Call us toll-free: 800-878-7828 — Monday - Friday — 8AM - 5PM EST
By Megan Knowles for Becker’s Hospital Review Physicians experiencing burnout were more likely to report medical errors — and burnout may be to blame for more errors than unsafe workplace conditions, a study published in Mayo Clinic Proceedings found. “If we are trying to maximize the safety and quality of medical care, we must address…
By Parmy Olson for Forbes The lights were dimmed in an auditorium packed with doctors on Wednesday night at London’s Royal College of Physicians. They were there to find out how AI might fundamentally change the way they work. On stage Dr. Mobasher Butt, a director at digital healthcare startup Babylon Health, stood before a podium…
By Cindy Parman, CPC, CPC-H, RCC for For the Record A current urban myth opines that it’s not necessary for physician practices to employ coders because software can capture charges when the work has been completed. Or, since the physician performed the work, it’s easier for him or her to assign the codes. In an…
By Megan Knowles for Becker’s Hospital Review Although hospitals may aim to control how providers visually present themselves to patients, whether a physician has visible tattoos or piercings did not affect patient satisfaction levels, a study published in Emergency Medicine Journal found. “We were inspired to conduct this study because hospitals have many rules around…
By Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Clinical documentation will need to reflect these situations in order to be accurately coded. When beginning research for this article, I opened my 2018 ICD-10-CM book to the External Cause Index section, specifically for the word “harassment,” but it was missing. The…
By Sara Reader, MD, MPH for KevinMD.com The recent suicides of an NYU resident and a medical student highlight the growing mental health problem among physicians and physicians-in-training in this country. This crisis is certainly not exclusive to physicians, as evidenced by the suicides of designer Kate Spade and television personality Anthony Bourdain. However, suicide…
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 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…