CMS updated Medicare regulations for 2019 EDITOR’S NOTE: Veteran Washington, D.C. observer Stanley Nachimson reported on the final rules from the Centers for Medicare & Medicaid Services (CMS) during Talk-Ten-Tuesdays today. The following is a transcription of his remarks. The Centers for Medicare & Medicaid Services (CMS) has been quite…
Lack of a SOFA score change does not rule out sepsis. A couple weeks ago, I spoke about how the current definition of sepsis, known as "sepsis-3," was the best definition for the medical community to use at this time. This week, I'm going to discuss the clinical diagnosis of…
The importance of an effective outpatient CDI program cannot be overstated When working with a member of the sales force for a previous employer, I was asked, “What is the biggest problem coders encounter?” My answer, very simply put, was “physician documentation!” I should have added “or lack thereof!” We…
The American Hospital Association (AHA) recently announced that notes from social workers and registered nurses will be considered social determinants of health (SDoH).In 1945, World War II was ending, soldiers were returning home, and my mother graduated from nursing school. Her nursing board exam review book is short; the answer…
MACRA continues to be a subject that perplexes providers even as the program evolves.It has been recently confirmed that the Comprehensive Care for Joint Replacement (CJR) bundled payment has been cut from 67 to 34 percent in the program, and the carding rehabilitation incentive with bundled payments has been cancelled.…
Senate Republicans will not vote to repeal and replace Obamacare. Congress must still deal with many other healthcare initiatives before Sept. 30. Who doesn’t love a good to-do list? But when it comes to what Congress is looking to accomplish in September, let alone before the end of the year,…
The August heat is upon us here in the nation’s capital, and lawmakers have left town for their summer recess. The Senate was able to tie up some loose ends before leaving, including the passage of the Food and Drug Administration Reauthorization Act (FDARA), while leaving uncertainty regarding the reauthorization…
EDITOR’S NOTE: The Congressional Budget (CBO) on Monday scored the proposed Senate bill reporting 22 million more uninsured by 2026.On June 22, U.S. Senate GOP leadership unveiled the Better Care Reconciliation Act of 2017 (BCRA) to repeal the Patient Protection and Affordable Care Act (PPACA), known colloquially as “Obamacare” –…
Every two years, one of the most interesting perspectives on medicine in America is published by the Physicians Foundation via its biennial physician survey.In the 2016 survey, 17,236 physicians responded to a wide variety of questions about their practice, the state of the healthcare industry, and perspectives on specific topics,…
EDITOR’S NOTE: Matthew Albright oversaw the certification program at the Center for Affordable Quality Healthcare (CAQH) and Committee on Operating Rules for Information Exchange (CORE) to ensure conformance with the requirements of the Patient Protection and Affordable Care Act (PPACA). He also served as Director of the Administrative Simplification Group…