Clinical & Coding

CMS released the fiscal year (FY) 2018 IPPS final rule...Read More »

Q: Let’s say a provider documented chronic kidney disease (CKD), 2/2 hypertension (HTN), and diabetes mellitus (DM), and the stage of CKD...Read More »

By James Kennedy, MD, CCS, CDIP

In ICD-10-CM, defining, diagnosing, and documenting the various forms of altered mental status and...Read More »

Although the transition to ICD-10-CM/PCS was fairly smooth, two years later billing and coding experts say that, in most cases, the codes are not...Read More »

Q: We recently reviewed a troubling case related to sepsis core extractions which...Read More »

Q: After a video-assisted thorascopic surgery (VAT) procedure, a patient is usually...Read More »

CMS proposed a handful of changes to the inpatient-only list in the 2018...Read More »

Q: How would you determine if the treatment is for the initial...Read More »

For the first time since 1997, CMS put out a call for feedback on changing the Evaluation and Management (E/M) guidelines,...Read More »

CMS released the 2018 Outpatient Prospective Payment System (OPPS) proposed rule last week on Thursday, July 13. With CDI programs increasingly...Read More »