A room and board policy defines routine daily hospital services and covered medical and surgical services and supplies. Use this sample policy as a template for your organization.
Upgrading and switching EHRs and other technology and applications is a constant cycle at hospitals. Learn how one organization manages change in their CDI program.
Identifying sepsis is a complex process that takes more thought than checking off clinical indicators from a list, regardless of what criteria are used to qualify the diagnosis. Apply these tips to identify clinical indicators of competing diagnoses.
UnitedHealthcare recently transitioned its utilization management approach for all of its health plans from Milliman Care Guidelines to InterQual criteria. Learn how this change could have far-reaching impact on hospitals.
CMS walked back some major policy changes and cemented others in the 2022 Inpatient Prospective Payment System (IPPS) final rule. Brush up on the latest changes and ensure your hospital is ready to comply by October 1.
Inadequate documentation is a common pain point for coding and CDI efforts. Learn how one organization created a documentation education resource for their physicians.
Understanding how condition codes 44 and W2 affect reimbursement and workflows in various scenarios is key to knowing when and how to use them most effectively. Apply expert advice to create appropriate processes at your organization.
