Q: Do you recommend carving out time for outpatient [documentation] review, or dedicating someone to this role?
A: We actually carve out time for outpatient review. We started with two initiatives in our ED. One was injections/infusions and documentation...Read More »
In my previous entry, I talked about the PEPPER process and how it can be used to help identify potential issues of errors in coding, billing, or medical necessity that are specific to each hospital. Now I want to review some target...Read More »
My analytical side is always harassing me to get it more involved in what I do. So I decided to dig into our hospital’s PEPPERs. PEPPER is the Program for Evaluating Payment Patterns Electronic Report, issued quarterly. (Calling it a...Read More »
Scenario: You find yourself in the company of a physician you haven’t formally met, but for whom you have left queries (or may in the future). You’re in line behind the doc in the cafeteria or riding the elevator together, and you’re aware this is a great...Read More »
While physician documentation drives our CDI and HIM programs, we nevertheless need the assistance of our facility’s nurses and their nursing documentation. Not only are nursing notes and assessments incredibly helpful in formulating...Read More »
Q: I am unsure how “ribs” are categorized in ICD-10. I don’t understand if taking one rib is considered a resection or an excision and why. The coder coded the following record to total ostectomy-rib. If you crosswalk the ICD-9-CM Level 3 code to ICD-10-PCS, it maps to a resection. I...Read More »
Hello! I’m Penny Richards the new ACDIS Member Services Specialist. I’m thrilled to be working with ACDIS Director Brian Murphy and Associate Director Melissa Varnavas in this very exciting and growing segment of the healthcare industry.
In this role, I will be your primary contact for...Read More »
