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 […]

Changes are coming for ICD-10-CM/PCS for FY 2017

The numbers have been released and they are impressive. Due to a code freeze for several years and the continued need for new or revised codes, there will be thousands of code changes for FY 2017. On March 22, 2016 the Centers for Disease Control and Prevention released the list of diagnosis codes changes for […]

Coming Soon – EduCode Home Health Coding curriculum

We are pleased to announce that soon Elsevier will be releasing a complete library of Home Health coding education. The Home Health Coding curriculum rounds out the complete Elsevier solution for Home Health which includes clinical and administrative education and tools. The EduCode Home Health Coding curriculum provides training to nursing and administrative staff on […]

Additional Lessons Available for CDI

Elsevier added 14 lessons in Q1 2016 to its current EduCode Clinical Documentation Improvement curriculum.  These lessons reside in the course titled “Documentation Essentials for Specific Topics, Diagnoses, and Procedures.”  These lessons will be populated on current client sites. The new lessons are listed below:      •  Heart Failure      •  Obstetrics Part 1: Pregnancy      •  Obstetrics Part 2: Labor, […]

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 […]