Clinical & Coding

The largest source of estimated revenue loss in the healthcare mid-cycle in 2016 was attributed to inadequate documentation, according to a...Read More »

According to a...Read More »

While the 2018 OPPS final rule may be controversial...Read More »

by James S. Kennedy, MD, CCS, CDIP

Let’s discuss the compliance risks CDI and coding professionals need to address related with...Read More »

by Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS
COPD and Pneumonia
The requirement for code...Read More »

By Jocelyn E. Murray, RN, CCDS
What are the similarities and differences between CDI audits and coding compliance audits? Are both...Read More »

By Candace Blankenship, BSN, RN, CCDS
Sometimes I have a dream where every physician has completely and accurately documented the...Read More »

When asked to describe their job, many CDI professionals explain that they help physicians and coders paint an accurate picture of the care...Read More »

By Allen Frady, RN-BSN, CCDS, CCS, CRC
On October 1, 845+ codes took effect thanks to the fiscal year 2018 IPPS Final Rule, which...Read More »