Additionally, the current ICD-9 process is outdated in relation to clinical advances. For example, doctors rightfully complain about documentation of treatment of systolic or diastolic heart failure, which relates to the left ventricle when they are treating both sides of the heart.
The Recovery Audit Contractor process spends very little time focusing on under-payments, and you have to wonder if they are really trying. Although they do have a top 10 list of areas where there is a propensity to under-code, they appear to have done little to find this under-coding.
Vice president, financeMontefiore Medical CenterNew York
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