CMS has released the final rule for the Department of Health and Human Services’ risk adjustment data validation (HHS-RADV) program. The rule...Read More »
My organization has received three denials for the diagnosis of severe calorie malnutrition based on the Global Leadership Initiative on Malnutrition (GLIM) criteria. All three denials came from the same small insurance company. We don’t use GLIM criteria at our organization currently. Should we...Read More »
Coding Clinic’s value comes in part from code inquiries being freely available to everyone. Anyone can send a question or comment to Coding Clinic by simply registering on their website; you don’t have to be a member of the AHA. Of course, there is a process to submit questions...Read More »
In the case of documentation for a patient that had a hemorrhagic stroke and then a seizure, without pre-existing seizure disorder, are there coding rules to help with sequencing? Would it be appropriate to code epilepsy? What if the documentation describes a tonic clonic seizure, can we take...Read More »
