Clinical Documentation

‘Big Three’ Diagnostic Errors Account for Nearly 75% of all Serious Harm

By John Commins for Health Leaders KEY TAKEAWAYS Diagnostic errors that led to death or permanent disability were linked with misdiagnosed cancers (37.8%), vascular events (22.8%) and infections (13.5%) — which led the researchers to refer to them as the ‘big three.’ Half of the most-severe harm cases ended in patient death and the other…

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ICD-10-CM changes: The 21 codes deleted for FY 2020

By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10-CM coding updates for fiscal year 2020 that include 273 additions 21 deletions and 30 revisions, according to the American Health Information Management Association. The 21 deletions for the fiscal year beginning Oct. 1, 2019, and ending Sept. 30: D813 Adenosine deaminase [ADA] deficiency H8141…

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Guest post: How I understand CDI

By Galyna Komives, RN, CCS, CCDS for ACDIS CDI Blog Officially, the CDI specialist’s role is to facilitate accurate, complete, and consistent clinical documentation within the health record to demonstrate the quality of the care provided and to support coding and reporting of high-quality healthcare data. In reality, “accurate, complete, and consistent clinical documentation” means multiple questions…

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Executives expect AI to transform healthcare within 3 years

By Nick Paul Taylor for Healthcare Dive Dive Brief: More than two-thirds of healthcare executives think artificial intelligence and other emerging digital technologies will extensively impact their organizations over the next three years. The new Accenture survey suggests executives will expand quickly beyond the experiments that make up most of the engagement with new digital…

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CMS unveils ICD-10-CM code changes — 273 added, 21 deleted

By Angie Stewart for Becker’s Hospital Review CMS posted changes to the ICD-10-CM codes for fiscal year 2020. Five key points: There were 71,932 ICD-10-CM codes for fiscal year 2019. The update includes 72,184 codes. CMS added 273 codes, deleted 21 codes and made 30 revisions to codes pertaining to various treatments. Additions included codes related to orbital wall…

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Dolbey Mentioned in Journal of AHIMA’s June 2019 Issue

The Journal of AHIMA published an article in the June 2019 issue called “Computer-Assisted Coding Reality Check” by Mary Butler. The article takes a closer look at the impact of Computer Assisted- Coding (CAC) by examining studies, interviewing HIM professionals and Dolbey’s Product Manager, Heather Eminger-Gladden, CCS. What is CAC? How does Computer- Assisted Coding…

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Of Viral Importance

By Lisa A. Eramo, MA for For the Record Why Your Hospital’s Reputation Depends—at Least Partially—on Accurate Pneumonia Coding These days, it takes seconds for patients to view mortality and readmissions data on the Centers for Medicare & Medicaid Services’ Hospital Compare website (www.medicare.gov/hospitalcompare). With a few clicks of the mouse, they can—and frequently do—draw…

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