Q: What topics should routine chart audits focus on?
Approximately 30% of patients with COVID-19 have acute kidney injury. Apply critical thinking to record reviews to ensure nothing is missed.
Ischemic strokes are complex and all too frequent. Review clinical criteria and ICD-10-CM reporting regularly for this diagnosis to ensure accurate coding and reimbursement.
A sound query process is essential to good documentation and correct coding. Find out how your organization’s query practices and CDI productivity compare to others.
Strong documentation and coding support accurate data and help organizations defend against payer audits. Learn how to manage the return of CMS audits and keep documentation and coding in top shape.
In response to the novel coronavirus (COVID-19) public health emergency, CMS has expanded patient access to telehealth services, allowing beneficiaries to receive a wide range of services without having to visit a healthcare facility.
Q: What documentation elements are required to support a secondary diagnosis of malnutrition? Can the diagnosis be made based on lab results?
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.
CDI teams have had to adapt quickly to rapid changes. Understand how CDI leaders have modified practices to support their organizations, their teams, and their communities.
CMS updated its Medicare billing FAQs to include new questions related to National Coverage Determinations (NCD) during the novel coronavirus (COVID-19) public health emergency (PHE).