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By Michelle Mangino for Athena Health For those reading this ICD-10 series for the first time, you haven’t missed too much, as we just kicked it off in October. For those that did join us, I hope you were able to make it through Halloween without having to use ICD-10 code W22.02XD or W50.1xxS. (Yes, this is a…
By Kelly Gooch for Becker’s Hospital Review With documentation queries to providers, it is important for coding professionals, clinical documentation improvement professionals and other healthcare professionals to know the most appropriate times to query, according to a post on the American Association of Professional Coders website. The post — written by Vicky Schack, compliance program…
By Maureen Kelly and Fred Wulf for For the Record In August, the Centers for Medicare & Medicaid Services (CMS) published the Final Rule for fiscal year 2020’s inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS) code set changes. IPPS updates take effect for discharges occurring from October 1, 2019, through September…
By Selena Chavis for For the Record On what side of the clinical validation argument do HIM professionals fall? Are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record? This question was posed on a Talk Ten Tuesdays podcast last year, and the robust response received…
By Jeff Lagasse for Healthcare Finance Emergency department residents do what all physicians do: They document patient encounters into an electronic health record. But the information they’re entering may not be all that accurate. A study published in JAMA Network Open tasked 12 observers with following nine physician residents as they documented patient encounters into…
By Mike Miliard for Healthcare IT News SANTA CLARA – At Health 2.0 on Monday, National Coordinator for Health IT Dr. Don Rucker listed a litany of challenges faced daily by physicians and nurses, and contributing to the ongoing scourge of clinician burnout: onerous documentation requirements, boilerplate electronic health records and the “monster burdens” of…
By Jacqueline Thelian, CPC, CPC-I, CHCA, CPMA for For the Record Many health care organizations can relate to the following scenario: An insurance carrier, Medicare, or a Medicaid HMO requests medical records for the purpose of an audit. The provider believes it has forwarded all the necessary supporting documentation, but the results indicate a 90%…
By Shannon Wiggins for HIT Consultant In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along…
Laura Dyrda for Becker’s Hospital Review Five health IT and innovation leaders examine how their roles are changing and where they think technology leaders will focus in the future. Peter Marks, PhD. Vice President and CIO of WakeMed (Raleigh, N.C.): The promise of technology in healthcare comes in the opportunity to use data information to…
Scott Becker and Ayla Ellison for Becker’s Hospital Review Artificial intelligence is making big waves across many industries, and healthcare organizations are exploring ways to harness AI’s transformative power. Many hospitals and health systems are already leveraging AI to improve care, support clinical decisions and boost clinician satisfaction. However, the role of AI in healthcare…