The Centers for Medicare and Medicaid Services (CMS) have posted 80 new PCS codes. To break it down, there are 24 new codes that are designated as OR procedures. 56 of the new codes are designated as non-OR procedures. Almost half of those 56 non-OR procedures, 27 to be exact,
Recent guidance from the Centers for Medicare & Medicaid Services (CMS) on Medicaid State Directed Payments (SDPs) has been widely interpreted as a tightening of
For decades, case mix index (CMI) has been the default metric used by hospitals to evaluate the financial impact of clinical documentation integrity (CDI) departments.
EDITOR’S NOTE: The author of this article used artificial intelligence (AI)-assisted tools in its composition, but all content, analysis, and conclusions were based on the
As we move deeper into analysis of the upcoming proposed rule changes by the Centers for Medicare & Medicaid Services (CMS), many hospitals are still
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