Our experts answer questions on new codes introduced to differentiate multiple sclerosis subtypes, the must know concept of Elixhauser comorbidities, and key questions to address prior to coding chest pain.
Coders and CDI specialists play a central role in accurate documentation, coding compliance, and quality metrics, yet collaboration between the two often stalls. Julie Ahlfeld, RHIT, CCS, shows how building a culture where coders and CDI professionals function as true allies can be the solution to the disconnect.
Coders play a vital role in applying CDI technology standards by guaranteeing that the output of automated tools aligns with compliant coding practices and official coding guidelines. Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP, breaks down a framework for selecting, implementing, and maintaining technology solutions that support compliant documentation practices.
Terry Tropin, MSHAI, RHIA, CCS-P , delves into the 2026 ICD-10-PCS updates that include complicated bypass, restriction, and transfer procedures, which previously could not be specifically coded. Also included are some new devices that require their own code.
Q: What considerations should coders keep in mind when referring to problem lists for determining the principal diagnosis and proper sequencing of all documented conditions in the inpatient setting?
Review a recent OIG audit which found that Medicare improperly paid $22.7 million to suppliers for durable medical equipment, prosthetics, orthotics, and supplies during inpatient stays from January 2018 to December 2024.
Trey La Charité, MD, FACP, SFHM, CCS, CCDS, discusses how without some form of a narrative in documentation, hospital coders cannot sequence individual diagnoses. If there is no story provided, records can be rife with opportunity for a recovery auditor or payer to construct an alternative version of what happened during hospital visits, resulting in denials.
Transcatheter aortic valve replacement is a minimally invasive procedure developed to treat patients with severe aortic stenosis who are considered high-risk or unsuitable candidates for traditional open-heart surgery. Learn from Jane Arbogast-Schappell, CCS, CPC, CCC, CIRCC, as she walks through the procedural coding for both inpatient and outpatient settings.
Coding purpura and thrombocytopenia is often more straightforward than coders initially expect, as these diagnoses typically require minimal direction from official guidelines. The real challenge lies in correctly interpreting provider documentation and validating the terminology used. Without close attention to clarifying terms, coders risk misclassification or unnecessary queries. Note : To access this free article, make sure you first register if you do not have a paid subscription.
