Make sure your providers are showing the mental work that goes into evaluating the risk associated with a medication before you count it toward the risk element of an E/M visit that is coded based on medical decision-making.
Small and rural hospitals face increased coding challenges with limited budgets, small teams, and constant pressure to meet national standards, but they’re not off the hook for compliance.
Discover how ICD-11 coding and classifications for oncology can enhance research, improve tracking capabilities, and facilitate better data collection.
As the future of certain Hospital Inpatient Quality Reporting Program measures remains unclear, examine CDI's role in capturing social determinants of health (SDOH) data.