Q: When a physician needs to certify an inpatient stay of 20 days or more, do we need to use a specific form for the certification? Or can we submit other documentation such as the physician's notes from the medical record?
One of the most vexing challenges that CDI specialists have is how to engage physicians to completely and precisely document their patients’ conditions and treatments in the language required by ICD-10-CM, which is essential to risk adjustment.
Conflicting provider documentation can raise red flags for auditors and slow down coding. Learn about common causes of conflicting documentation and strategies to reduce its occurrence.
Take a look at some common questions asked about MS-DRG optimization and review how inpatient coding and documentation plays a significant role in the process. Learning the ins and outs of this process will ensure that your facility remains educated and compliant.
Behavioral health facilities and professionals experience some unique challenges when it comes to handling PHI and patient requests. The following article offers tips for handling those challenges and scenarios to consider.
The Centers for Disease Control and Prevention (CDC) updated its clinical guidance for diagnosing and treating electronic cigarette- or vaping-associated lung injuries (EVALI) in light of the approaching 2019-2020 flu season.
