Briefings on Coding Compliance Strategies

MAC prepayment reviews hit hospitals hard

June 1, 2012
MACs have already begun prepayment reviews at hospitals nationwide, and Medicare Recovery Auditors aren't far behind.
Briefings on Coding Compliance Strategies

Seven savvy tips for coding sepsis and SIRS

June 1, 2012
Many physicians say that SIRS criteria are insufficient and confusing at best, and don't indicate whether a patient is truly sick.
Briefings on Coding Compliance Strategies

Address medical necessity, coding challenges

June 1, 2012
Medical necessity denials traditionally focus on high-dollar DRGs, such as those for hip and knee replacements; others may also soon become targets.
Briefings on Coding Compliance Strategies

Will acute respiratory failure be CC instead of MCC?

June 1, 2012
Will acute respiratory failure be demoted from MCC to CC?
Briefings on Coding Compliance Strategies

Quality of care emerges as FY 2013 theme

June 1, 2012
Inpatient hospitals will see CMS payment rates increase 2.3% in FY 2013 if the agency finalizes the change in the IPPS proposed rule released in April. CMS expects that in FY 2013, the documentation and coding adjustment will net an aggregate 0.2% increase. Other quality-of-care initiatives could reduce payments.