Coding for alcohol- and drug-related disorders requires careful attention to both clinical terminology and the structure of the ICD-10-CM classification system.
Delays in patient access to records remain one of the most visible—and enforceable—failures under HIPAA. Learn where organizations are most vulnerable today.
Q: As payer analytics become more sophisticated, what specific skills or training should HIM professionals pursue to keep pace with evolving audit techniques?
As hospitals and health systems continue to acquire physician practices and bring providers under their umbrella, traditional coding models are starting to show their limits.
Federal regulators continue to signal that delayed patient access to medical records is one of the most visible and enforceable areas of HIPAA compliance.
Most CDI programs focus their educational efforts on key documentation elements, but it's also important to instruct staff on terms to avoid in the medical record.
