The MS-DRG shift driven by the switch to ICD-10 will impact diagnoses throughout ICD-10-CM, says Gloryanne Bryant, RHIA, RHIT, CCS, CDIP, CCDS, an AHIMA-approved ICD-10-CM/PCS trainer with more than 30 years of experience in HIM.
Not otherwise specified (NOS) codes offer...Read More »
Q: The 2016 CDI Pocket Guide states that four or more stents or vessels is equivalent to an MCC and changes the DRG. I understand that Coding Clinic, Second Quarter 2015 defines the number of individual sites instead rather than anatomical vessels. The DRG Expert...Read More »
AHIMA recently published a clinical validation practice brief in the July 2016 Journal of the American Health Information Management Association, available to AHIMA members on ...Read More »
With the release of the 2017 Inpatient Prospective Payment System final rule on August 2, 2016, CMS announced a delay in implementation of the NOTICE act. CMS is submitting a revised version of the Medicare Outpatient Observation Notice (MOON...Read More »
The newly proposed Sepsis-3 definition has been the subject of great controversy and consternation since its publication in The Journal of the American Medical Association (JAMA) on February 23, 2016. That controversial definition discarded...Read More »
What’s the biggest issue related to for reporting respiratory failure diagnoses? It all starts with the definition, said Robert Stein, MD, FCCP, CCDS, associate director of the MS-DRG assurance program for Enjoin, during the ...Read More »
Risk adjustment requires coding and CDI professionals to work together as one team to ensure the capture of the most appropriate risk score for each patient.
If you’re looking for ways to expand your CDI department into outpatient settings and services—all of which can impact risk scores—...Read More »