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By Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner for ICD10 Monitor Questions abound when reporting critical care services. Reporting Adult Critical care can be complicated. It is not only the coding but the rules and that go along with critical care. Many questions come up when reporting…
Three questions to consider when evaluating a clinical documentation improvement program. By Lisa A. Eramo, MA for For the Record Review the record. Query the physician. Obtain the diagnosis. Repeat. Does this clinical documentation improvement (CDI) workflow sound familiar? Productivity is the hallmark of a good program. Or is it? On the surface, CDI specialists…
By Laura Dyrda for Becker’s ASC Review Professional coders are more likely to see compensation increases when they achieve higher credentials, and the percent increase in year-over-year compensation is higher for the most-credentialed individuals, according to the AAPC 2016 Salary Survey. The survey was completed by 9.2 percent of AAPC membership, and 2.2 percent hold…
By Bill Siwicki for Healthcare Finance News Natural language processing technology is being integrated with electronic health records and finding its way into the big data and analytics realms, often focusing on enhancing provider workflow and clinical documentation. And for the last few years, tech vendors including 3M, Apixio, Dolbey Systems, Health Fidelity, Linguamatics and…
For HIM and CDI professionals, 2018 looks to offer a gift of the tremendous opportunity for success. By Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSS for ICD10 Monitor For movie buffs, the film Darkest Hour offers a tremendous view into the early days of World War II, when the fate of Western Europe hangs on…
By Meg Bryant for Healthcare Dive December is a time to reflect on the coming new year and make resolutions for the coming year to enact change. For the federal government, the repeal of net neutrality rules by the Federal Communications Commission was one decision that will continue to create aftershocks in 2018. Net neutrality…
By Erica E. Remer, MD, FACEP, CCDS for ICD10 Monitor Dieticians’ findings must find their way into the medical record to achieve proper care and coding. Diagnosing malnutrition is not diving for dollars. Malnutrition – and I am specifically talking about undernutrition today – is a common but frequently unrecognized problem that leads to difficulty…
New research finds patients could benefit if they are invited to co-produce medical notes with doctors rather than simply reading them. By Jeff Lagasse for Healthcare IT News Encouraging patients to help write and add notes to their personal medical charts — a task typically handled only by medical professionals — may help patients feel…
Artificial intelligence, IoT, cybersecurity, disaster preparedness and the patient experience are some of the prime concerns, according to the PwC Health Research Institute. By Bill Siwicki for Healthcare IT News The continued uncertainty and risk the healthcare industry will face in 2018 will motivate healthcare organizations to boost their efficiency across functions, according to the…
By Angie Dibble, RHIT for For the Record Remember when we thought of medical charts as inanimate objects, safely tucked away on a dusty shelf in a paper mill known as “Medical Records”? In my prior life, the one I innocently enjoyed before working in health information, I believed all medical charts were somehow pure…