If you’re embarking on a new journey as a traveling CDI specialist, you’re probably experiencing a variety of emotions, ranging from excitement to nervousness.
Category: Tips & Trends
Denial reduction in the outpatient (OP) environment stems from the knowledge of the factors that contribute to risk.
Composing a compliant query is the most important task for the querying professional.
When a CDI audit is in a facility’s future, several factors should be considered for a smooth and successful outcome.
If you’re a case manager, you know firsthand how busy and hectic the job can be at times. Between being on your feet all day to working multiple shifts, it’s easy to feel burned out.
If your facility has been experiencing turnover at a skyrocketing level, it’s time to realize it’s probably not your employees with the problem – it’s you.
CMS Hierarchical Condition Categories through a different lens Wahiyda Harding MSA, RHIA, CCS Education and Training Mentor MedPartners | MPU Division Hierarchical Condition Categories (HCCs) were first implemented by the Centers for Medicare and Medicaid Services (CMS) in 2004 as a payment model that adjusts for risk of mortality (ROI) and severity of illness (SOI).
New Year’s Resolutions by Cathy Massaro MSW, CCM, MPU Education SME Who ever thought that making New Year’s resolutions was a good thing to do after surviving the holiday season starting with Thanksgiving in November? We have already had too much to drink, eaten even more, spent extensive time with people we rarely see …
Medical Necessity* is likely: Is being discharged to a skilled nursing facility Meets “bed confined status: Unable to get-up from bed without assistance Unable to ambulate, and Unable to sit in a chair or wheelchair Has at least one other commonly documented medical necessity condition Medical necessity is possible, but patient condition must be thoroughly …