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By Linda Jones, Speech Recognition Analyst at Dolbey When a facility is looking for speech recognition technology, it must ensure it chooses a highly accurate and reliable application. While this can be a daunting task, an even bigger challenge is selecting a solution that can obtain widespread adoption throughout the facility. When researching and comparing speech…
By Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Clinical documentation will need to reflect these situations in order to be accurately coded. When beginning research for this article, I opened my 2018 ICD-10-CM book to the External Cause Index section, specifically for the word “harassment,” but it was missing. The…
By Sara Reader, MD, MPH for KevinMD.com The recent suicides of an NYU resident and a medical student highlight the growing mental health problem among physicians and physicians-in-training in this country. This crisis is certainly not exclusive to physicians, as evidenced by the suicides of designer Kate Spade and television personality Anthony Bourdain. However, suicide…
By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor Editor’s Note: This is the final installment in a four-part series that examines physician documentation issues as seen by an auditor. Click here to read part one: Auditing Issues Uncovered in Physician Documentation: Part I Click here to read…
By Marisa MacClary for For the Record The only way hospital clinical documentation improvement (CDI) and coding staff may compliantly clarify physician documentation for the purpose of accurate coding is to query the physician. The physician query process is essential to ensure accurate quality scores and proper reimbursement. However, most CDI specialists, coders, and physicians…
By Alia Paavola for Becker’s Hospital Review Police are investigating Zuckerberg San Francisco General Hospital after a second woman was found dead in a hallway June 4, according to an NBC Bay Area report. The death comes one week after 75-year-old Ruby Anderson was found dead in the stairwell of a locked power plant building…
By Erica E. Remer, MD, FACEP, CCDS for ICD10 Monitor Some providers hesitate to use the word “abuse” preferring, instead, to use non-accidental trauma (NAT). Despite what revenue cycle may believe, clinical documentation is not solely for billing. One of the biggest problems with imprecise, nonspecific diagnoses which lead to unspecified codes or, even worse,…
By Kelly Gooch for Becker’s Hospital Review Hospitals have continued to see job growth in 2018, although that growth slowed in certain months. So far this year, hospitals added the most jobs in January and the least in May, according to the Bureau of Labor Statistics. A breakdown of jobs added by month: January — 12,700…
By Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS Trainer for ICD10 Monitor Strive to achieve coding compliance that really works. I’m often asked about how one would or should strive for coding compliance and make it happen. The first thing I do is to identify and acknowledge the risks or potential risks that occur.…
By Jeff Legasse for Healthcare Finance News These days, Americans can manage many facets of their lives through the internet. But a new poll suggests many older adults still aren’t using online systems to communicate with doctors and other healthcare providers, despite the widespread availability of such systems. As patients age and have more complex…