Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.
You’ve likely heard of social determinants of health. But healthcare systems and policymakers have coined a number of other terms for similar concepts. This mishmash of terminology is a potential threat to making progress on these issues.
Hospital coding for wound procedures is notoriously difficult, as the process can seem as messy as the injuries themselves. Clarify wound documentation and guidance for reporting wound diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II codes.
OCR released a report on audits it conducted. It found that most CEs failed to meet the requirements for selected provisions in the audit. One of the first steps to improving is learning more about audits and assessments, which are trouble spots for entities.
