ICD-10

EHR usability issues may contribute to patient harm, JAMA study shows

By Jeff Lagasse for Healthcare Finance  The usability of electronic health records may be associated with some safety events in which patients were possibly harmed, according to a new study published in the Journal of the American Medical Association. And while the authors did not make any specific financial revelations, clinical quality has increasingly been tied…

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Why CDI Often Times Goes off the Rails

By Glenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAM for ICD10 Monitor  Moving beyond CDI to optimize reimbursement requires returning to an optimal and sustainable level of achievable excellence. A well-guided, thought-out, directed mission is paramount to driving and ensuring success in any professional role – and this particularly holds true…

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Improving Risk Adjustment through Inpatient HCC Capture

By Michelle M. Wieczorek RN RHIT CPHQ for ICD10 Monitor In this article, the author examines the implications for the capture of Hierarchical Condition Codes (HCCs) in the inpatient setting. By now, most clinical documentation improvement (CDI) programs have an appreciation for the use of cases reflecting how Hierarchical Condition Codes (HCCs) impact upon quality…

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How 2018 Impacts ICD-10-CM Cardiology Diagnosis Coding

By Terry Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMCSC, CMCS, ACS-CA, SCP-CA for ICD10 Monitor  For cardiology, the focus of ICD-10 is generally on increased specificity and documenting the downstream effects of the patient’s condition. Acute myocardial infarction, or what is more commonly known as AMI, had a definition change when the nation’s healthcare system…

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Risks Associated with Critical Care Coding

By Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner for ICD10 Monitor Questions abound when reporting critical care services. Reporting Adult Critical care can be complicated. It is not only the coding but the rules and that go along with critical care.  Many questions come up when reporting…

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Are You Moving the CDI Needle?

Three questions to consider when evaluating a clinical documentation improvement program. By Lisa A. Eramo, MA for For the Record Review the record. Query the physician. Obtain the diagnosis. Repeat. Does this clinical documentation improvement (CDI) workflow sound familiar? Productivity is the hallmark of a good program. Or is it? On the surface, CDI specialists…

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7 statistics on medical coder salary, growth potential

By Laura Dyrda for Becker’s ASC Review Professional coders are more likely to see compensation increases when they achieve higher credentials, and the percent increase in year-over-year compensation is higher for the most-credentialed individuals, according to the AAPC 2016 Salary Survey. The survey was completed by 9.2 percent of AAPC membership, and 2.2 percent hold…

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