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Thursday, February 23, 2017

Note from Associate Editorial Director

What’s your query metric?

The latest survey out from ACDIS probes at a number of additional questions related to CDI physician query practices.

The survey which will remain open through March 1, also asks important questions about query auditing and monitoring, resources used to craft query policies, and about respondents’ perceptions regarding the effectiveness of electronic systems.

 

ACDIS Picks

News: Whistleblower suit accuses UnitedHealthcare of improper billing

A False Claims Act lawsuit accuses UnitedHealthcare Group of a scheme which may have allowed its subsidiaries and other insurers to improperly overcharge Medicare by “hundreds of millions — and likely billions — of dollars."

News: Vidant provides firm rebuttal to OIG findings related to malnutrition

Accused of misreporting malnutrition in a January 2017 OIG audit, Vidant Medical Center, a 909 bed acute care teaching hospital, fought back with a collaborative rebuttal of the findings published alongside the original audit results.

News: CMS awards approximately $100 million to help smaller practices with the quality program

CMS awarded roughly $100 million in aid to 11 small physician practice organizations to help meet Quality Payment Program (QPP) initiatives, according to a February 17 news release.

News: 2016 revenue goals proved elusive for many physician practices

More than a quarter of physician practices fell short of revenue goals in 2016, according to a poll released January 17 by the Medical Group Management Association.

News: ICD-10-CM codes for reporting diseases of the musculoskeletal system in 2017

The codes in ICD-10-CM Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue, cover diagnoses for conditions throughout the body. Due to the wide scope of conditions in the chapter, it had extensive updates for 2017.

Q&A: Coding acute hypoxic and acute hypercapnic respiratory failure

Q: When the physician documents that the patient is acute hypoxic and acute hypercapnic, should we code both of these diagnoses?

A: The first step to answering your question would be to look up respiratory failure in the Alphabetic Index.

 

Membership Update

CCDS Update: Is your CCDS up to date?
Quarterly Conference Call posted
CDI Journal coming soon, your voices wanted
Local Chapter Updates: Find a chapter near you by attending an upcoming event
Please take a moment for JustCoding’s product survey
 

Career Center

Post your open positions or find your next career move with the ACDIS Career Center.

 

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Product Spotlight

CDI Field Guide to Denials Prevention and Audit Defense
The world of denials prevention and audit defense is filled with a host of watchdog agencies—an alphabet soup of acronyms—to audit claims and take back funds for inappropriate submissions. Your hospital must work to protect its reimbursement, and your CDI program can help. With more than a dozen years’ experience working with CDI staff to defend claims and tighten procedures around documentation for auditor targets, author Trey La Charité, MD, FACP, SFHM, CCDS, provides step-by-step tools to help your program improve its denials prevention efforts.

Click here to learn more.

 
 

Contact Us

Linnea Archibald
Editor
ACDIS
larchibald@hcpro.com

Carrie Dry
National Sales Manager
ACDIS
cdry@hcpro.com

Association for Clinical Documentation Improvement Specialists
35 Village Road, Suite 200
Middleton, MA, 01949
800-650-6787
www.acdis.org

 

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