Health Information Management

Membership update: White Paper regarding CDI role in RAC preparation posted

CDI Strategies, May 12, 2011

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What kind of return can your CDI program guarantee in terms of RAC preparedness? That’s the question Lynne Spryszak, RN, CCDS, CPC-A, CDI education director for HCPro, Inc., Danvers, MA, aims to answer in her recently released White Paper “Five Ideas for Maximizing Your CDI Team Impact on RAC Preparedness.”

In 2008, when CMS announced the permanent Recovery Audit Contractor (RAC) program, facilities without CDI programs jumped on the CDI bandwagon, says Spryszak. Facilities soon realized the value of CDI programs in minimizing denials and recoupments through the clarification of insufficient or missing provider documentation, she says in her White Paper.
 
From a RAC perspective, the majority of facilities are focusing on medical necessity and one-day stays, historically the responsibility of the utilization review committee, she says. Yet it’s the documentation of the provider — not the clinical interpretation of the record — that often results in denials and recoupment, Spryszak explains in the White Paper.
 
Editor’s Note: ACDIS Members have access to the complete report online under the April edition of the CDI Journal. To become a member contact our Member Relations Department at 877/240-6586.
 
Additional updates
  • Quarterly conference call: The next ACDIS quarterly conference call will be held on Thursday, May 26, 1-2 p.m. EST. ACDIS members have received dial-in instructions via e-mail. If you have any suggestions for topics for discussion, or a pre-submitted question you’d like the advisory board to address, please e-mail ACDIS Director Brian Murphy at bmurphy@cdiassociation.com.
  • ACDIS conference materials: All the PowerPoint materials from the 4th Annual ACDIS National Conference have been posted to the ACDIS website in the Forms & Tools Library.



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