Fusion CDI

ACDIS tip: CDI specialists use legal, coding, and clinical knowledge

By Kathryn Fallah and Karla Accorto for ACDIS CDI Blog CDI is a mix of three categories blended into one, according to Dawn Valdez, RN, LNC, CCDS, CDIP, CDI education specialist with ACDIS in Middleton, Massachusetts. These three categories are: Legal Coding/billing Medical/clinical The legal category deals with query writing, ethics/compliance issues, and finances. Coding and billing…

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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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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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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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AMA adds CPT codes for J&J COVID-19 vaccine

Katie Adams for Becker’s Hospital Review The American Medical Association on Jan. 19 published three Current Procedural Terminology codes for the COVID-19 vaccine being developed by Johnson & Johnson. The codes allow for better tracking and data reporting by distinguishing the vaccine from others. The AMA published the new CPT codes so that electronic systems throughout the…

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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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Guest post: Counting COVID-19 cases

By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog I sometimes drift through our office space—often deserted now in the era of COVID-19—and think about how the cubicles represent our spot in the healthcare industry. CDI occupies a single cubicle somewhere on the Revenue Cycle’s floor. It’s our own little niche, a “boutique practice”…

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Cover the Revenue Cycle From All Corners

By Susan Chapman for For the Record Health care organizations are increasingly adopting revenue integrity (RI) programs, which, as defined by the National Association of Healthcare Revenue Integrity, are valuable to “prevent recurrence of issues that can cause revenue leakage and/or compliance risks through effective, efficient, replicable processes and internal controls across the continuum of…

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