Clinical Documentation

Mayo Clinic CIO says AI has been key to understanding COVID-19

By Mike Miliard for Healthcare IT News In his opening keynote Tuesday at the HIMSS Machine Learning & AI for Healthcare Digital Summit, Mayo Clinic CIO Cris Ross enumerated some of the many ways artificial intelligence has been crucial to our evolving understanding of COVID-19. Way back in March, for instance, researchers were already using…

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Guest post: A letter to physicians from their CDI team

by Christine Donnamiller, RN, ACDIS-Approved CDI Apprentice for ACDIS CDI Blog I know it’s not easy. I see you documenting early in the morning, afternoon, and late in the evening. Somewhere in the middle you are holding that patient’s heart by speaking your words to him, speaking with the dying woman’s daughter, setting up home…

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A Tangled Mess

By Monique Griffin for For the Record From sequencing to recognizing manifestations, coding  for COVID-19 is no easy task. When the pandemic emerged, the World Health Organization (WHO), the American Medical Association (AMA), and the Centers for Medicare & Medicaid Services (CMS) scrambled to update codes for the diagnosis, testing, and tracking of COVID-19. Prior…

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Compensation for physician practice billers & coders — 9 survey insights

By Angie Stewart for Becker’s Hospital Review Nearly one-third of full-time billers and coders at physician practices make between $40,001 and $50,000 a year in direct monetary compensation, according to Physician’s Practice’s “2020 Staff Salary Survey.” The survey’s 295 respondents specified how much the average non-physician provider earns annually: Note: Percentages do not add up…

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AMA Announces New CPT Codes for Multivirus Tests to Detect COVID-19 and Flu

From For the Record The American Medical Association (AMA) recently published an update to the Current Procedural Terminology (CPT®) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT…

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HIM Homebodies — Ignited by COVID-19, More Operations Go Remote

By Lisa A. Eramo, MA for For the Record When COVID-19 hit, Joe Naretto, MHA, RHIA, senior director of HIM at Novant Health in Charlotte, North Carolina, was faced with the task of transitioning 80 full-time employees anchored onsite at various corporate locations across the state to remote work arrangements. “Our direction from leadership was:…

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The ICD-11 Clock Is Ticking

By Selena Chavis for For the Record Is it time for health care organizations to start thinking about it? On the ICD-11 front, two significant milestones occurred last year: The World Health Organization (WHO) officially released the 11th edition of the International Classification of Diseases (ICD-11) and the World Health Assembly formally adopted ICD-11. Now…

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AMA Announces New CPT Codes as COVID-19 Advancements Expand

From For the Record The American Medical Association (AMA) recently published an update to the CPT code set that includes two code additions for reporting medical services sparked by the public health response to the COVID-19 pandemic. The update to the CPT code set was approved by the CPT Editorial Panel, the independent body convened…

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AMA releases 329 CPT code changes for 2021: 6 things to know

By Alia Paavola for Becker’s Hospital Review The American Medical Association released updates Sept. 1 to its Current Procedural Terminology code set for 2021. Six things to know about the changes: The AMA has made 329 changes to the 2021 CPT code set, including 206 new codes, 54 deletions and 69 revisions. The changes will take effect…

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AI-assisted EHR documentation will need human help

By Kat Jercich for Healthcare IT News Artificial intelligence technologies are being increasingly relied upon in the healthcare domain, particularly when it comes to decision support, precision medicine, and the improvement of the quality of care. Regarding primary care specifically, AI also represents an opportunity to assist with electronic health record documentation. A new study…

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