Risk models group diagnoses according to ICD-10-CM diagnosis codes and categorize patients who share similar clinical characteristics and cost. Each risk model has a complex methodology where a particular diagnosis may trump another diagnosis,...Read More »
Fran Andrews, RN, BSN, CCDS, a CDI specialist at Wellstar Healthcare System, has been in the field since 2006, and is a member of the Georgia ACDIS local chapter.Read More »
As the coder or CDI specialist reviews the documentation, he or she will identify opportunities to clarify diagnoses or even to identify conditions that were not previously documented but may be possible given the patient’s presentation.Read More »
Coding versus the true nature of patient’s condition can be enigmatic. In order to parse out the difference between the two, we need to understand the ultimate goal of CDI. It’s not in following the severity of illness (SOI)/risk of mortality (ROM), the...Read More »
It seems that there’s a new headline every day related to denials and audits. Not much has changed when it comes to the content of those denials, though, according to Brett Hoggard, MD, chief medical officer of the Brundage Group, based in Tampa, Florida.Read More »