The healthcare documentation landscape is rapidly evolving, placing an unprecedented emphasis on quality and accuracy. Learn how an outpatient CDI program is critical to ensuring reimbursement and quality care.
If the healthcare professional has not determined a specific diagnosis, coders must code the signs and symptoms as identified. Review appropriate coding for uncertain diagnoses.
Keeping up with the latest regulatory changes can be challenging. Use these tips to ensure you and your organization stay on top of updates and ensure compliance.
In 2023, CMS used its statutory authority to make Medicare payment for certain dental services under specific conditions. Learn more about the most recent changes and how to ensure compliant billing.
Deanne Wilk, MPS, BSN, RN, CCDS, CCDS-O, CCS , defines the Diagnosis, Etiology, Evidence, Plan (DEEP) methodology to identify and instill good habits for provider documentation.
Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
