Auditors see assignment of certain MS-DRGs as a red flag and most often will pull these encounters for review. Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC , describes these MS-DRGs and offers advice for ensuring accurate reporting of a principal diagnosis.
A retrospective medical record review published in JAMA Network Open in December found that nearly one-third of intentional firearm injuries resulting in emergency department admissions were inaccurately coded in ICD-10-CM as accidents.
If a urinary tract infection is left untreated, it can spread to other organs and cause sepsis and septic shock. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC , breaks down ICD-10-CM coding for this life-threatening diagnosis.
Stacy Reck, MBA, RHIA, CDIP , and Ashley Wells, MN, RN, CMSRN, CCDS , describe common reasons for clinical validity denials and strategies they use to defend against them. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
CMS recently released Medicare Claims Processing Transmittal 11685 revising language to make three revenue codes for inpatient hospital services allowable for payment under Medicare Part B and adding COVID-19 to its list of preventive services.
Review key policy updates introduced in the 2023 IPPS final rule, including an increase in operating payments, changes to New Technology Add-on Payment designations, MS-DRG updates, and introduction of a birthing-friendly hospital designation. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Paraneoplastic syndrome is a rare condition that results from an immune system response to a neoplasm. In this article, Sarah Nehring, RHIA, CCS, CCDS , breaks down ICD-10-CM/PCS coding for paraneoplastic syndrome of the nervous system.
Trey La Charité, MD, FACP, SFHM, CCS, CCDS , outlines benefits that come with being a physician advisor and how coding and CDI professionals can reiterate these to physicians who are interested in taking on this role.
