And Glinda the Good Witch of the North a beautiful young woman with long, rich red hair and blue eyes, wearing a pure white glistening gown replete with sparkling jewels in her crown and magic wand in hand says in a sweet, reassuring voice… “Turn around, close your eyes,  tap your heels together three times and think to yourself……There’s no place like pre- health care reform, There’s no place like pre- health care reform, There’s no place like pr...
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I was recently a participant at a conference for physician advisors, and one of the most interesting topics of discussion was the role of clinical documentation integrity in our ever changing medical landscape. The title of said discussion was something like, “Clinical Documentation Integrity: the Past, the Present, and the Future.” There were many ideas tossed around, but one of the major questions that caught my attention was, “What is the role for CDI in the emergency department?” I belie...
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By now, I’m certain that most of you, in this audience are aware of the Medicare Outpatient Observation Notice. Otherwise known as the MOON, in some circles. For the uninitiated, the MOON is a new form that the Centers for Medicare and Medicaid Services (CMS), has mandated hospitals to provide to patients within 36 hours of beginning observation services as an outpatient. There has been plenty of consternation from hospitals and physicians concerning the roll out and implementation of this new ...
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