In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and their underlying causes remains an ongoing challenge for physicians and their facilities.
Technology has transformed HIM. Today, challenges in the HIM department include EHRs, alphanumerical codes, quality metrics, and technology devices like scanners.
Accurate clinical documentation is the bedrock of the legal medical record, billing, and coding. It is also the most complex and vulnerable part of the revenue cycle.
With value-based reimbursement, providers now must shoulder the health of the patient no matter where the patient receives care. The ability to share patient information seamlessly between these entities using interoperable technology is the next evolution of healthcare.
Despite the last-minute changes, MOON implementation went smoothly for many hospitals. But the full impact won't be visible until hospitals can determine how, and to what extent, the MOON will play into audits.
Kidney disease is a challenging component to inpatient and outpatient care, incurring significant costs and negative outcomes. CMS and other agencies that measure our quality and cost efficiency use ICD-10-CM codes based on provider documentation and billing to ascertain that a patient has a designated kidney anatomic or functional illness in their risk-adjustment methodologies.
When it comes to dealing with Medicare Recovery Auditors (RACs), there is never a dull moment for HIM professionals. Any shift in the RAC program quickly emerges as front-page news for HIM leaders.
