Clinical Documentation

Leadership Rules – Top Strategies and Skills for HIM Leaders

By Susan Chapman, MA, MFA, PGYT for For The Record HIM continues to evolve, especially as technological advances like artificial intelligence (AI) are rapidly infiltrating health care. As the health care industry experiences this unprecedented transformation, HIM leaders offer their…

Upcoding a key concern for coders in 2025, survey says

From ACDIS CDI Strategies Upcoding—when higher-level codes are assigned than are justified to increase reimbursements—will remain a major ethical dilemma in 2025 for coders, according to survey data released by Black Book Research. Of more than 4,000 surveyed health information management…

Coding for Gender-Affirming Health Care

By Susan Chapman, MA, MFA, PGYT for For The Record Gender identity is how individuals perceive themselves, be it different or the same as the sex they were assigned when they were born.1 Gender identity differs from gender expression in…

FY 2025 IPPS rates changed last minute due to court decision

From ACDIS CDI Strategies To comply with a summer court order, the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) was revised a day before its implementation on October 1 to reduce payments for low wage hospitals, JustCoding…

Dolbey at AHIMA24: Leading the Way in Health Information Management

As the healthcare industry adapts to rapid changes, health information management (HIM) professionals are at the forefront of improving patient care and operational efficiency. Dolbey is excited to announce that we will be attending AHIMA24, the American Health Information Management…

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