In a terse exchange of communication and reports this week, the HHS and American Hospital Association (AHA) addressed allegations that increased use of electronic health records may lead to increased amounts of Medicare billing fraud.
“[T]here are troubling indications that some...Read More »
Since the release of the new ICD-10-CM/PCS implementation date, CMS has been busy publishing a slew of updated information and recommendations.
In MedLearn Matters Article (SE1239), CMS reiterates the new implementation compliance date of October 1, 2014. In it CMS states, “[t]hese...Read More »
When the term ‘sepsis syndrome’ is documented coders and CDI specialists have to query the physician. That’s the latest guidance from Coding Clinic for ICD-9-CM released in its 2nd Quarter 2012 edition pp 21-22. The article states, “The term ‘sepsis syndrome’ is poorly defined...Read More »
Q: I need further clarification regarding documentation of toxic metabolic encephalopathy. I’m trying to code two different cases in which a physician documents acute mental status change...Read More »
Editor’s Note: AHA Coding Clinic for ICD-9-CM released its second round of ICD-10 coding guidance in its First Quarter 2013 issue. HCPro CDI Education Director Cheryl Ericson, MS, RN, CCDS, CDIP, says the guidance contains information regarding diagnosis clarification,...Read More »
In thinking about all the initiatives swirling around the industry, I realize that CDI specialists can become quite confused as they attempt to juggle the increased workload. Core measures, present on admission, patient safety indicators,...Read More »