Computer Assisted Coding

Dolbey Expands Their #1 Best in KLAS Fusion CAC Solution with Single Path Coding

Dolbey adds Single Path Coding to their Fusion CAC solution that is already ranked #1 Best in KLAS for the 5th consecutive year. Single Path Coding is a consolidation of facility and professional fee coding to streamline processes, maximize coder output, and reduce costs by minimizing duplicated efforts. Some Dolbey Fusion CAC customers were looking…

Read MoreDolbey Expands Their #1 Best in KLAS Fusion CAC Solution with Single Path Coding

How to Build an In-House Coding Department

By Lisa A. Eramo, MA for For the Record HIM experts share insights and lessons learned. When patient volumes decreased temporarily during the COVID-19 pandemic, coders at Georgia Cancer Specialists in Atlanta forged ahead with whatever noncoding tasks could be done. They ran reports, pulled data, and educated providers as needed. Leonta Williams, MBA, RHIA,…

Read MoreHow to Build an In-House Coding Department

Certain ICD-10 Codes Often Precede Multiple Sclerosis Diagnosis

For Health Day FRIDAY, June 25, 2021 (HealthDay News) — Certain International Classification of Diseases (ICD), Tenth Revision (ICD-10) codes are recorded more frequently before the initial diagnosis in patients with multiple sclerosis (MS) compared with patients with other autoimmune diseases or individuals without these diseases, according to a study published in the June 15…

Read MoreCertain ICD-10 Codes Often Precede Multiple Sclerosis Diagnosis

ACDIS tip: Pneumonia documentation

By Kathryn Fallah from ACDIS CDI Blog According to the World Health Organization , pneumonia is a form of an acute respiratory infection that inflames the lungs. When CDI professionals review the record and ensure that the documentation of pneumonia is accurate and complete, they can impact reimbursement, risk of mortality scores, and risk adjustment. There are…

Read MoreACDIS tip: Pneumonia documentation

Chart Conundrums: Queries: Moving Beyond Business as Usual to Identify Learning Opportunities

By Clarissa Barnes, MD for For The Record While often said in jest, my dislike of getting queries delivered to my inbox is (at least indirectly) 100% responsible for my work as a physician advisor. Queries were an intrusion in my otherwise organized workflow. It seemed like my only option was to keep answering them…

Read MoreChart Conundrums: Queries: Moving Beyond Business as Usual to Identify Learning Opportunities

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…

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

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…

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

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…

Read MoreIt’s Time for Coders to Get ‘With’ It

AMA adds CPT codes for J&J COVID-19 vaccine

Katie Adams for Becker’s Hospital Review The American Medical Association on Jan. 19 published three Current Procedural Terminology codes for the COVID-19 vaccine being developed by Johnson & Johnson. The codes allow for better tracking and data reporting by distinguishing the vaccine from others. The AMA published the new CPT codes so that electronic systems throughout the…

Read MoreAMA adds CPT codes for J&J COVID-19 vaccine