On June 16, CMS announced 395 new diagnosis codes, 25 deletions, and 13 revisions for the fiscal year (FY) 2024 ICD-10-CM code set, which is finalized to take effect on October 1, 2023. CMS also updated the 2024 addendum, code...Read More »
A new report conducted by the USC Schaeffer Center for Health Policy and Economics has suggested that overpayments to Medicare Advantage (MA) plans could exceed $75 billion this year, ...Read More »
A new study conducted by the New England Journal of Medicine suggests that ketamine may be a clinically viable option for patients with severe depression, Medscape...Read More »
Q: Would anyone be willing to share how their CDI departments are reviewing for sepsis? A while back, my hospital administration went to contracts and requested that I follow up with physicians and staff and start reviewing all commercial insurance and managed Medicare accounts with...Read More »
Q: If documentation states, “probable HIV disease,” is that definitive enough to code?
A: In the instance of HIV, the terms “possible,” “probable,” “likely,” and “suspected” would not apply. Per The Official Guidelines for Coding...Read More »
Q: A question came up recently regarding coding obesity when it is only documented or listed as “a history of obesity.” This seems like it should be a simple concept, but we have heard varying opinions. Some subscribe to the idea that “a history of" could be resolved, so we should...Read More »
The use of a kidney allograft diagnostic automation system stopped 40% of misdiagnoses of allograft rejection from occurring, according to new research published in Nature Medicine. The study also showed improvement in...Read More »
