CMS released the final 2018 ICD-10-CM code set for October 1 implementation this week. The update includes codes relating to cardiac conditions, substances, and myocardial infarctions (MI)—to name a few.Read More »
Researchers studying ED visits at a freestanding academic children’s hospital from June 1, 2013, to May 31, 2015, found that electronic alerts help reduce missed pediatric sepsis diagnoses by 76%,...Read More »
Q: At my institution, we typically do not capture the pleural effusions noted and documented with a congestive heart failure (CHF) exacerbation unless a pleural tap was completed. Coding Clinic states it is acceptable to...Read More »
Editor’s note: This article originally appeared in the Revenue Cycle Advisor. For more information about Hierarchical Condition Categories (HCCs), read ...Read More »
Freedom Health and Optimum Healthcare, two large health insurers based in Florida, are paying $32.5 million to resolve a federal and state investigation into claims they defrauded CMS by submitting risk adjustment scores that improperly inflated their Medicare Advantage reimbursement,...Read More »
The newly released Coding Clinic, Second Quarter, 2017, touches on diagnoses related to neurology such as Parkinson’s disease, encephalopathy, and stroke, as well as questions related to nicotine and drug dependence, among other items, some of which previously lead to discrepancies...Read More »
