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Thursday, November 17, 2016

A Note from the CCDS Coordinator: Congratulations to our 3,500th CCDS holder!

Congratulations to our 3,500th CCDS holder!

A couple of weeks ago, the 3,500th person to hold the CCDS certification passed the exam. We are delighted to introduce you to Jaime Brown, BSN, RN, CCDS, a CDI specialist at Ochsner Health System at Jefferson Parish, Louisiana. Please join us in congratulating her on this tremendous accomplishment!

Before becoming a nurse, Brown had a career as a commercial loan underwriter for a major financial institution before obtaining her bachelor of science in nursing. She worked in oncology for seven years and has been in CDI for three years.

“CDI has been an awesome professional opportunity,” says Brown. “I have had the opportunity to increase my clinical knowledge, learn the financial side of healthcare, and be a part of the formative years of this unique profession all while having the flexibility to be there for my children when they need me.”

Brown has two children—daughter, Kaitlyn, age nine, and son Cody, age seven. She enjoys her free time trying new restaurants and catching up with family and friends.

 

ACDIS Picks

News: CMS finalizes 2017 outpatient-service payment rules

The pay regulations for 2017 are expected to increase Medicare payments to hospitals for outpatient services by 1.7%, according to details about the 2017 Outpatient Prospective Payment System (OPPS) final rule, which also finalizes changes to the Ambulatory Surgery Center (ASC) Payment System. The final rule includes new Medicare Physician Fee Schedule (MPFS) rates for items and services rendered to Medicare beneficiaries at off-campus outpatient departments owned by hospitals. Once all of the outpatient payment rule changes announced Tuesday are accounted for, CMS estimates next year's Medicare payments to hospitals for outpatient services will be slightly higher than 1.65%. That is "before taking into account changes in volume and case mix" for hospitals paid under the OPPS, the fact sheet says.

Editor’s note: This article was originally published by HealthLeaders Media.

News: CMS to begin new round of settlements for inpatient appeals

CMS recently released details of its next round of settlements for hospitals with pending inpatient appeals to help clear a massive backlog that has been the subject of a long-running lawsuit.

With appeals waiting for adjudication before Administrative Law Judges (ALJ) continuing to languish, this is CMS’ second attempt at reducing the backlog by offering providers a portion of the appealed amount in return for ending the appeal. In 2014, the agency paid approximately $1.47 billion to 2,022 hospitals to settle approximately 346,000 claims. CMS also issued a proposed rule in June attempting to deal with its inability to complete reviews by its statutorily mandated deadline. 

 

Membership Update

Local Chapter Update: WI Chapter meeting attendee praises session on cardiomyopathy
Q&A: Echo and type of CHF
CDI and Coder Collaboration at Ardent Health Services
 

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Product Spotlight

Find out what's new in the 2017 CDI Pocket Guide

The new edition of the best-selling CDI Pocket Guide by authors Dr. Richard Pinson and Cynthia Tang has been comprehensively updated for 2017.

This authoritative CDI reference guide focuses on the most common opportunities to improve clinical documentation, coding, and DRG assignment impacting reimbursement, severity of illness, quality reporting, and pay-for-performance. Its five sections—Guidelines, Key References, Comorbid Conditions, DRG Tips, and the MS-DRG Table—are designed for quick and easy reference.

A compact, portable resource, the CDI Pocket Guide is essential for new or experienced CDI specialists, coders, physician advisors, and any others involved in CDI.

Buy Now

 
 

Contact Us

Melissa Varnavas
Associate Editorial Director
ACDIS
mvarnavas@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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