Computer Assisted Coding

With 25×5 initiative, AMIA sets sights on tackling clinical documentation burden

By Mike Miliard for Healthcare IT News The American Medical Informatics Association this week announced next steps for AMIA 25×5, its multi-stakeholder effort to alleviate documentation burden for U.S. clinicians. WHY IT MATTERS Funded by the National Library of Medicine, the 25×5 Symposium to Reduce Documentation Burden on U.S. Clinicians by 75% by 2025 was…

Read MoreWith 25×5 initiative, AMIA sets sights on tackling clinical documentation burden

HIM Challenges: The Future Looks Bright for Coders

By Angela Lima, BS, CCS, CDIP, CIC, COC for For the Record Libman Education’s survey found that 87% of respondents plan to increase their coding expertise. As you read this article, you’re probably sitting in your home office, drinking your third (or fourth) cup of coffee, and perhaps even wearing your favorite pair of slippers. That’s…

Read MoreHIM Challenges: The Future Looks Bright for Coders

CMS unveils billing codes for J&J, Moderna COVID-19 booster doses

Alia Paavola for Becker’s Hospital Review CMS unveiled Medicare Part B billing codes and payment allowances for administering booster doses of the Moderna or Johnson & Johnson vaccine for COVID-19. The FDA authorized booster doses for eligible adults Oct. 20 and unveiled the codes two days later. The doses must be available without cost sharing for Medicare,…

Read MoreCMS unveils billing codes for J&J, Moderna COVID-19 booster doses

Watch for these urology-related CPT codes this January

By Jonathan Rubenstein, MD, Mark Painter for Urology Times New and updated codes encompass balloon continence devices, hypospadias Current Procedure Terminology (CPT) codes are continuously being updated. New and updated Category I and III codes will become active on January 1, 2022. In addition, some other Category III codes may be released on July 1 of…

Read MoreWatch for these urology-related CPT codes this January

Dolbey Expands Their #1 Best in KLAS Fusion CAC Solution with Single Path Coding

Dolbey adds Single Path Coding to their Fusion CAC solution that is already ranked #1 Best in KLAS for the 5th consecutive year. Single Path Coding is a consolidation of facility and professional fee coding to streamline processes, maximize coder output, and reduce costs by minimizing duplicated efforts. Some Dolbey Fusion CAC customers were looking…

Read MoreDolbey Expands Their #1 Best in KLAS Fusion CAC Solution with Single Path Coding

How to Build an In-House Coding Department

By Lisa A. Eramo, MA for For the Record HIM experts share insights and lessons learned. When patient volumes decreased temporarily during the COVID-19 pandemic, coders at Georgia Cancer Specialists in Atlanta forged ahead with whatever noncoding tasks could be done. They ran reports, pulled data, and educated providers as needed. Leonta Williams, MBA, RHIA,…

Read MoreHow to Build an In-House Coding Department

Certain ICD-10 Codes Often Precede Multiple Sclerosis Diagnosis

For Health Day FRIDAY, June 25, 2021 (HealthDay News) — Certain International Classification of Diseases (ICD), Tenth Revision (ICD-10) codes are recorded more frequently before the initial diagnosis in patients with multiple sclerosis (MS) compared with patients with other autoimmune diseases or individuals without these diseases, according to a study published in the June 15…

Read MoreCertain ICD-10 Codes Often Precede Multiple Sclerosis Diagnosis

ACDIS tip: Pneumonia documentation

By Kathryn Fallah from ACDIS CDI Blog According to the World Health Organization , pneumonia is a form of an acute respiratory infection that inflames the lungs. When CDI professionals review the record and ensure that the documentation of pneumonia is accurate and complete, they can impact reimbursement, risk of mortality scores, and risk adjustment. There are…

Read MoreACDIS tip: Pneumonia documentation

Chart Conundrums: Queries: Moving Beyond Business as Usual to Identify Learning Opportunities

By Clarissa Barnes, MD for For The Record While often said in jest, my dislike of getting queries delivered to my inbox is (at least indirectly) 100% responsible for my work as a physician advisor. Queries were an intrusion in my otherwise organized workflow. It seemed like my only option was to keep answering them…

Read MoreChart Conundrums: Queries: Moving Beyond Business as Usual to Identify Learning Opportunities

How CMS final rule will impact E/M coding and documentation requirements

By Ben Howard for Med City News This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) and the updated coding guidelines for Evaluation and Management (E/M) services from the American Medical Association. For…

Read MoreHow CMS final rule will impact E/M coding and documentation requirements
Dolbey Systems, Inc.