The convergence of a number of Centers for Medicare & Medicaid Services (CMS) initiatives is intended to improve healthcare quality and therefore will impact all healthcare clinicians significantly, but these initiatives also will result in workflow changes for the coding and reimbursement professionals who support clinicians. Specifically, CMS is driving the meaningful use of electronic health records (EHR), quality reporting, third-party audits and the adoption of ICD-10; these efforts are meant to better ensure proper payments while improving patient safety, quality of care, and efficiency of care for Medicare beneficiaries. 

As an example, this article examines a specific and important clinical issue, sepsis, with a 360-degree review that touches on quality reporting, ICD-10 coding and reimbursement factors to consider.

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