An inpatient study recently published in the Journal of the Academy of Nutrition and Dietetics demonstrates the importance of accurate ICD-10-CM reporting for malnutrition to ensure accurate Medicare severity diagnosis-related group (MS-DRG) assignment and the establishment of appropriate comparison benchmarks such as expected geometric mean length of stay (GMLOS).
Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.
Learn how to emphasize the clinical value of the documentation and establish policies and training that support medically and legally sound notes while making the best use of physicians’ time.
Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.
Experts Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS review the recently published “Global Leadership Initiative on Malnutrition (GLIM) Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community” and help coders apply this criteria in ICD-10-CM.