Transforming Episode Accountability Model (TEAM) Reconfirms CMS Commitment to Bundled Payments and Value-Based Care

accountability model

By Brian Murphy Every time I think bundled payments are out, they drag me back in. I like the concept. We know that fragmented care can lead to complications in recovery, avoidable hospitalization, and increased spending. Under bundled payment models, providers assume accountability for the quality and costs of care delivered during a complete episode,…

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Clinical Clarity: Navigating Problem Lists and Defensible Narratives with Dr. Trey LaCharite’

off the record

Listen to the full episode here: https://spotifyanchor-web.app.link/e/mQEUhXavSIb If you’ve ever been a member of ACDIS you’ve almost certainly encountered Dr. Trey LaCharite’. ACDIS advisory board member? Check. Regular columnist for CDI Journal? Check. Author of the CDI Field Guide to Denial Prevention and Audit Defense? Check. Speaker at the physician advisor pre-conference every year since…

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KDIGO Announces new Clinical Practice Guideline for the Evaluation and Management of CKD

management of ckd

By Brian Murphy According to the ACDIS 2023 CDI Week Industry Overview Survey, kidney disease was ranked the fifth highest denied diagnosis (29.7% of respondents) after sepsis, respiratory failure, malnutrition, and encephalopathy. So it behooves you to know the latest and greatest clinical practice guidelines from the authoritative body who establishes them. Because you can…

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Rx for rural community health: CDI on a shoestring with Jennifer Cummins

Listen to the full episode here: https://spotifyanchor-web.app.link/e/uVBMHJadvIb    Small community hospitals are the backbone of healthcare for most of the country, even today in this era of sprawling healthcare organizations and massive mergers.     But while they’re critical to the health of our nation, resources are often scarce, and CDI is no exception.    Jennifer…

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UnitedHealthcare Cyberattack Underscores need for Increased Government Oversight, Medicare Advantage Reform

unitedhealthcare

By Brian Murphy I’ve been thinking about the disastrous cyberattack, which is costing providers a reported $100M per day. And what it means for the future of healthcare, including Medicare Advantage (MA). UnitedHealthcare deserves no blame for the attack itself. We can blame its lack of preparedness. We should criticize its inadequate response. But they…

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