HIM Briefings

Having access to the right information at the right time is critical for healthcare professionals, from patient access staff to surgeons, but when it comes to capturing sexual orientation and gender identity data, many organizations are still struggling to get it right. Use these expert tips to help your organization build a more complete, inclusive data set.

Get to the root of the problem with defining and defending a sepsis diagnosis.

Create a concurrent coding program that brings coding and CDI together to maximize success.

Use these tips to clarify when and how it’s appropriate to use modifier -25.

Learn how to emphasize the clinical value of the documentation and establish policies and training that support medically and legally sound notes while making the best use of physicians’ time.

Experts Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS review the recently published “Global Leadership Initiative on Malnutrition (GLIM) Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community” and help coders apply this criteria in ICD-10-CM.

Overcome attribution hurdles with tested models.

Use real-life strategies to prevent and fix master patient index errors during EHR consolidations.