Chronic migraines and epilepsy can be complex diagnoses that require thorough documentation. Review recent ICD-10-CM code updates for these conditions to ensure they're reported correctly.
Maternal mortality and morbidity are critical issues that continue to affect the healthcare industry worldwide. Delve into the role CDI specialists play in improving data capture related to maternal care in the U.S. and how to engage hospital leaders in initiating an obstetrics clinical documentation program.
Critical care coding can challenge both new and seasoned coders. Jessica Miller-Dobbs, CPC, CPC-P, CGIC, offers tips and clarification on reporting critical care services in CPT, as well as sample provider documentation for these services.
After identifying areas of concern related to missing or inaccurate information on discharge paperwork, CMS is encouraging surveyors to keep an eye out for documentation gaffes.
Medical necessity is a term used to describe the need and justification for services a patient will receive, including diagnostic studies or therapeutic treatment. Understand how Medicare defines the term and what requirements must be met.
The CDI educator role is dynamic, evolving to fit the ever-changing landscape of coding and CDI. Consider these tips to help ensure your CDI educators are meeting current needs.
