When a CDI program is renewed or created, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Learn how to identify KPIs for your CDI program.
Encephalopathy refers to any disease of the brain that alters its function or structure. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, breaks down documentation requirements and ICD-10-CM coding for toxic, acute, and chronic encephalopathy.
Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, describes how coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses components of the coding process, but also the integrity of the patient’s record.
This article reviews the most common types of external diagnostic cardiology tests, examines relevant CPT coding guidelines, and offers reporting advice from an expert.
As CDI programs are created or renewed, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Hone your understanding of appropriate CDI KPIs.
Defining the line between a coder comprehending the record’s meaning and interpreting documentation can be a challenge. Consider these ways to improve documentation and foster critical thinking in coders.
Coding audits are often a source of irritation in small and large practices alike. This article covers common misconceptions about the auditing process and offers tips from experts on how to correct them.
The 2023 update to the CPT manual had almost every chapter undergoing some form of change. In this article, Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, delves into some of the major changes to E/M coding and considerations for documentation integrity.
CMS recently revised the evaluation and management (E/M) coding guidelines for inpatient providers. Understand the far-reaching effects of the changes and how to ensure your organization is in compliance.
Sepsis is a systemic, deleterious response to infection that can lead to severe sepsis and septic shock. Brush up on sepsis criteria and documentation and coding guidelines.
