According to our software vendor, you can only code liver lacerations as minor, moderate, or major. According to all the educational materials I can find, however, liver lacerations are on a grading scale (grades 1-5). How does your institution code the liver laceration if they only give...Read More »
I believe there was a Coding Clinic several years ago where the diagnosis of “mental incompetence” was changed to “intellectual disability,” but I can’t seem to locate it. What ICD-10 code should be used if a person is documented as “mentally incompetent”?Read More »
Each fall we join our revenue cycle, quality, and coding colleagues in a race to read and understand the impacts of the newest ICD-10-CM coding changes and the Inpatient Prospective Payment System (IPPS) final rule. As CDI professionals, we can...Read More »
Primary care clinicians overestimate the probability of disease before and after diagnostic testing, which likely leads to overutilization of treatment that could harm patients, according to a study published in the...Read More »
Hospitals that successfully participate in the Hospital Inpatient Quality Reporting program and are meaningful EHR users could see a 2.8% payment increase, if the...Read More »
Suggested changes for the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) payment rule for acute and long-term care hospitals were released this week, Tuesday, April 27. The IPPS governs how hospitals get paid for services they provide to Medicare patients. Every year, CMS...Read More »
When faced with a body mass index (BMI) denial, I have used the following Coding Clinic references with no luck:
Coding Clinic, Fourth Quarter, 2018, p. 77: "obesity and morbid obesity are always clinically significant and reportable when documented by the provider. In
It’s Health Information Professional (HIP) Week and that makes it the perfect time to celebrate the HIM professionals in our lives! Whether your CDI team includes HIM/coding credentialed individuals or not, CDI professionals by nature of their roles interact...Read More »