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By James P. Fee, MD, CCS, CCDS, AHIMA-approved ICD-10-CM/PCS trainer for ACDIS Blog Risk is the new buzzword in healthcare, right up there with denial. In fact, CDI programs often deploy physician advisors to assist with shared risk payment models, denial prevention, and improved outcome performance. However, a CDI physician advisor without proper training and…
By Beth Jones Sanborn for Healthcare Finance While a majority of patients say they would consider the technologies to diagnose cancer and recommend treatment, they still fear costs. What Happened A new survey from McKesson and Ipsos revealed widespread openness toward AI and genetic testing as a solution for cancer diagnosis, but concern about cost…
By Kelly Gooch for Becker’s Hospital Review In June, the CDC published 29 ICD-10 codes to help providers document sex and labor exploitation. The human-trafficking-related codes are a collaboration between Englewood, Colo.-based Catholic Health Initiatives, the American Hospital Association’s Hospitals Against Violence initiative and clinicians at Boston-based Massachusetts General Hospital’s Freedom Clinic. They will take effect in…
By Jasmine Morgan for Technology Networks Medical records are some of the richest and most under-utilized data sources. Imagine if you could search medical records in the same way you search Google. This would require that all the information was properly categorized and tagged. Such a tool would offer all members of the medical staff…
By Megan Knowles for Becker’s Hospital Review Physicians experiencing burnout were more likely to report medical errors — and burnout may be to blame for more errors than unsafe workplace conditions, a study published in Mayo Clinic Proceedings found. “If we are trying to maximize the safety and quality of medical care, we must address…
By Parmy Olson for Forbes The lights were dimmed in an auditorium packed with doctors on Wednesday night at London’s Royal College of Physicians. They were there to find out how AI might fundamentally change the way they work. On stage Dr. Mobasher Butt, a director at digital healthcare startup Babylon Health, stood before a podium…
By Cindy Parman, CPC, CPC-H, RCC for For the Record A current urban myth opines that it’s not necessary for physician practices to employ coders because software can capture charges when the work has been completed. Or, since the physician performed the work, it’s easier for him or her to assign the codes. In an…
By Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Clinical documentation will need to reflect these situations in order to be accurately coded. When beginning research for this article, I opened my 2018 ICD-10-CM book to the External Cause Index section, specifically for the word “harassment,” but it was missing. The…
By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Editor’s Note: This is the final installment in a four-part series that examines physician documentation issues as seen by an auditor. Click here to read part one: Auditing Issues Uncovered in Physician Documentation: Part I Click here to read…
By Erica E. Remer, MD, FACEP, CCDS for ICD10 Monitor Some providers hesitate to use the word “abuse” preferring, instead, to use non-accidental trauma (NAT). Despite what revenue cycle may believe, clinical documentation is not solely for billing. One of the biggest problems with imprecise, nonspecific diagnoses which lead to unspecified codes or, even worse,…