Much like concurrent CDI reviews, the concurrent coding process necessitates that the coding professional follow the chart throughout the patient’...Read More »
By Richard Pinson, MD, FACP, CCS
As part of my consulting practice, I do a lot of work on appeals, so the news that...Read More »
By Tracy Boldt, RN, BSN, CCDS, CDIP, and Ellen Jantzer, RN, MSN, CCDS, CCS, CRC
The hierarchical condition categories (HCC) are...Read More »
Q: If the patient reports an elevated temperature at home, can we use that towards reporting...Read More »
by Tammy Trombley, RHIT, CDIP, CCDS
Risk models group diagnoses according to ICD-10-CM diagnosis codes and categorize patients who...Read More »
Q: What sepsis criteria does CMS prefer people use? Do other insurance plans let you know which...Read More »
UnitedHealthcare announced recently that, starting January 1, 2019, they will use sepsis-3 criteria for validating sepsis claims.Read More »
Q: We recently had a patient who met criteria for sepsis, but they also...Read More »
By Cesar M. Limjoco, MD
Coding versus the true nature of patient’s condition can be enigmatic. In order to parse out the...Read More »
Acute heart failure patients in an emergency department's (ED) clinical pathway program had a 13.1% lower readmission rate.Read More »
