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By Naseem S. Miller for Orlando Sentinel The number of babies who were exposed to opioids in the womb jumped by 200 percent in Florida between 2015 and 2016 — to more than 2,500 cases — the biggest spike in the past decade, according to state data. But the number of newborns statewide who were…
By Angie Dibble, RHIT for For The Record Sepsis, encephalopathy, malnutrition, and acute renal failure are examples of diagnoses that often prove vexing for coders and clinical documentation improvement (CDI) specialists. What if the sepsis diagnosis is based on “technically meets sepsis criteria” because a patient with a urinary tract infection has an elevated white blood…
As health systems work to get the most from their physicians’ EHR charting, experts say it’s important to focus on the right metrics while working toward greater buy-in from doctors. By Mike Miliard for Healthcare IT News Hospitals and health systems trying to survive and thrive under value-based reimbursement realize that optimal clinical documentation is…
Article by Marina Kravtsova. This article was originally published on the Journal of AHIMA website on Sep 29, 2017 and is republished here with permission. Over the past nine months, the clinical documentation improvement (CDI) team that I represent has been recruited to perform so-called second level reviews. All cases presented to the CDI team for second level review thus…
Article by Steven Robinson, MS, PA, RN, CDIP. This article was originally published on the Journal of AHIMA website on April 26, 2017 and is republished here with permission. Unity is strength… when there is teamwork and collaboration, wonderful things can be achieved. —Mattie Stepanek Clinical documentation improvement (CDI) professionals have a worthy task to help identify…
By Kay Merriweather, RHIA, CCS, CCS-P, COC, CHDA, CDIP; Leslie Slater, RHIA, CCDS, CIC, CRC; and Michele Bohley, RHIA, CCS for AHIMA “If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming…
Article by Lisa A. Eramo, MA. This article was originally published on the Journal of AHIMA website on June 1, 2017 and is republished here with permission. In the months leading up to the ICD-10 go-live, many hospitals implemented computer-assisted coding (CAC) in the hopes that it would offset anticipated productivity losses and boost coding accuracy. Now…
Article byHarvey Bair, RN, PhD, CCDS, CRC. This article was originally published on the Journal of AHIMA website on April 28, 2017 and is republished here with permission. Do you find yourself wondering what to focus on when querying for ICD-10 specificity? Are you concerned that your organization’s query process may overwhelm providers? You are not alone; the…
By Kelly Gooch for Becker’s Hospital CFO Computer software company Dolbey partnered with health information management and revenue cycle management services provider Maxim Healthcare Services. Here are three things to know about the partnership. 1. Through the partnership, Dolbey customers will be able to access Maxim’s staff for auditing, clinical documentation improvement, coding and other…
CONCORD, OH – February 7, 2017 CONCORD, Ohio — Dolbey has earned the 2017 Category Leader award from KLAS, the leading health care research company. Every year, KLAS collects evaluations from health care providers regarding the technology and services they use. From those evaluations, KLAS ranks the best of the best across many categories. Dolbey’s…