In a terse exchange of communication and reports this week, the HHS and American Hospital Association (AHA) addressed allegations that increased use of electronic health records may lead to increased amounts of Medicare billing fraud.
“[T]here are troubling indications that some...Read More »
When the term ‘sepsis syndrome’ is documented coders and CDI specialists have to query the physician. That’s the latest guidance from Coding Clinic for ICD-9-CM released in its 2nd Quarter 2012 edition pp 21-22. The article states, “The term ‘sepsis syndrome’ is poorly defined...Read More »
Q: I need further clarification regarding documentation of toxic metabolic encephalopathy. I’m trying to code two different cases in which a physician documents acute mental status change...Read More »