Q: Confession. I am very frustrated. I am fairly new to CDI. I have a nursing background. I’m trying to understand how the coding and DRG...Read More »
This ICD-10 cerebral artery infarction progress note is courtesy of Fran Toleno, RHIT, CCS, CDI coordinator and coding reimbursement specialist in the HIM department at Winthrop University Hospital in Mineola, NY. It was published in the February 2012 issue of Medical Records Briefing...
With all of the attention around the increased specificity of ICD-10-CM codes, facilities are concerned that documentation will lack sufficient...Read More »
Clinical documentation plays a vital role in all coding. It is especially important, however, when reporting conditions such as stroke, which more...Read More »
Q: A 79-year-old male nursing home patient presents with lethargy, confusion, and fever after failing an outpatient course of Bactrim for...Read More »
Most of the cases that HIM professionals code are straightforward; some are more difficult, and a few just drive them crazy. Consider the benefits...Read More »
Invest in computer-assisted coding (CAC) now because of its potential positive impact on productivity and quality, says Gloryanne Bryant, RHIA...Read More »
