Clinical Documentation

Busy ED Environment Breeds Documentation Lapses

By Elizabeth S. Goar for Becker’s Hospital Review When it comes to emergency department activities, documentation doesn’t jump immediately to mind. Far from it, in fact, but that doesn’t mean it’s not vital to an organization’s financial well-being. With emergency department (ED) visits climbing steadily, along with case acuity and complexity, it’s a service line…

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Molding Tomorrow’s HIT Professionals

By Susan Chapman, MA, MFA, PGYT for For the Record As the health care industry continues to evolve, an important question has come to the forefront: How is higher education addressing the demands and changes while also producing prospective employees who will become reliable contributors upon graduation? Addressing Industry Demands Peter Winkelstein, MD, Kaleida Health’s…

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Guest post: Identifying the source of truth

By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog Many are familiar with the scene from A Few Good Men where Jack Nicholson’s old-school marine tells Tom Cruise’s younger antagonist, “You can’t handle the truth!” My favorite application of that same line comes from Carl Reiner and Mel Brooks’ 2000-Year-Old Man: “You have some kind of thing…

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CMS identifies billing codes for Eli Lilly’s COVID-19 antibody therapy

By Katie Adams for Becker’s Hospital Review CMS published specific codes for billing Medicare for Eli Lilly’s COVID-19 antibody cocktail. The FDA granted emergency use authorization Feb. 9 to the antibody cocktail, a combination of antibodies bamlanivimab and etesevimab. The agency granted emergency use authorization to bamlanivimab Nov. 9. The new approval is based on phase…

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Researchers underestimated the toll of EHR-related clinician burnout, study finds

By Hannah Mitchell for Becker’s Hospital Review The informatics community did not accurately predict the major role EHRs would play in the clinician burnout crisis today, according to a study published Feb. 15 in the Journal of the American Medical Informatics Association. In 2009, the American Medical Informatics Association met to discuss possible consequences associated…

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It’s Time for Coders to Get ‘With’ It

By Lori Amende, RHIA for For the Record Starting in October 2016, coders began to see a shift in how the key word “with” should be applied in the ICD-10-CM classification system. Since then, additional guidance has been provided to help further clarify this coding convention, including some exceptions to be aware of. In this…

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10 changes CMS made in 2021

By Eric Oliver for Becker’s Hospital Review With the new calendar year, several CMS changes took effect, with more on the way. Here’s a roundup of changes CMS made or will make in 2021: Removed 298 musculoskeletal-related services. By 2024, all 1,700 procedures on the inpatient-only list will be phased out, and will be allowed…

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25 statistics on medical coder salaries

By Laura Dyrda for Becker’s Hospital Review The average salary for medical coding professionals varies by location, practice setting and credential. The American Academy of Professional Coders conducts an annual survey to gather information about coder salary and publishes the report on its website. Here are 25 statistics about 2019 salaries, the most recent data available. By…

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