Clinical & Coding

Q: A physician documented that a pregnant patient is obese, and the patient’s chart has a listed BMI...Read More »

Documentation of developmental issues is critical because the goal is accurately diagnosing each child and focusing appropriate resources toward...Read More »

About 30% of ED visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional healthcare...Read More »

An inpatient study published in the Journal of the Academy of...Read More »

Insufficient documentation. That’s the biggest reason for improper payments for Healthcare Common Procedure Coding System (HCPCS) code...Read More »

Q: I have a question about DRG 963. I’ve heard that we need three different trauma diagnoses...Read More »

According to a recent survey...Read More »

“Is my patient with elevated troponin having an MI?” With the new,...Read More »

Sepsis is a common clinical finding in patients admitted to the hospital. Documenting the presence of sepsis is critical to best determine each...Read More »