In addition to EHR use best practice which we discussed last week, another example of best practice for coding, CDI, and HIM, is following the ICD-10-CM Official Guidelines for Coding and Reporting. When coding, first seek the code in...Read More »
As with adult gastroenterological (GI) conditions, pediatric patients can experience a wide range of severity levels. One concern with pediatric patients, however, is simply their immature anatomy and physiology.Read More »
A few weeks ago, I was honored to have presentation accepted for the annual ACDIS conference in San Antonio. It’s been a while since I’ve spoken to larger audiences. My last round of talks...Read More »
by Julia Hammerman, RHIA, CPHQ, and Sam Champagnie
An audit program that includes a balance of random sampling and focused auditing delivers greater insight into coder performance and documentation improvement opportunities under ICD-10. Begin with random sampling. This helps...Read More »
By Anny Yuen, RHIA, CCS, CCDS, CDIP, and Page Knauss, BSN, RN, LNC, ACM, CPC, CDEO
Ambulatory surgery and pre-admission testing include pre-scheduled patient visits. Typically, a patient will have a physician order at the time of pre-admission testing, requesting lab work or X-...Read More »
At this year’s annual ACDIS conference, Beth Wolf, MD, CCDS, CPC, medical director of HIM at Roper Saint Francis Healthcare in Charleston, South Carolina, will take the stage in the expansion and innovation track to share about...Read More »
Years ago, I started a conversation on CDI Talk (now the ACDIS Forum) about failed CDI programs, hoping at the time that there might be someone willing to divulge a first-hand account of how and why their program “failed” and perhaps how they were...Read More »