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Thursday, January 25, 2018

Note from the Instructor

Myth Busters—Physicians can only learn from their peers…other physicians

By Laurie L. Prescott, RN, MSN, CCDS, CDIP, CRC

I love the show MythBusters, even though there are times I just can’t believe their conclusions. For example, I raised my kids believing the infamous five-second rule, and they seemed to have survived quite well. I won’t speak to my actions in my college days, but there’s also a myth that an empty beer bottle will cause more damage than being hit in the head with a full beer bottle. The show proved this wrong, too.
 

ACDIS Picks

Conference corner: ACDIS Achievement Awards nominations, poster applications open

We invite you to nominate a colleague who has made significant contributions to the CDI field for the 2018 ACDIS Achievement Awards.

Q&A: Understanding SOI and ROM in the APR-DRG system

Q: I need some help understanding SOI and ROM as it’s my first encounter with APR-DRG factors that may affect reimbursement. First, how does one measure the SOI and ROM? Could you elaborate on how CCs and MCCs affect severity levels?

Second, what are the criteria for choosing the levels for SOI and ROM?

And finally, how do you classify the “sickest of the sick” patients when determining level 3 to 4 or level 4 to 3 for SOI and ROM?

News: Report finds hospitals spend roughly $39 million annually on regulatory burdens

In an effort to prove the extent of the burdens placed on providers, the AHA and Manatt Health analyzed requirements from CMS, the OIG, Office for Civil Rights, and the Office of the National Coordinator for Health Information Technology, JustCoding reported.

ACDIS update: Advisory Board application period closes Monday, January 29

The 2018 ACDIS Advisory Board application period closes on Monday, January 29.

Local chapter update: Developing bylaws as the chapter matures

Every chapter has stages in its development. As the chapter grows—regardless of how much—a level of formality grows with it.

News: More than 20,000 providers to receive Medicare payment bump of 6.6% to 19.9%

In 2018, more than 20,000 providers will receive an increase of 6.6% to 19.9% on their Medicare physician fee schedule payments as a result of their high performance on quality and cost measures in 2016.

ACDIS update: Use your voice to shape the future of ACDIS

The annual ACDIS Membership Survey provides a glimpse into members’ needs, wants, and frustrations that is invaluable for the ACDIS leadership team.

News: More accountable care organizations exist now than ever before

CMS released data online listing 561 accountable care organizations and 10.5 million assigned beneficiaries for performance year 2018, HealthLeaders Media reported.

 

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Product Spotlight


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.

 
 

Blog Highlight

Here's what's been published on the ACDIS Blog in the last week:

 

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