Clinical & Coding

Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS; Laurie L. Prescott, RN, MSN-Ed, CCDS, CDIP, discuss key elements in ICD-10-PCS that must be present in the documentation for accurate code assignment—there are no characters that stand for “the documentation doesn’t say.”

Timothy N. Brundage, MD, CCDS, provides the clinical criteria for the top 15 medical diagnoses for hospitalized medical patients.

James S. Kennedy, MD, CCS, CDIP, describes the role of Coding Clinic and its impact on documentation and coding integrity.

Cheree A. Lueck, RN, BSN and Gwen S. Regenwether, BSN, RN describe how ICD-10-PCS implementation can impact your facility’s cash flow.

Victor Freeman, MD, MPP explains the need for evidence-based diagnostic criteria in the ED, why sepsis, acute renal failure, and acute respiratory failure are so poorly documented in the ED, and why capturing these diagnoses is critical for ensuring/promoting diagnosis capture in the rest of the...

Kelli A. Estes, RN, CCDS and Cesar A. Limjoco, MD encourage an alignment between CDI specialists and coders to understand the need for capturing conditions based on the clinical truth instead of jumping at indicative numbers.

Millie G. Alexander, RN, BS, CCDS takes an in-depth look at how to write clinical evidence queries.

Verona A. Lodholz, DC, MT(ASCP), CPC, CCDS, review various laboratory sections and case studies,  including hematology, coagulation, transfusion services, chemistry, and microbiology.

Kimberly A. H. Baker, JD, CPC, demystifies the quality provisions that affect hospital payment, with a focus on understanding how the provisions operate and the actual dollar impact they have on payment at a hospital.

Kyra E. Brown, RHIA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer, addresses issues that lead to high complication rates and will focus on documentation tips to assist in physician, coding, and CDI staff education and promote accurate complication rates.