Clinical Documentation

The best way for hospitals to avoid revenue loss: 2 execs weigh in

By Katie Adams from Becker’s Hospital Review U.S. hospital margins are remaining narrow, prompting healthcare revenue cycle leaders to examine their processes and make sure no money is falling through the cracks. Donna Ellenburg, revenue cycle director at Birmingham, Ala.-based Grandview Medical Center, said hospitals can avoid losing revenue by adhering to the following process: verifying…

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How CMS final rule will impact E/M coding and documentation requirements

By Ben Howard for Med City News This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) and the updated coding guidelines for Evaluation and Management (E/M) services from the American Medical Association. For…

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Busy ED Environment Breeds Documentation Lapses

By Elizabeth S. Goar for Becker’s Hospital Review When it comes to emergency department activities, documentation doesn’t jump immediately to mind. Far from it, in fact, but that doesn’t mean it’s not vital to an organization’s financial well-being. With emergency department (ED) visits climbing steadily, along with case acuity and complexity, it’s a service line…

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Molding Tomorrow’s HIT Professionals

By Susan Chapman, MA, MFA, PGYT for For the Record As the health care industry continues to evolve, an important question has come to the forefront: How is higher education addressing the demands and changes while also producing prospective employees who will become reliable contributors upon graduation? Addressing Industry Demands Peter Winkelstein, MD, Kaleida Health’s…

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Guest post: Identifying the source of truth

By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog Many are familiar with the scene from A Few Good Men where Jack Nicholson’s old-school marine tells Tom Cruise’s younger antagonist, “You can’t handle the truth!” My favorite application of that same line comes from Carl Reiner and Mel Brooks’ 2000-Year-Old Man: “You have some kind of thing…

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CMS identifies billing codes for Eli Lilly’s COVID-19 antibody therapy

By Katie Adams for Becker’s Hospital Review CMS published specific codes for billing Medicare for Eli Lilly’s COVID-19 antibody cocktail. The FDA granted emergency use authorization Feb. 9 to the antibody cocktail, a combination of antibodies bamlanivimab and etesevimab. The agency granted emergency use authorization to bamlanivimab Nov. 9. The new approval is based on phase…

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Researchers underestimated the toll of EHR-related clinician burnout, study finds

By Hannah Mitchell for Becker’s Hospital Review The informatics community did not accurately predict the major role EHRs would play in the clinician burnout crisis today, according to a study published Feb. 15 in the Journal of the American Medical Informatics Association. In 2009, the American Medical Informatics Association met to discuss possible consequences associated…

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It’s Time for Coders to Get ‘With’ It

By Lori Amende, RHIA for For the Record Starting in October 2016, coders began to see a shift in how the key word “with” should be applied in the ICD-10-CM classification system. Since then, additional guidance has been provided to help further clarify this coding convention, including some exceptions to be aware of. In this…

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