Coders can raise the flag for the risk management department by signaling unexpected patient care occurrences, such as a nicked organ during surgery. Use this sample occurrence report form as a template for your organization.
Clinical validation reviews and queries ensure that the documented diagnoses and clinical indicators hold up to inspection. Use these strategies to head off clinical validation reviews and improve documentation.
The CDC estimates there are an estimated 35,900 deaths a year from antibiotic-resistant infections. Learn how to improve coding and documentation of these infections.
Recent regulations have greatly eased some administrative burdens. Explore how these changes affect HIM and how to ensure that your organization is in compliance.
HIM Briefings’ 2020 EHR benchmark survey examined EHR use and the role of HIM professionals in EHR management, including common challenges and benefits. Learn how your experience compares to your peers’ and how you can improve EHR management.
Navigating Medicare’s rules for charging for ancillary services, bedside procedures, and supplies is no easy task. Get an expert perspective on how to apply the rules.
National Correct Coding Initiative (NCCI) edits can be a major stumbling block in the billing process. Take a look at the different types of NCCI edits and strategies to address them.
