As outpatient clinical documentation improvement (CDI) programs mature, CDI professionals need to be able to track their progress to ensure the program’s success. Learn how to develop CDI tracking tools to successfully capture coding and billing metrics and justify a CDI program’s effectiveness.
Wound care coding is frequently a target of payer and Office of Inspector General audits. This article provides coders with step-by-step instructions for interpreting provider documentation and assigning CPT codes for excisional, selective, and non-selective debridement, based on the depth of the tissue removed and the total surface area debrided. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Anemia is the most common blood disorder, affecting more than 3 million Americans per year, according to the National Heart, Lung, and Blood Institute. In this article, Joel Moorhead, MD, PhD, CPC , reviews documentation and ICD-10-CM coding for anemia.
CMS introduced seven new HCPCS codes and granted pass-through payment status to four separately payable drugs and biologicals in the April 2019 OPPS quarterly update.
During CMS’ two-day Coordination and Maintenance Committee meeting March 5 and 6, various stakeholders presented ICD-10-PCS proposals for consideration for future ICD-10-PCS code updates.
Trey La Charité, MD, FACP, SFHM, CCS, CCDS, reviews the clinical validation of acute congestive heart failure (CHF) exacerbation and shares his hospital’s coding and documentation strategy to help in appeal battles.
With March declared National Endometriosis Awareness Month, Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, HCS-D, details endometriosis-related procedure reporting for inpatient coders. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Adriane Martin, DO, FACOS, CCDS, details the updates found in the 2019 ACDIS/AHIMA “Guidelines for Achieving a Compliant Query Practice” and writes that thorough knowledge of query guidelines is essential for inpatient coders and staying abreast of these guideline updates is crucial.
