Outpatient CDI Impacts New Payment Models
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Today I would like to focus on outpatient clinical documentation improvement (CDI), often referred to as the lowly stepchild of inpatient CDI efforts. Personally, I feel it (outpatient CDI) can take over the spotlight from inpatient CDI, as it encompasses
both... Click Here to Read More
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An E.R. Doctor on 'Surprise Billing' for Emergency Care
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As is the case with most emergency patients, Zangla chose the hospital closest to him. As is the case with every patient who presents to any Emergency Department, he received a full medical evaluation without regard to his insurance coverage. In his case, the diagnosis
was... Click Here to Read More
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CMS Releases ICD-10-PCS Changes for FY2019
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The Centers for Medicare and Medicaid Services (CMS) has released and posted the fiscal year (FY) 2019 ICD-10-PCS (procedural coding system) changes. The files contain information on the...
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CMS Issues RADV Blueprint for Handling Flawed Documentation
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Coders love rules. In risk adjustment coding, we live by the Official Guidelines for Coding and Reporting, the ICD-10-CM conventions for code lookup, and the AHA Coding Clinic for ICD-10-CM and ICD-10-PCS. Too often, though, we run into situations in which there are no rules, or when
guidance...
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Senior Living Centers Find New Benefits In Adopting Electronic Records
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Senior Housing Companies, which offers assisted living services and healthcare to individuals living in retirement communities, was dependent upon manual paper processing to manage its 17 senior living communities in Iowa. A few years ago, when Joy Laudick joined the organization as its director of clinical management, she knew it was needed to transition to
electronic systems. Click Here to Read More
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