Outpatient Coding Conundrums
When the codes on claims submitted by surgeons and outpatient surgery centers are not in agreement, one or both claims may be denied.
Coding for Smoking Cessation Services
There are no required guidelines on what type of smoking cessation should be administered, but the service should be documented and reported.
Coding Root Operations in ICD-10 Reiterate the Basics
How can coding managers help their coding professionals master root operations in ICD-10-PCS?
Implementation of ICD-10 Coding Correlates With Increased Charges
An analysis of data from 2015, the year of the transition from ICD-9 to ICD-10, found that the average charge per inpatient discharge increased following implementation of ICD-10.
A Partnership Approach to a More Powerful Coding Compliance Program
Growing evidence suggests that traditional audit practices used during the ICD-9 era are no longer useful. Instead, the focus should shift to ongoing coder performance audits and reviews.
Understanding the Many Coding Changes Related to the FY18 IPPS
What are the big coding changes for the FY18 inpatient prospective payment system?
ICD-10 Denials and Payment: Understanding the Relationship
Proactive, established processes to prevent denials and better manage appeals minimizes citation risks while promoting optimal, timely payment and compliance.
Sidebar: Top 10 Most Over-Documented HCCs
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
Sidebar: Top 10 Most Under-Documented HCCs
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.
the role of HCCs in a value-based payment system
Documentation of chronic conditions is increasingly important as hospitals move toward value-based payment models.