By Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS
While I prefer the use of the term “coding review,” the industry commonly uses the term “coding audit” to describe the practice of reviewing the accuracy of code assignment. These audits are done based on the documentation...Read More »
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 »
Q:If the documentation states, “diastolic heart failure (HF) euvolemic” or “diastolic HF hypervolemic,” can we code chronic diastolic HF and acute diastolic HF, respectively?Read More »
