The HIM profession is constantly changing. The delivery of healthcare is in flux, as are documentation requirements and payment for healthcare services.
In the first edition of Manual for Medical Records Librarians,...Read More »
Clear and consistent documentation makes a coder’s job much easier, and it improves data integrity. Specific documentation also offers numerous benefits, among them the greater likelihood of correctly assigning principal diagnosis codes, which drive MS-DRG assignment and payment.
Most of the cases that HIM professionals code are straightforward; some are more difficult, and a few just drive them crazy. Consider the benefits of a departmental “coding conference,” which brings the HIM staff, CDI specialists, and other interested persons together on a regular basis to...Read More »
Late effects are considered to be the residual effects after the acute phase of an illness, disease, or injury. There is no time limit as to when a late effect can manifest itself. It can occur directly after the disease or even years...Read More »
Invest in computer-assisted coding (CAC) now because of its potential positive impact on productivity and quality, says Gloryanne Bryant, RHIA, CCS, CCDS, regional managing director of HIM (Northern California Revenue Cycle) at Kaiser Foundation Health Plan Inc. & Hospitals, in...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
Sequencing is a challenge, particularly when two conditions meet the definition of principal diagnosis but only one justifies medical necessity for admission. Many CDI professionals don’t consider the major role sequencing...Read More »
