Opioid Pattern Variations Highlight Need for Careful ICD-10 Coding
When coders capture intent, type of use, and associated manifestations for opioid abuse cases, they assist researchers in developing statistics that drive public health decisions.
Plateau Busting: Transforming a CDI Program to Optimize Quality and Revenue
United Health Services, a not-for-profit health system serving New York, realized substantial benefits by implementing a clinical documentation improvement program.
Screening and Coding for Homelessness
Health systems are recognizing that homelessness is a root cause of high healthcare utilization, but most systems do not screen and code for homelessness. Revenue cycle, patient access, and coding staff can play a role to improve homeless patient outcomes and reduce avoidable utilization by screening for and documenting homelessness.
E&M coding levels for hospital EDs, 2013-15
Hospitals should analyze coding patterns in their use of E&M APC codes and compare them with national coding trends to understand the extent that their coding practices conform with industry norms.
Capturing Transitional Care and Chronic Care Management Appropriately
What is the difference between coding for transitional care management and chronic care management?
The Status of ICD-10: An Insider’s View
Nena Scott provides a look at the progress of ICD-10 18 months out.
The Financial Truth About ICD-10 Coding Accuracy: Two DRGs to Watch
A new study reveals growing concern for ICD-10 coding quality with special emphasis on two inpatient DRGs―cardiac defibrillator implants and anterior/posterior spinal fusion―that can result in significant revenue loss.
Coding for Antibiotic Resistant Infections
What are the ICD-10 coding guidelines related to superbug infections and medication resistance?
Finding Common Ground on Physician Documentation
Revenue cycle teams looking to improve physician compliance with documentation requirements should identify how better documentation supports physician priorities.
New CMS Guidelines Impact Coder Roles
How is the role of coders in the clinical validation process changing?