The key to properly coding hernia procedures is knowing what questions to ask yourself as you read through the patient’s health record.
Category: Medical Coding
The clinical care team, those whose attention is the care of the patient, is laser focused on the patient and that is where the CDI professional, who is a member of the clinical medical record team should remain focused.
Obstetrical coding can be challenging for most coders. Most coders have an understanding of gestational diabetes & hypertension due to specific guidelines.
Many coders struggle with coding spinal fusion procedures. First, the terminology can be confusing.
The 2020 IPPS Proposed Rule indicates many changes to ICD-10 for FY 2020 including some significant ones to MS-DRG payments-some higher and some lower.
Denial reduction in the outpatient (OP) environment stems from the knowledge of the factors that contribute to risk.
When a CDI audit is in a facility’s future, several factors should be considered for a smooth and successful outcome.
As its importance was realized, CDI expanded from a single setting reimbursement focus to a quality based, multiple setting focus…
Article by David Reece, BSN, RN, CCDS, Consulting Director, Outpatient CDI Solutions, MedPartners University The debate around what constitutes Outpatient Clinical Documentation Improvement (CDI) has been going on for some time now.