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By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Editor’s Note: This is the final installment in a four-part series that examines physician documentation issues as seen by an auditor. Click here to read part one: Auditing Issues Uncovered in Physician Documentation: Part I Click here to read…
By Marisa MacClary for For the Record The only way hospital clinical documentation improvement (CDI) and coding staff may compliantly clarify physician documentation for the purpose of accurate coding is to query the physician. The physician query process is essential to ensure accurate quality scores and proper reimbursement. However, most CDI specialists, coders, and physicians…
By Alia Paavola for Becker’s Hospital Review Police are investigating Zuckerberg San Francisco General Hospital after a second woman was found dead in a hallway June 4, according to an NBC Bay Area report. The death comes one week after 75-year-old Ruby Anderson was found dead in the stairwell of a locked power plant building…
By Erica E. Remer, MD, FACEP, CCDS for ICD10 Monitor Some providers hesitate to use the word “abuse” preferring, instead, to use non-accidental trauma (NAT). Despite what revenue cycle may believe, clinical documentation is not solely for billing. One of the biggest problems with imprecise, nonspecific diagnoses which lead to unspecified codes or, even worse,…
By Kelly Gooch for Becker’s Hospital Review Hospitals have continued to see job growth in 2018, although that growth slowed in certain months. So far this year, hospitals added the most jobs in January and the least in May, according to the Bureau of Labor Statistics. A breakdown of jobs added by month: January — 12,700…
By Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Strive to achieve coding compliance that really works. I’m often asked about how one would or should strive for coding compliance and make it happen. The first thing I do is to identify and acknowledge the risks or potential risks that occur.…
By Jeff Legasse for Healthcare Finance News These days, Americans can manage many facets of their lives through the internet. But a new poll suggests many older adults still aren’t using online systems to communicate with doctors and other healthcare providers, despite the widespread availability of such systems. As patients age and have more complex…
By The Medical Futurist Team for The Medical Futurist The medical community should not fall for the fearmongering around A.I. At the dawn of the Fourth Industrial Revolution, automation and digitization are turning the job market upside down. Many fear that robots, A.I., and automation, in general, will take their jobs without alternatives. The same…
By Glenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAM for ICD10 Monitor CDI, when properly performed, supports the ancient physician oath, “First, do no harm.” Clinical Documentation Improvement Specialists(CDISs) play a vital role in the overall scheme of healthcare delivery through affecting measurable meaningful improvement in the quality, completeness, and accuracy…
By Leo Vartorella for Becker’s Hospital Review Fortune released its 64th annual list of the 500 most profitable American companies May 21, with 40 healthcare companies making the cut. Companies are ranked in order of their total revenues in the last fiscal year. Only companies incorporated and operating in the U.S. are eligible for inclusion…