Clinical & Coding

by Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS
COPD and Pneumonia
The requirement for code...Read More »

by Trey La Charité, MD, FACP, SFHM, CCS, CCDS
Unfortunately, I have heard horror stories through the years where a hospital’s CDI...Read More »

By Allen Frady, RN-BSN, CCDS, CCS, CRC
On October 1, 845+ codes took effect thanks to the fiscal year 2018 IPPS Final Rule, which...Read More »

By Jocelyn E. Murray, RN, CCDS
What are the similarities and differences between CDI audits and coding compliance audits? Are both...Read More »

By Sharme Brodie, RN, CCDS
The year’s final AHA Coding Clinic for ICD-10-CM/PCS for 2017 includes 114 pages—similar to the...Read More »

by James S. Kennedy, MD, CCS, CDIP

Now that you’ve finally mastered coding compliance with DRGs and quality measures, now it is...Read More »

The improper payment rate for hospital outpatient services for the 2016 CERT report period was 5.4%, at a projected cost of $3.1 billion, which...Read More »

Q: A patient had a kidney/pancreas transplant. The dialysis fistula...Read More »

The CDC, one of the Cooperating Parties responsible for the ICD-10-CM codes and guidelines, recently released a ...Read More »

Q: What clinical documentation is acceptable to pull Hierarchical Condition Category (HCC) information from for reporting purposes? Would...Read More »