Auditing and monitoring, Health information management, Hospital outpatient, Physician practice, Training
Reporting discussion of management or test interpretation
Count discussions that meet the E/M definition. A “discussion of management or test interpretation” can earn a moderate or high score under the data review element of an E/M office visit. But before you give the billing practitioner credit for a discussion, make sure the documentation shows that it met the definition of a discussion.
Use the illustrated guide on discussions to train staff.
Auditing and monitoring, Clinical documentation, Training
This resource takes a retrospective look at the CDI profession in terms of compensation, industry projection, advancements, new hires, and other data points.
Auditing and monitoring, Hospital outpatient, Training
This resource deconstructs the components of the revenue cycle and explains how coding affects denials and reimbursement. This resource was created by Laurie Bouzarelos, MHA, CPC, of Provider Solutions.
Auditing and monitoring, Hospital outpatient, Physician practice
CMS and other federal agencies opened up telehealth coverage policies during the COVID-19 public health emergency (PHE). Even though the PHE came to an end May 11, 2023, virtual care options (otherwise known as "teleheath" services) remain popular. From coverage rules and compliance tips, this guide will help coders and providers navigate the world of remote patient monitoring services.
Auditing and monitoring, Clinical documentation, Health information management, Hospital inpatient, Hospital outpatient, Physician queries
Guidelines for Achieving a Compliant Query Practice was produced through the joint effort of the ACDIS and AHIMA. Both associations collaborated on the creation of this practice brief and approved its contents, and as such it represents the recommended industry standard for provider queries.
This practice brief supersedes one published in 2019 and all previous versions. This resource was originally published on ACDIS.org.
Auditing and monitoring, Clinical documentation, Hospital inpatient
This sample was provided by Trey La Charité, MD, FACP, SFHM, CCS, CCDS, a hospitalist at the University of Tennessee Medical Center at Knoxville, a clinical assistant professor with the department of internal medicine, and the medical director of UTMC’s CDI, coding, and revenue auditor response programs.
This sample was reviewed and approved by the ACDIS Resource Library Committee in 2023. The committee recommends that, should you choose to use this sample, you adapt it to your particular programmatic needs, policies, and procedures. Additionally, the committee recommends that those adapting this sample make sure to use up-to-date resources and references when formulating their appeals.
Editor’s note: This resource was originally published on ACDIS.org.
Auditing and monitoring, Clinical documentation, Hospital inpatient
While everyone involved in health services has an interest in providing quality care, many quality management initiatives are based on regulatory requirements from CMS. As these programs originate from federal initiatives, the ACDIS Regulatory Committee has designed a road map, a quality map, to assist programs with their quality efforts. The quality map provides specialists with tips, techniques, and up-to-date resources to augment your quality programs. We encourage your input and feedback on this quality map.
Note that the quality map was initially published in May 2021 and was most recently updated in July 2023. This resource was originally published on ACDIS.com.
Auditing and monitoring, Clinical documentation, Hospital inpatient, Physician queries
Join Courtney Crozier, MA, RHIA, CCS, CDIP, for this 60-minute webinar as she discusses potentially confusing ICD-10-CM coding guidelines, describes clinical criteria for determining malnutrition severity, and offers strategies for addressing documentation inconsistencies.
This is part two of a Q&A with Jaci Kipreos, CPC, CPMA, CDEO, CEMC, CRC, CPCI, previous president of the AAPC National Advisory Board and current director of provider audit services at Coker Group in Alpharetta, Georgia. This Q&A took place April 6, 2023.
This is part one of a Q&A with Jaci Kipreos, CPC, CPMA, CDEO, CEMC, CRC, CPCI, previous president of the AAPC National Advisory Board and current director of provider audit services at Coker Group in Alpharetta, Georgia. This Q&A took place April 6, 2023.
