Hospital observation service codes are to be reported only for evaluation and management (E/M) services provided to patients who are admitted to observation. Review reporting and documentation guidelines to ensure accurate coding for these services.
A strong outpatient CDI program brings tangible benefits, but knowing where and how to start can be daunting. Use these tips to grow and measure your outpatient CDI efforts.
Coding departments benefit by including professionals from a wide range of backgrounds and experiences. Learn how to ensure your organization’s recruitment practices attract more diverse candidates.
Steady gains in compensation despite the industry’s financial challenges may be offset by staffing shortages, according to respondents of HIM Briefings’ 2021 HIM director and manager salary survey.
Modifier -XE (separate encounter) is used to indicate a separate surgical operative session on the same date of service or a distinct encounter after the patient has left the hospital or changed status/locations within the facility. Use this flowchart to support accurate use as a template for your organization.
Audit results should be packaged to be meaningful and easy to follow. Apply these tips to create audit packages that providers will get the most out of.
Physicians can opt to base evaluation and management (E/M) level selection on medical decision-making. Learn how to interpret the new guidelines and ensure compliance.
