Health information management, Hospital inpatient, Hospital outpatient
This report from HIM Briefings (formerly Medical Records Briefing) looks at trends that may emerge in 2016 and what your organization may want to focus on.
Sarah L. Goodman, MBA, CHCAF, CPC-H, CCP, FCS, president/CEO and principal consultant for SLG, Inc., of Raleigh, N.C., and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H, executive vice president of Healthcare Consulting Services at Med Law Advisors in Atlanta, Ga., review two case studies to first determine whether the right codes were reported, then whether a modifier would be necessary and appropriate.
The Association for Clinical Documentation Improvement Specialists (ACDIS) surveyed 517 respondents, primarily CDI specialists, about physician queries. The 35-question survey illustrates the importance of the physician query as the primary tool driving CDI efforts, but also demonstrates wide differences regarding query assessment, compliance, and policy review.
This mammogram documentation example provided by Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, details the type of information coders will need to apply the proper diagnosis and procedure codes. The scans provide examples of the results of various mammograms.
Coders must learn and adapt to several new conventions in ICD-10-CM. Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, and Jennifer Avery, CCS, CPC-H, CPC, CPC-I, walk coders through some of the most significant new conventions in this excerpt from HCPro’s The Coder's Guide to ICD-10.
These 10 questions are a sample of the 100 questions contained inThe ICD-10 Competency Assessment for Coders: ICD-10-CM & ICD-10-PCS. The questions and answers developed to help you kick off your programs and see where your coding and HIM staff need focused training efforts. You'll identify key areas of your staff members' foundational learning that your programs will need to address.
Use this document to compare 2014 CPT® endoscopy codes to the updated 2015 codes, as well as the corresponding G codes. A mapping of 2014 CPT codes for radiation therapy and new G codes is also included. This list was prepared by Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, and Peggy Blue, MPH, CPC, CCS-P, CEMC, for HCPro's annual CPT update webcast.
AHA Coding Clinic for ICD-9-CM released its Third and Fourth Quarter 2013 editions of ICD-10 coding guidance, at the close of 2013. As a special supplement to the January edition of the CDI Journal, HCPro CDI Education Director Cheryl Ericson, MS, RN, CCDS, CDIP, discusses information included in the releases.
