Reconciling CDI reviews and queries against final coding is an important but sometimes overlooked step. Use these expert tips to refresh or develop your organization's CDI and coding reconciliation process.
Revenue erosion and denials are often easily prevented, but simple errors may evade traditional, reactive denials management processes. Apply these tips to reduce and prevent common denials due to medical necessity, the three-day payment window, and more.
CMS is weighing an expansion of the hospital outpatient department prior authorization program, changes to 340B reimbursement, and alternative rate setting data among other proposals in the 2023 Outpatient Prospective Payment System (OPPS) proposed rule. Review other major proposals to understand how your organization could be affected.
Sepsis and systemic inflammatory response syndrome are historically difficult to document and report in ICD-10-CM. AlbaKuqi, MD, CCS, CDIP, CCDS, CRCR, CICA, CSCM, breaks down sepsis definitions and outlines a process for query creation.
A spinal fusion is used to permanently connect two or more vertebrae in the spine, eliminating motion between them. Review ICD-10-PCS coding for spinal fusions based on key information in the operative note.