Conditions That Risk-Adjust for Inpatients Not Always the Same for Outpatients
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Last week Tracy Boldt contacted me to ask a question about outpatient clinical documentation integrity (CDI), and we are lucky to have her on the Talk-Ten-Tuesdays broadcast today, detailing Essentia Health’s successful outpatient CDI program. She also mentioned that she had been awaiting the third installment of my three-part series on outpatient CDI. I was embarrassed to discover that it
had never been published, so we posted it last week.
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Elimination of LCDs Proposed
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This is the year of many Centers for Medicare & Medicaid Services (CMS) regulatory requirement changes. This includes the Merit-Based Incentive Program (MIPS), the next steps toward mandatory Authorized Use Criteria (AUC) implementation for advanced imaging, defining more explicitly what is and what is not “quality” care,
etc.
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CMS Cancels Two Mandatory Pay Models and Scales Back a Third
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The CMS on Tuesday said it will toss two bundled-payment models and cut down the number of providers required to participate in a third, citing providers' requests to have more input in the models' designs.
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Learning ICD-10: Documenting Type 2 Myocardial Infarction
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The reasons we should be documenting and coding conditions is for communicating with other clinicians, recognizing clinical significance and prognostication, and receiving appropriate compensation for utilization of resources. The implication that a Type 2 MI is different than a Type 1 MI and the new guidelines reflect
this.
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Final Fiscal Year 2018 Payment and Policy Changes for Medicare Inpatient Rehabilitation Facilities
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On July 31, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a final rule outlining fiscal year (FY) 2018 Medicare payment policies and rates for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) and the IRF Quality Reporting Program (IRF QRP). The FY 2018 final policies are
summarized...
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Study Guides On Sale For Only $39.99 (Reg $52.99)
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