Q:I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider?Read More »
Jennifer Oetinger, RN, BSN, has created a poster entitled “Spinal surgery: Interpretation, opportunities, and coding.” Janet Barber, MBA, BSN, RN, CCDS, and other members of the Providence Health System team will be presenting the poster in Oetinger’s stead.Read More »
Q:We are having trouble determining what qualifies a patient as having an acute MI and what documentation would support the diagnosis. Can you help our coding team clarify?Read More »
By Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS
While I prefer the use of the term “coding review,” the industry commonly uses the term “coding audit” to describe the practice of reviewing the accuracy of code assignment. These audits are done based on the documentation...Read More »
In addition to EHR use best practice which we discussed last week, another example of best practice for coding, CDI, and HIM, is following the ICD-10-CM Official Guidelines for Coding and Reporting. When coding, first seek the code in...Read More »
