Is your Electronic Medical Record (EMR) system helping you pass an audit or hurting you?
Editor’s Note: This is the third piece in a four-part series that examines physician documentation issues as seen by an auditor.
As we dive even further into the auditing pitfalls of a physician E&M audit, ...
New CMS document features gems that fill risk adjustment voids for coding rules.
Coders love rules. In risk adjustment coding, we live by the Official Guidelines for Coding and Reporting, the ICD-10-CM conventions for code lookup, and the AHA Coding Clinic for ICD-10-CM and ICD-10-PCS. Too often, ...
CDI, when properly performed, supports the ancient physician oath, “First, do no harm.”
Clinical Documentation Improvement Specialists(CDISs) play a vital role in the overall scheme of healthcare delivery through affecting measurable meaningful improvement in the quality, completeness, and ...
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Eight steps to create a physician advisor system. The physician advisor (PA) role has become more commonplace over the last decade, with an increasing number of hospitals and health systems turning to PAs to assist with a variety of issues, such as supporting clinical documentation integrity ...
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Talk Ten Listener Poll
Which of these best represents your institution's issue with elevated troponins?
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No issue (appropriate documentation)19.33%
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Under-documentation of Type 2 MI?34%
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Excessive use of diagnosis of Type 2 MI?8.67%
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Institutional policy to avoid the use of Type 2 MI?1.33%
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What is a Type 2 MI?8%
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Not applicable28.67%
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Editorial Board
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Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSSCesar M Limjoco, MDChuck BuckDeborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement PractitionerDenise M. Nash, MD, CCS, CIMErica E. Remer, MD, FACEP, CCDSEvan M. Gwilliam, DC, MBA, BS, CPC, CCPC, CCCPC, NCICS, CPC-I MCS-P, CPMAGlenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAMGloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerHolly Louie, RN, BSN, CHBMEJoseph C. Nichols, MDKim Carr, RHIT, CCS, CDIP, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerKristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS TrainerLaurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS TrainerMark SpiveyMichelle M. Wieczorek RN RHIT CPHQ
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