Monthly Archives: October 2015

As providers venture into the world of new payment models and methodologies, having the tools to do that seamlessly and knowledgably is critical for success. Understanding and implementing the “Building Blocks of Documentation” can be a crucial first step in … Continue reading →

A couple of years ago, circa 2013, when CMS (Centers for Medicare and Medicaid Services) unveiled “The 2-Midnight Rule” and the need to certify the inpatient admission, the “5 W’s for Documentation/Auditing” were born. This laid the framework for the … Continue reading →

Quality/Risk Adjustment With the adoption  of Value-Based Purchasing, providers have many initiatives occurring that will soon collide with the Merit-Based Incentive Program which takes effect for 2017 performance. The four performance categories are: Quality (PQRS, MU, Qualified Clinical Data Registries),  … Continue reading →