Coding a chart with a sepsis diagnosis requires careful attention to detail. Use this tips to review sepsis documentation, ICD-10-CM coding requirements, and quality measures for public reporting.
Every organization’s priorities will differ, but any outpatient CDI program must determine how to measure the improvement associated with its efforts. Outpatient CDI will directly contribute to the facility’s overall quality performance and risk adjustment models.
The Centers for Disease Control and Prevention recently released the 2023 ICD-10-CM code set and ICD-10-CM Official Guidelines for Coding and Reporting. Review key ICD-10-CM updates including new codes for dementia, head injuries, and long-term drug therapy.
Hospital coding for wound procedures is notoriously difficult, as the process can seem as messy as the injuries themselves. Clarify wound documentation and guidance for reporting wound diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II codes.
For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, describes the difference between an implant and a foreign body removal and outlines CPT coding for these procedures.
Among the proposed changes, many of which affect quality and data reporting programs, are proposed changes to claims data used for rate setting, a delay of the three way split criteria for Medicare Severity Diagnosis-Related Groups (MS-DRG), and more. Understand major proposals and their potential impact and how to provide feedback to CMS.
Tiffany Ferguson, LMSW, ACM, and Marie Stinebuck, MBA, MSN, ACM, CEO and COO at Phoenix Medical Management Inc., discuss why the best strategy to prevent denials related to medical necessity is a proactive approach that focuses on front-end processes.
CDI’s work touches nearly every facet within an organization, from the business departments (e.g., financial, contracts, denials management, etc.) to clinical initiatives.
