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Taking a Deep Dive into Understanding PSI 90

Turning data into information in reviewing PSIs 11, 12, and 13 is vital. “You can have data without information, but you cannot have information without data.” – Daniel Keys Moran

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How ChristianaCare Improved Its PSIs

The process involves a multi-step review. Physicians take the Hippocratic Oath in medical school to “do no harm.” Despite their best intentions, however, many physicians sometimes unwittingly trigger a patient safety

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Nine Elements of an Effective CDI Program

These foundational elements are essential to assure that there is a better way to improve CDI. Clinical Documentation Integrity (CDI) programs continue to evolve over time with increasing utilization of

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Coding Quality: Obstacles and Solutions

Developing a team approach can positively impact coding quality and reduce coding errors. Coding professionals are faced with a myriad of challenges that can significantly impede coding quality. Such challenges

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Medicare Quality Payment Program Under Fire

The American Hospital Association steps in; the American Medical Association steps up. On Sept. 27, 2017, the Centers for Medicare & Medicaid Services (CMS) announced that it would not update

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Most Clinicians Still Do Not Know About MACRA

Major financial penalties loom for providers not following reporting requirements.We are more than halfway through the first year of the Medicare Access and CHIP Reauthorization Act (MACRA), and a majority

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Elimination of LCDs Proposed

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

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