The 2023 update to the CPT manual had almost every chapter undergoing some form of change. In this article, Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT, delves into some of the major changes to E/M coding and considerations for documentation integrity.
CMS recently revised the evaluation and management (E/M) coding guidelines for inpatient providers. Understand the far-reaching effects of the changes and how to ensure your organization is in compliance.
Sepsis is a systemic, deleterious response to infection that can lead to severe sepsis and septic shock. Brush up on sepsis criteria and documentation and coding guidelines.
Despite increased expansion into outpatient CDI over the past several years, there are plenty of hang-ups that stop people from starting the journey. Though outpatient settings have in some form been reviewed by CDI specialists practically since CDI itself started, this progress remains slow and steady for a reason.
E/M coding guidelines for emergency department services (CPT codes 99281-99285) were recently updated for the first time in decades. Hamilton Lempert, MD, FACEP, CEDC, reviews these changes, along with coding requirements for many other E/M services.
Chronic obstructive pulmonary disease (COPD) is a group of obstructive lung diseases characterized by airway obstruction or narrowing and difficulty breathing. Brush up on coding guidelines for this condition.
Kathleen M. Romero, MSN, RN, EBP-C, Cynthia Beal, MBA-HCM, BSN, RN, and Renee Pate, MSOL, MSN Ed., RN, CCDS, explain how they implemented a CDI program in their facility’s emergency department and the how establishing this program improved coding accuracy and increased reimbursement.
Robotic and computer-assisted surgical procedures are still considered new technology in many hospitals despite having been used in the U.S. for many years. Review coding guidelines and code selection rules for these procedures.
Determine whether your facility needs to change E/M documentation habits and capture different details based on the revisions made by CMS to observation and inpatient reporting in the 2023 OPPS final rule.
