Using a credentialed coder with computer-assisted coding (CAC) can increase coder productivity and lead to more accurate inpatient coding than using CAC alone, according to a study conducted by the AHIMA Foundation in collaboration with Cleveland Clinic and 3M Health Information Systems.
Coding for sepsis is often easier said than done. Obstacles range from difficulty distinguishing between documentation for sepsis and related conditions to trouble with physician queries.
Editor's note: This is the first in a two-part series that analyzes the 2014 inpatient prospective payment system (IPPS) final rule. This month we discuss the final rule's impact on inpatient status criteria. We will address quality-of-care changes in the next issue of MRB.
Time is of the essence. With less than a year until the ICD-10 deadline, there are many items that organizations need to cross off their checklists as we get ready to go live. Unfortunately, organizations aren't all in the same place when it comes to ICD-10 readiness.
Q . Is it permissible to take pictures of patients (including behavioral health) for identification purposes as a part of the registration process? Do the patients need to sign a consent form before their picture can be taken?
Imagine a hospital as a sentient being that holds within it all things necessary to heal you from illness or injury. The HIM department, or medical records department, is this being's memory. Without it, there would be no continuum of patient care. Sometimes, it's the hospital's memory that serves to produce an otherwise overlooked diagnosis.
This article is based on the results of MRB's quarterly benchmark survey. This month, we chose to survey respondents on EHR implementation and challenges.
