Why CDI is Important – in Six Figures

Yikes! According to the Office of Inspector General (OIG), a Louisiana hospital incorrectly billed Medicare for claims with a diagnosis of malnutrition (specifically, kwashiorkor), receiving $321,971 in overpayments during a five-year period. As reported on medicarecompliancewatch.com, kwashiorkor, a type of severe protein malnutrition that affects children in subtropical or tropical regions during food shortages, is […]

HIPAA Violations Result in $2.2 Million Settlement

With the complexity and ever-changing nature of healthcare regulations these days, staying on top of the constant changes in, and expansion of, rules and mandates can seem like an overwhelming task. But it’s a critical one for any healthcare organization. Violations of these regulations can have serious financial and legal consequences for everyone involved. Take […]

Learning and the People Who Love it

Recent research from the Pew Research Center determined that a large majority of Americans seek knowledge for personal and work-related reasons. In fact, nearly 75 percent of adults consider themselves lifelong learners. In the category of what Pew calls “professional learners,” 63 percent of those working have taken a course or gotten additional training in […]

CDI, Coding and the Territorial Imperative

A recent article on advanceweb.com looked at the dark underbelly of coding and CDI. Didn’t know there was one? Apparently, there can be a severe disconnect between coders and CDI specialists, as each group staunchly defends its territory, ready to engage in disputes that “border on open warfare.” While it’s amusing to think of irate […]

Cracking the Code on Operational Improvements

In a recent blog, CMS Acting Administrator Andy Slavitt shared lessons learned in the implementation of ICD-10 that he sees as guiding principles going forward. They included a customer focus, a high degree of collaboration, responsiveness to issues, accountability in taking action and using metrics to be fully informed. It was good to see such […]

Is your CDI F-I-T?

History tells us that 35 percent of people who resolved to get physically fit in 2016 already have given up. Common reasons/excuses cited include lack of time, expecting too much too soon and the sheer drudgery of keeping up with a diet or workout regimen. It’s not just individuals who can be easily thwarted in […]

Training on Our Brains

A number of healthcare training-related articles caught our eyes this past week, and we thought we’d share a few. RCM and ROI Given who we are, this headline certainly got our attention: “Education Investment Strengthens Revenue Cycle Management.” According to a revcyclemanagement.com report, healthcare executives “are beginning to understand the monetary value of education and […]

Learning by the (e)Book

While an e-book by KaiNexus addresses overall corporate continuous improvement, there are lessons to be gleaned on a more specific issue: CDI. Clinical (or Continuous) Documentation Improvement has become a critical pursuit in improving care, assuring appropriate reimbursement and meeting regulatory requirements. Among points relevant to that pursuit in “The Definitive Guide to the Leadership […]

Revenue Cycle Management Takes Center Stage

According to a recent article on revcycleintelligence.com, 2016 will be a year of focus on revenue cycle management processes for healthcare providers in this ICD-10 world. Based on new studies by Porter Research and Navicure, the article addressed key areas of concentration within this context, with value-based care initiatives looming large. Becker Hospital Review agreed, […]