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Thursday, December 14, 2017

Note from the ACDIS Director

The real face of fraud—it’s not CDI

By Brian Murphy

In the stream of e-newsletters that flood my inbox each day I occasionally see reports that give me momentary pause about the CDI profession.

For instance, a Medicare Compliance Review of Rush University Medical Center recommends that the hospital refund $10.2 million to Medicare. Part of this amount is from a review of inpatient claims billed with high-severity-level DRG codes that “did not fully comply with Medicare billing requirements.”

 

ACDIS Picks

ACDIS update: Bring your holiday CDI concerns to the ACDIS Forum

Should you run into any holidays quandaries, ACDIS suggests taking them to the ACDIS Forum for answers from your peers.

Q&A: Retaining queries in the medical record

Q: Our facility does not retain written queries in the medical record, but I’ve heard that other hospitals do. Is this something we should consider?

News: MedPAC begins drafting payment recommendations to raise rates in 2019

The Medicare Payment Advisory Commission (MedPAC) recommended payment adjustments for several settings to Congress this week.

Local chapter updates: Update your chapter contact info online

Being a member of ACDIS national doesn’t automatically enroll you in local chapter membership. The converse is also true.

News: OIG okays pilot program to share patient data with pharmacists

The OIG greenlit a pilot program to share patient discharge data with pharmacists in an effort to improve care planning and decrease readmissions.

ACDIS update: Connect with the CDI community through social media

More and more people use social media platforms to connect with their communities of interest every day. Well, ACDIS (as many know) is a part of that group.

Journal excerpt: Pass the PEPPER

No, we don’t mean the common table spice. The Program for Evaluating Payment Patterns Electronic Report summarizes facility-specific data statistics for Medicare services that may be at risk for improper payments.

ACDIS update: New year, new policies? Tell ACDIS!

To gauge the prevalence of new year's CDI policy updates, ACDIS is currently running a polling question on the topic.

 

Career Center

ACDIS year-end Career Center special: Save 15% off all packages and postings!

Find your next employee with the ACDIS Career Center! Visit jobs.acdis.com and use code ACDISYES to save 15%! Offer expires January 31, 2018.

 

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Product Spotlight

Do you know which diagnoses move a complication or comorbid condition (CC) into a major CC (MCC) bucket? Even seasoned CDI professionals need to take an annual look at the CC/MCC lists released as part of the inpatient prospective payment system to stay abreast of current coding conventions and documentation improvement opportunities.

Join founding ACDIS Advisory Board member William E. Haik, MD, FCCP, CDIP, of DRG Review, Inc., for an in-depth look at the 2018 CC/MCC list and get a seasoned physician’s perspective on how to query for some of the most commonly missed diagnoses.

Click here to learn more.

 
 

Contact Us

Linnea Archibald
Editor
ACDIS
larchibald@acdis.org

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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