Coders will need more information in order to code for fractures in ICD-10-CM. For instance, the physician must document which specific bone is fractured, including which side of the body. They will also need to document whether the patient is seen for an initial or subsequent visit.
Spinal conditions can be congenital, pathologic, or traumatic, and they can affect the vertebrae, spinal cord, muscles, nerves, discs, or a combination of the parts of the spine.
Q. Please explain in an understandable way for nontechnical individuals what level of encryption is needed for e-mail to be considered secure as defined in the interim final breach notification rule.
While I was on one of my first consulting engagements in the early 1980s-when the pundits were predicting that everyone would be fully on EMRs no later than 1990-I experienced a rude wake-up lesson: the automating dysfunction "reality check" factor.
From researching and implementing EHR systems to developing training and education plans for ICD-10 to overseeing your Recovery Audit Program review results, the daily tasks of an HIM director can quickly become overwhelming.