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By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Physician documentation issues during an audit go beyond CDI. The issues are the chief complaint and HPI. Editor’s Note: This is the second piece in a four-part series that examines physician documentation issues as seen by an auditor. Click here…
By Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Ten strategies for avoiding burnout are provided by the author. On any given day, if you walked into my home office, you might think you were in a spa. The walls are painted a soothing aqua color (at least, I think it’s soothing),…
Article by Susan Richards Morgan, CCS, CPHQ, CPC, CDEO, CRC, CPMA, CEMC, CPC-I. This article was originally published on the A Journal of AHIMA Blog on April 25, 2018 and is republished here with permission. Currently, most clinical documentation improvement (CDI) programs have been developed inside hospitals with an inpatient focus. Medicare generally expects an inpatient admission to need two…
By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Physician documentation issues during an audit go beyond CDI. EDITOR’S NOTE: This is the first in a four-part series that examines physician documentation issues as seen by an auditor. One of the services I offer, aside from coding…
By Chuck Buck for ICD10 Monitor EDITOR’S NOTE: Opinions expressed by contributors are their own. Following the sea of knitted pink hats worn by some of the hundreds of thousands of women who took to the streets in cities across the country and around the world in January 2017 to stand up for women’s rights,…
Article by Elena Miller, MPH, RHIA, CCS. This article was originally published on the Journal of AHIMA on April 11, 2018 and is republished here with permission. Thinking back on the days when it became clear that the ICD-10 classification system was definitely going to be implemented, the Gold Rush of 1849 comes to mind. There was money…
Article by Allen Frady, RN, BSN, CCS, CCDS, CRC. This article was originally published on the Journal of AHIMA on March 29, 2018 and is republished here with permission. Is documentation improvement and proper use of ICD-10-CM critical to the nation’s healthcare debate? I say definitively yes, in every way. The bulk of the information coming from…
By Rhonda Buckholtz, CPC, COPC, CPMA, CPCI, CHPSE, CRC, CDEO, CGSC, CPEDC, CENTC by ICD10 Monitor As coders, we often struggle with assigning the correct codes. There are many gray areas in the guidelines and instructional notes, and sometimes even conflicting information can be found. This leads to frustration and miscoding, which can then lead to…
By Jeff Lagasse for Healthcare Finance The usability of electronic health records may be associated with some safety events in which patients were possibly harmed, according to a new study published in the Journal of the American Medical Association. And while the authors did not make any specific financial revelations, clinical quality has increasingly been tied…
By Glenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAM for ICD10 Monitor Moving beyond CDI to optimize reimbursement requires returning to an optimal and sustainable level of achievable excellence. A well-guided, thought-out, directed mission is paramount to driving and ensuring success in any professional role – and this particularly holds true…