HIM Briefings

When coders think of reporting for neonates and critical care, most think of CPT codes. However, ICD-10-PCS also gives codes to use for procedures for newborns/neonates related to respiratory assistance quickly after birth, when necessary. Refresh your knowledge of these codes.

Incorporating annual Current Procedural Terminology (CPT®) code updates is a core part of HIM maintenance. Apply these tips to ensure CPT code changes are correctly implemented and staff are kept in the loop.

Contract negotiations can make or break a hospital, because in addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.

Several proposals in the fiscal year 2024 Inpatient Prospective Payment System (IPPS) proposed rule signal that CMS is serious about a major overhaul of MS-DRG severity levels. Review these and other major proposals to help your organization prepare for the release of the final rule.

When a CDI program is renewed or created, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Learn how to identify KPIs for your CDI program.

Coders are now tasked with reporting social determinants of health, or circumstances in patients’ lives that can influence the quality of their life and overall wellbeing. Understand how to improve documentation of these factors and ensure complete and accurate coding.

As CDI programs are created or renewed, the main focus tends to be on the CDI department structure: its policies, education, staffing needs, and key performance indicators (KPI). Hone your understanding of appropriate CDI KPIs.

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.