The codes in ICD-10-CM Chapter 13, Diseases of the Musculoskeletal System and Connective Tissue, cover diagnoses for conditions throughout the body. Due to the wide scope of conditions in the chapter, it had extensive updates for 2017,...Read More »
What is a best practice? Who or what defines it? We hear it talked about all the time, but what does it really mean, and whom does it apply to?
The Merriam-Webster dictionary defines “best practice” as a noun meaning “a procedure that...Read More »
Since the advent of electronic medical record (EMR) systems, CDI professionals have known that physician copy and paste errors pose a threat to accurate documentation. Consequently, these errors can also negatively affect patient safety as well, according to a...Read More »
A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation caused the most improper payments for facet joint injections, according to the January 2016 Medicare Quarterly Compliance Newsletter.Read More »
Nearly half of the death certificates reviewed by the Centers for Disease Control and Prevention from 2009 to 2012 listed the cause of death inaccurately. The Morbidity and Mortality Report, published in January, reviewed 205 medical charts at random from eight separate hospitals in the...Read More »
Even though we now have a new president of the United States who vowed to abolish the Affordable Care Act, I believe that Donald J. Trump will not touch provisions that address perceived cost inefficiency or quality within our healthcare system...Read More »
Q: If I document a wound at Stage 3 with no CC or MCC, do I also need to assign a present on admission (POA) status? A: Every diagnosis reported (unless exempt) require a POA status.Read More »
ACDIS’ sister publication HIM Briefings is conducting a benchmarking survey on EHR operationalization and use, and we would appreciate your input. One respondent will be chosen at random to win his or her choice of a complimentary HCPro webinar. To enter to win, please include your...Read More »
