While technology can help case managers speed up their workflow and identify high-risk patients, it can also introduce bias into processes. Learn how to prevent technology-based bias in patient care.
Michael Malohifo’ou, RN, MBA, PhD, explains how excessive use of emergency departments can result in unfavorable outcomes. He also assesses the complicated relationships between EDs, social determinants of health ICD-10-CM coding, and mental and behavioral health CPT services.
The 2024 ICD-10-CM update added 36 codes to the now nearly 400 codes in category M80.- (osteoporosis with current pathological fracture). The additional codes add further specificity for pelvis fractures due to age-related osteoporosis.
A scan of healthcare news sources or the Office of Inspector General work plan often finds psychiatry and mental health practices under scrutiny. Laurie Bouzarelos, MHA, CPC, reviews revenue cycle functions, provider contracting/credentialing, and coding and documentation tips to avoid denials.
Quality can mean different things to different people, even within the same organization. Learn how to start and frame discussions about quality, patient care, and CDI in a way that's meaningful to physicians.
A postpartum hemorrhage (PPH) is defined as blood loss of 500 ml or more postvaginal delivery, or greater than 1,000 mL estimated blood loss associated with cesarean delivery. Apply these tips to ensure accurate coding and documentation.
2024 CPT manuals contain several changes related to integrated peripheral and spinal neurostimulator systems. The seven code additions, four code revisions, and new guidelines clarify when coders should use permanent procedure codes from the nervous system chapter vs. a Category III code.
Hamilton Lempert, MD, FACEP, CEDC, writes about the complexities of reporting and billing for certain ED services, as well as what coders should watch out for in documentation.
