July 21, 2023
Readmissions: Penalties aren’t so Appealing
Readmission Rates: Readmissions are frequent and costly. It is estimated that there were over 3.8 million 30-day all cause adult…
March 3, 2023
Impact of Proposed HCC Changes
Are you ready for some potentially big changes in the CMS-HCC model? In February, CMS proposed many changes in the model–including for the first time…
December 1, 2022
Pediatric Sepsis: The Denial Dilemma
The Rise of RSV and Influenza The United States is in the midst of a nationwide outbreak of RSV and Influenza A infections. These…
March 29, 2022
Health, Depends on Where you Live
If searching the 2022 IPPS (2,295 pages) for the word determinants, the word appears 18 times. CMS is asking for comments and it appears that…
February 18, 2022
Big Brother is Watching You!
COVID and the OIG As you are aware the CARES Act of 2020 provides for an additional 20% above the billed DRG for treating a…
December 6, 2021
Atrial Fibrillation…A Sticky Subject!
A secondary hypercoagulable state in patients with atrial fibrillation, a sticky subject. Does a secondary hypercoagulable state exist in patients with atrial fibrillation (AF)? This…
October 4, 2021
Breast Cancer Awareness Month
It is safe to say that since January of 2020 not a day has gone by without mention of Covid being made by the media…
August 2, 2021
Are You Managing or Avoiding Denials?
In this post-Covid error, managing denials is not the way to enhance revenue and reduce expenses. It is more important…
July 5, 2021
Acute Myocardial Infarction (AMI) Revisited: Commonly Misunderstood Aspects
On February 2020 one of our colleagues…
June 7, 2021
Burglary Prevention–Protect Your Home, Protect Your Security
June is the month commonly designated as burglary prevention month. It is a time that many of us go on vacation and leave our homes…
May 3, 2021
What is the Importance of Clinical Documentation?
The links to the article, Assessment of Potentially Preventable Hospital Readmissions After Major Surgery and Association with Public vs Private Health Insurance and Comorbidites by…
April 13, 2021
HCCs: Ambulatory vs Acute Care Setting
So you thought hierarchical condition categories (HCCs) only mattered in the outpatient arena, but this is a common misconception! These diagnoses have an impact on various quality and mortality…