Shortly after releasing its Clinical Documentation Improvement Toolkit in April, the American Health Information Management Association (AHIMA) released its Guidance for Clinical Documentation Improvement Programs in the May issue of the Journal of AHIMA.
CMS has been holding a number of open forum calls regarding its Recovery Audit Contractor (RAC) programs. Dubbed “Nationwide RAC 101 Calls” these sessions covered the basics of RAC reviews, each focusing on a different provider area.
The first call on April 28, intended for all acute...Read More »
Effective January 1, 2011, CMS will start to accept up to 25 codes for secondary diagnoses. The change, listed in a March 2010 MedLearn Matters article and also listed in the...Read More »
CDI specialists are getting too tied up with the minutiae of ICD-9-CM coding and DRG optimization instead of focusing on the overall clinical picture of the patient and the integrity of the medical record, says Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, CCDS, C-CDI, an independent...Read More »