We, in the United States, will soon need to adopt the electronic health record (EHR). Over the past few years, of course, healthcare entities have slowly converted from the traditional handwritten medical record toward one that is totally digital. There have...Read More »
Q:I know that in an inpatient setting coders are allowed to use a suspected diagnosis when a definitive diagnosis cannot be determined. However, we have had some trouble with physicians using the term “rule out” or “differential diagnosis” when it comes to a recovery...Read More »
Although AHIMA’s October 2008 practice brief “Managing an Effective Query Process” clearly states that the agency intended the article as guidance, not regulation, CDI programs should regularly review their query practices, policies, and procedures to determine if any problem areas may need to...Read More »
Hypothetical question: You don’t know how to swim, but you’re learning. You have an inner tube around your waist. Now, where would you rather continue your lessons–in the pool in your backyard or in the ocean?
A friend of mine posed this question to me...Read More »
by Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS
From the perspective of the hospital administration, the revenue cycle may be defined to include all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue. ...Read More »
I thought I’d discuss a few metrics I use which are not the standard metrics such as percentage of cases reviewed, query rate, response rate, agree rate, etc. One of my motivations in considering and reflecting on metric choices is to find fairly simple...Read More »
Some people go into an endeavor full bore, knowing that they’re always right. Some people go into an endeavor learning as they go, knowing that they don’t know everything, eager to learn and always open to learning.
