The OIG has been conducting a series of studies about adverse events (patient harm) in various healthcare settings since 2008 and will be publishing more of its corresponding reports throughout 2019.Read More »
Using financial penalties to reduce hospital readmissions has been linked to a significant rise in post-discharge mortality for patients with heart failure and pneumonia.Read More »
As part of the fiscal year 2019 IPPS final rule, CMS required hospitals to publish their lists of retail charges for individual services and DRGs in online spreadsheets starting...Read More »
The HHS draft strategy to reduce EHR burdens lists several elements related to clinical documentation principally focused on previous recommended changes to E/M...Read More »
by Cheryl Ericson, RN, MS, CCDS, CDIP and Cathy Farraher, RN, MBA, CCM, CCDS
Clinical validation is a process in which diagnoses already written in the chart are reviewed by a clinical documentation specialist to ensure the corresponding clinical indicators and treatment exist...Read More »
The third character of a procedure code is represented by the root operation. Definitions for the root operations are located in Appendix A and within the tables of the ICD-10-PCS manual.
When the same root operation is performed on different body parts represented by distinct characters...Read More »