Encephalopathy refers to any disease of the brain that alters its function or structure. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBG, breaks down documentation requirements and ICD-10-CM coding for toxic, acute, and chronic encephalopathy.
Defining the line between a coder comprehending the record’s meaning and interpreting documentation can be a challenge. Consider these ways to improve documentation and foster critical thinking in coders.
Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, describes how coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses components of the coding process, but also the integrity of the patient’s record.
There are many things that can go awry during gestation resulting in a neonate with temporary or permanent health conditions. Physicians have found ways to treat many congenital defects in utero, enabling the neonate to be born without defects. Review coding guidelines for fetal surgeries.
