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Documentation improvement

September 25, 2019
HIM Briefings

Unpack two interesting issues regarding the clinical and documentation implications of determining oxygen levels related to respiratory distress.

February 28, 2018
Medicare Insider

This week’s Medicare updates include two compliance reviews from the Office of Inspector General, an enforcement instruction on supervision requirements for outpatient therapy, clarification of instructions for medical reviews of inpatient rehabilitation facility claims, and more! 

January 25, 2018
Medicare Insider

This week's note delves into how to document time on claims for care management services provided in a rural health clinic and compares the new types of care management services for 2018. 

December 20, 2017
Medicare Insider

This week’s Medicare updates include two new advisory opinions; updates to the Physician Compare, Long-Term Care Hospital Compare, and Inpatient Rehabilitation Facility Compare websites; a republished version of the OPPS final rule to include a previously omitted section, and more!  

November 2, 2017
Medicare Insider

This week's note reviews pre-service coverage analysis processes in light of the recent CMS decision to delegate the target, probe, and educate medical review strategy to the Medicare Administrative Contractors. 

July 27, 2017
Medicare Insider

This week's note from the instructor explores the important role of chronic care management in rural health. 

June 27, 2016
Medicare Insider

The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, and more.

January 1, 2021
Briefings on APCs

Hospital coding for pregnancy-related services requires a detailed understanding of the CPT® global obstetric (OB) package and ICD-10-CM coding guidelines for maternal care management. This article details hospital coding for pregnancy and delivery complications and procedures used to treat them.

January 18, 2021
Medicare Web

Q: Acute respiratory failure is consistently one of our top denied diagnoses. We've tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition?

January 13, 2021
HIM Briefings

Organizations continue to struggle with denials for conditions such as sepsis and pneumonia. Review your processes and then apply these expert tips to help turn the tide.


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