ICD-11 reflects critical advances in science and medicine and is the first code set revision to be well integrated with EHRs and information systems, the WHO says.Read More »
By Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS
As I sat down to summarize the proposed fiscal year (FY) 2019 ICD-10-CM update, the number of changes are significantly less than the prior two years which makes me think we’re getting back to the norm of expected yearly...Read More »
A common theme that plays a critical role in portraying the patient encounter accurately in both the inpatient and outpatient environments is complete and precise documentation. General principles of medical record documentation...Read More »
Q:I'm in charge of a coding audit for our department for the first time and trying to determine how many cases to use as a sample. What factors should I consider?Read More »
Jennifer Oetinger, RN, BSN, has created a poster entitled “Spinal surgery: Interpretation, opportunities, and coding.” Janet Barber, MBA, BSN, RN, CCDS, and other members of the Providence Health System team will be presenting the poster in Oetinger’s stead.Read More »
Q:We are having trouble determining what qualifies a patient as having an acute MI and what documentation would support the diagnosis. Can you help our coding team clarify?Read More »
