Clinical validation reviews and queries ensure that the documented diagnoses and clinical indicators hold up to inspection. Use these strategies to head off clinical validation reviews and improve documentation.
The CDC estimates there are an estimated 35,900 deaths a year from antibiotic-resistant infections. Learn how to improve coding and documentation of these infections.
Recent regulations have greatly eased some administrative burdens. Explore how these changes affect HIM and how to ensure that your organization is in compliance.
HIM Briefings’ 2020 EHR benchmark survey examined EHR use and the role of HIM professionals in EHR management, including common challenges and benefits. Learn how your experience compares to your peers’ and how you can improve EHR management.
CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.
With the release of a new ICD-10-CM code for the novel coronavirus (COVID-19), hospitals now have a method to capture and report this critical disease. Although the code itself is relatively straightforward and likely won’t stir up confusion the way coding for complex diagnoses (such as sepsis) does, correctly documenting and coding COVID-19 is crucial to turning the tide on the national public health emergency.
