medical coding

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…

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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…

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Guest post: Patience required for onboarding and mentoring new CDI staff

By Sonja Racke, RN, BSBM, CPC, CRCR for the ACDIS CDI Blog How many of you remember the nursing days of “see one, do one, teach one?” Of having Nurse Wretched (not Ratchet) hanging over your shoulder while inserting your first Foley catheter in a female grumbling “just look for the blinking eye” and then…

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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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How has COVID affected revenue cycle management?

By Todd Shryock for Medical Economics COVID-19 has had far-ranging consequences for medical practices, especially on finances. With patient volumes in flux, it’s important to understand how revenue cycle management has changed due to the pandemic and what adjustments need to be made going forward. Medical Economics spoke with Anurag Mehta, president and co-founder of Omega Healthcare,…

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ACDIS tip: CDI specialists use legal, coding, and clinical knowledge

By Kathryn Fallah and Karla Accorto for ACDIS CDI Blog CDI is a mix of three categories blended into one, according to Dawn Valdez, RN, LNC, CCDS, CDIP, CDI education specialist with ACDIS in Middleton, Massachusetts. These three categories are: Legal Coding/billing Medical/clinical The legal category deals with query writing, ethics/compliance issues, and finances. Coding and billing…

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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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