While most hospitals and health systems are working hard to improve the precision of their clinical documentation, these efforts can be futile unless physicians are invested in the process and understand the value to the patient, the organization, and themselves.
In a recent interview with HCPro editor Steven Andrews, Sue Bowman, AHIMA senior director of coding policy and compliance, and Rhonda Buckholtz, AAPC vice president of ICD-10 training and education, answered questions about ICD-10 concerns expressed by W. Jeff Terry, MD, an American Medical...Read More »
Many surgeons use templated notes for their common procedures. Find out what information is not included in the template and work with the surgeons and your IT department to update the template to capture all of the...Read More »
In ICD-10-PCS every character has to have a value. "You don't have the option of putting a Z wherever you want just because you don't know that value," says ACDIS Advisory Board member Cheryl Ericson, MS, RN, CCDS, CDIP, CDI education director for HCPro, a division of BLR, in...Read More »
ICD-10 CM/PCS. To some, the utterance of this classification system produces much trepidation. I hope to dispel some concerns as I recount the undertaking of ICD-10 implementation at one CDI program.