Q: What are some tips for organizations that are just starting out capturing the type of information to report social determinant of health (SDOH) diagnoses in ICD-10-CM?
A: Codes with generally no reimbursement impact can be considered...Read More »
Modest declines in estimated filtration rate (eGFR) were associated with a 42% increased risk of all-cause mortality, cardiovascular events, and kidney failure for younger adults, according to new research published in The BMJ...Read More »
On June 16, CMS announced 395 new diagnosis codes, 25 deletions, and 13 revisions for the fiscal year (FY) 2024 ICD-10-CM code set, which is finalized to take effect on October 1, 2023. CMS also updated the 2024 addendum, code...Read More »
A new report conducted by the USC Schaeffer Center for Health Policy and Economics has suggested that overpayments to Medicare Advantage (MA) plans could exceed $75 billion this year, ...Read More »
A new study conducted by the New England Journal of Medicine suggests that ketamine may be a clinically viable option for patients with severe depression, Medscape...Read More »
Q: Would anyone be willing to share how their CDI departments are reviewing for sepsis? A while back, my hospital administration went to contracts and requested that I follow up with physicians and staff and start reviewing all commercial insurance and managed Medicare accounts with...Read More »
Q: If documentation states, “probable HIV disease,” is that definitive enough to code?
A: In the instance of HIV, the terms “possible,” “probable,” “likely,” and “suspected” would not apply. Per The Official Guidelines for Coding...Read More »