CDI
CMS Failure to Rescue quality measure financial impact hitting soon
By Brian Murphy A reminder: The new CMS Failure to Rescue (FTR) quality measure is going to hit hospital pocketbooks—possibly your own—on October 1. Key details of the new CMS FTR measure (FY 2025 IPPS Update) Definition: The percentage of surgical inpatients who experience a complication and subsequently die within 30 days of their initial…
Read MoreMedical Record Maestro: Reimagining CDI in the Age of AI and the Longitudinal Record
Download the episode here. We need a “human in the loop” in mid-revenue cycle work, experts say. What they fail to address is the more interesting question: Precisely where? Back-end AI fact-checker? Front-end query authorizer? Or, maybe something like my current OTR guest Penny Jefferson envisions: Medical record maestro. The end-to-end connectedness of the medical record, evolving API standards, increased use of prior authorization, episode-based reimbursement models, and review of all of this by AI and other tools makes documentation cohesion more important than…
Read MoreNew ACDIS/AHIMA physician query practice brief (2026) puts mid-revenue cycle leaders front and center in compliance
By Brian Murphy At the ACDIS conference last week, a bombshell announcement: A new physician query brief, the joint output of ACDIS/AHIMA. You can read it here on the ACDIS website. The organizations are accepting comments through June 12, and may make changes based upon them. So, give it a thoughtful read and submit your…
Read More