In its FY 2014 IPPS proposed rule, CMS not only redefines inpatient status, but it also discusses the ‘why’ and ‘how’ physicians should document the defining characteristic of all admissions: medical necessity.Read More »
CDI professionals must educate facilities and physicians about the importance of accurately capturing the entire disease process because physicians, unfortunately, are frequently reluctant to document additional disease processes in the charts of patients who are obviously about to die.Read More »
Q: We recently had a difficult case regarding a query for acute renal failure. Here is the scenario:
An 80-year-old woman came into the emergency room (ER) because she ran into the bumper of a car while driving her electric scooter and sustained a...Read More »
The ICD-10-CM and ICD-10-PCS code sets will be implemented on Oct. 1, 2014 – and on that date medical practices and their billing service companies, clearinghouses, and all covered entities and payers will need to use ICD-10 codes....Read More »
More than 40% of facilities without CDI programs in place expect to launch one in 2013, according to a survey from TrustHCS, presented by the company’s president, Torrey Barnhouse, during AHIMA’s ICD-10-CM/PCS and CAC Summit held in Baltimore this April.Read More »
CMS got an earful during a listening session regarding electronic health records (EHRs) held Friday, May 3. The session focused on systems and billing, and featured feedback from AHIMA, the American Hospital Association (AHA), the American Medical Association (AMA), among others.Read More »
