Despite increased expansion into outpatient CDI over the past several years, there are plenty of hang-ups that stop people from starting the journey. Though outpatient settings have in some form been reviewed by CDI specialists practically since CDI itself started, this progress remains slow and steady for a reason.
E/M coding guidelines for emergency department services (CPT codes 99281-99285) were recently updated for the first time in decades. Hamilton Lempert, MD, FACEP, CEDC, reviews these changes, along with coding requirements for many other E/M services.
There is no single query format every organization uses. Learn how to use resources and guidelines to create a compliant query template for your organization.
Kathleen M. Romero, MSN, RN, EBP-C, Cynthia Beal, MBA-HCM, BSN, RN, and Renee Pate, MSOL, MSN Ed., RN, CCDS, explain how they implemented a CDI program in their facility’s emergency department and the how establishing this program improved coding accuracy and increased reimbursement.
In this article, we continue our examination of HHS’ reports to Congress regarding HIPAA compliance and data from 2021, specifically focusing on the HIPAA Privacy, Security, and Breach Notification Rule Compliance report released in February.
On May 11, the COVID-19 public health emergency is expected to end after three years. However, not everyone is adequately prepared to comply with a return to previous rules, regulations, and practices.
Determine whether your facility needs to change E/M documentation habits and capture different details based on the revisions made by CMS to observation and inpatient reporting in the 2023 OPPS final rule.
Tonya Moton, RHIA, CCS, defines social determinants of health coding, explains the challenges of reporting these factors, and outlines how coders and providers can work together to create a positive impact in at-risk communities.
Remote therapeutic monitoring is one of the latest services to enter the virtual landscape since the COVID-19 public health emergency began. Debbie Jones, CPC, CCA, defines the services and reviews CPT guidance for reporting them.
