do a little research, as I did not know the answer immediately. After reviewing the Index of…
As payors both in government (Medicare) and the commercial arena (private plans) see the recoupment rate of services billed incorrectly or non-compliantly skyrocket, the payor audit is not going away anytime soon. This awareness is now producing more audits of physicians than ever before, directly contributing to higher rates of denials. Audits take time…
I conceived a new project that triggered last week’s TalkBack segment on the Talk Ten Tuesdays weekly Internet radio broadcast, and I would love your feedback on the concept. My vision is to design a comprehensive clinical documentation improvement (CDI) curriculum and teach it in small, digestible aliquots. There are…
With concerns of COVID-19 having a disproportionate impact on certain individuals, such as minorities and the elderly, public health experts are requiring more detailed data, provided on a real-time basis – further supporting the reliability and integrity of data being central to healthcare. Though rates of new COVID-19 cases in…
Outpatient clinical documentation improvement (CDI) programs have moved into the mainstream, as hospitals and healthcare systems continue to embrace consulting companies’ push into the outpatient arena. As the CDI profession matures and the market for CDI consulting becomes more highly competitive and less lucrative, these companies have identified a new…