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Close the Loopholes on Outpatient Claim Denials

Close the Loopholes on Outpatient Claim Denials

Susan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
By Susan Gatehouse, RHIT, CCS,CPC, AHIMA-Approved ICD-10-CM/PCS Trainer
Proactive measures in claim denial management can recoup lost revenue. Unfortunately, the majority of healthcare organizations encounter claim denials on a regular basis, often, habitually. Though claim denials may be an unavoidable reality in the world of healthcare, ineffective claim denials ...
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Conditions that Impact MS-DRG Assignment for Newborns

Conditions that Impact MS-DRG Assignment for Newborns

Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer
By Laurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer
Birth weight is used by APR-DRGs and MS-DRGs, and it impacts the assigned group.   The topic of newborns is rarely addressed when we talk about coding or clinical documentation integrity. Birth weight, prematurity, extreme prematurity, and other significant problems are all conditions that impact ...
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I’m in a New York State of Sepsis

I’m in a New York State of Sepsis

Erica E. Remer, MD, FACEP, CCDS
By Erica E. Remer, MD, FACEP, CCDS
Sepsis is a clinical diagnosis, and clinicians should be permitted to make the diagnosis appropriately. When I step up onto my sepsis soapbox, people often refer to New York State and tell me how they are not allowed to accept Sepsis-3, pursuant to state regulation. Full disclosure: I hail from ...
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    Wednesday, January 8, 2020

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    From Docs to Moms, Everyone’s Feeling the Burn

    From Docs to Moms, Everyone’s Feeling the Burn

    Chuck Buck
    By Chuck Buck
    No longer is burnout unique to physicians; parental burnout is on the rise too. EDITOR’S NOTE: H. Steven Moffic, MD, a nationally prominent psychiatrist and author, has co-authored a new book, the first of its kind on the subject of burnout, titled “Combating Physician Burnout: A Guide for ...
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Top Stories

  • 2019 CPT® Coding for Skin Biopsies

    Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner
  • Diabetic Kidney Disease and the Third Quarter Coding Clinic

    Erica E. Remer, MD, FACEP, CCDS
  • Coding Trigger Point Injections for Pain Management

    Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement Practitioner
  • Featured Article

    From Docs to Moms, Everyone’s Feeling the Burn

    Chuck Buck
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    Kristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS Trainer
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    Terry Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, CMCS, ACS-CA, SCP-CA, QMGC, QMCRC
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    Wilbur Lo, MD, CDIP, CCA, AHIMA-Approved ICD-10-CM/PCS Trainer

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