Q: I had a question about whether or not queries can be used to question the documentation of a condition or procedure where the clinical picture in the record does not appear to support a given diagnosis. I thought the new ACDIS/AHIMA query practice...Read More »
Striving for the correct DRG assignment on the first pass should be every coder’s goal. This is not simple, and a close look reveals that the complexity of coding rules and the quality of documentation in facilities sometimes make...Read More »
ACDIS members are invited to participate in a Quarterly Conference Call taking place, Thursday, Aug. 22, 1-2 p.m. (EST). Dial-in instructions were sent via email to ACDIS members. If you are an ACDIS member but did not receive your dial-in...Read More »
The U.S. Veterans Health Administration announced yesterday that it is rolling out system-wide CDI efforts. As one of the largest healthcare organizations in the country with 151 hospitals and 827 community-based outpatient clinics, the move signifies the...Read More »
CMS redefined the criteria for inpatient admission by implementing the “two-midnights” rule in the recently released IPPS Final Rule. For an inpatient admission to be deemed medically necessary under the...Read More »
A recent study conducted by the AHIMA Foundation in collaboration with the Cleveland Clinic examined the impact of computer-assisted coding (CAC) on coding time, accuracy, and precision. The study revealed that using a credentialed coder with CAC...Read More »
CMS first released the new ICD-10-PCS codes and guidelines in May, followed by the new ICD-10-CM codes in June, and the ICD-10-CM guidelines in July. Last week, it released updates to the general equivalence mappings (GEMs) from CMS for both...Read More »
