Employing clinical versus coding criteria for assigning or auditing an ICD-10-CM diagnosis code for malnutrition can have a significant impact on reimbursement. Use these tips to ensure appropriate documentation and coding.
Teresa Seville, RHIT, CCS, explains that a thorough review of ICD-10 updates must include analysis of the addenda, including the index, tabular notes, guidelines, and committee meeting highlights.
CMS finalized a slew of changes to price transparency requirements in the 2024 Outpatient Prospective Payment System (OPPS) final rule. Keep an eye on the following new requirements to ensure your organization is compliant.
Diane Pittman, CPC, CPMA, CRC, CCD-O, and April Russell, MBA, CPC, CPC-P, COC, CRC, CCDS-O, explain how reporting ICD-10-CM social determinants of health, their context, and coder feedback can influence natural language understanding.
While technology can help case managers speed up their workflow and identify high-risk patients, it can also introduce bias into processes. Learn how to prevent technology-based bias in patient care.