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ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
With the enormous amount of work that needs to be accomplished and the time left before ICD-10 implementation receding, we need to be sure we are focusing on the right things. For the last several months, Catholic Health East (CHE) has performed analysis of the projected reimbursement impact of ICD-10…
As the Oct. 1, 2014 ICD-10 compliance deadline looms, many providers are readying their coders for the magnitude and breadth of the new coding system. Beyond the obvious challenges of training your coders, avoiding reimbursement losses and actually meeting the compliance date, there is the additional challenge of uncertainty. How…
Between providers and payers, it appears that everyone is ready for end-to-end testing of ICD-10 transactions. But where is health information management (HIM)? A quick tour of the American Health Information Management Association’s (AHIMA’s) ICD-10 website reveals little mention of this massive undertaking. And most of the HIM professionals we…
Many things about ICD-10-CM implementation concern Kathleen Frawley, the president and chair of the American Health Information Management Association (AHIMA), who joined last week’s Talk Ten Tuesday broadcast from the ICD-10/CAC Summit in Baltimore. Not surprisingly, she is concerned, as are many in the industry, with the fact that many…
Have you ever wondered why we don’t use a diagnosis-based reimbursement system for ambulatory care? The reason is ICD-9! For years, the healthcare industry at large has been moving towards diagnosis-based reimbursement, and it makes sense. The concept is simple: figure out what treatment plans work best for specific problems,…
Twenty percent. Fifty percent. Forty percent. With each passing month, a new survey confirms what health information management (HIM) professionals already know. Coder productivity decreases as a result of ICD-10 implementation — before, during and after. All coding hands need to be on deck for assessments, training, dual coding, testing…
Hospitals have long viewed the transition to ICD-10 as a process that will consume a significant amount of resources and time. The ICD-9 code set is expanding from 18,000 to 155,000 codes and the codes will expand, from three to four numbers to seven alpha-numeric characters. As a result, both…
Accountable Care Organizations (ACOs) allow providers to improve the coordination of care for patients by creating incentives for healthcare providers to work together to treat patients across various settings, including doctor’s offices, hospitals and long-term care facilities. The incentives benefit those physicians, nurse practitioners and physician assistants who work together…
There currently is a broadening trend of physician practices changing forms within the auspices of healthcare systems. This includes outright sales of private practices as well as a variety of new affiliation agreements falling under the protective umbrella of individual health systems. One of the most common aspects of these…
Most of the industry, including the Centers for Medicare & Medicaid Services (CMS), assumes that ICD-10-PCS will be used just for facility reporting of hospital inpatient procedures and will not affect the use of CPT. ICD-9-PCS also does not impact payment, but it does offer other advantages, and facilities should…
There are many different types of injuries that can occur to the bone and soft tissues of the cervical spine. In ICD-10-CM, documentation still must provide information on the general type of injury (fracture, dislocation, sprain, etc.), level (C1, C2, C3, etc.), and whether there is any associated spinal cord…
Because there is not a simple crosswalk from ICD-9-CM to ICD-10-CM coding, coding professionals will need to change their way of thinking when looking up diagnostic terms in the I-10 index, which I discovered when trying to assign codes to the case below. Inpatient Case Study This 69-year-old female patient…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
Yes, yes, I know: this is supposed to be an ICD-10 article, and yet the term “sequester” is in the headline. But it will be. Just wait. It’s April, and unless Congress and the Obama administration did something miraculous in the last three working days of March, the dreaded sequester…
Understanding exactly what documentation and coding issues clients struggle with the most is one of the benefits I reap from working in a client support role. If I were asked to rank such issues, I would definitely say that bacteremia, SIRS and sepsis are high on the list. Quite honestly,…
As our provider clients get deeper into their ICD-10 remediation efforts, they are starting to realize what our payer clients came to grips with about six months ago: custom mappings (mappings that are not the standard General Equivalency Mappings/GEMs or reimbursement mappings) are an unavoidable necessity. This is not necessarily…
Podcast Date: 4/9/2013 What is your biggest challenge in training your coding professionals? Number of Response(s) Response Ratio A. Cannot find what we need 8 3% B. Too much to choose from 20 7% C. Too expensive 34 12% D. Time to actually train 175 63% E. Can't get organized…
Podcast Date: 4/2/2013 Are you planning on doing dual coding and when do you plan to start? Number of Response(s) Response Ratio A. Yes, we are already doing it 28 10% B. Yes, we plan to start in 2013 22 8% C. Yes, we plan to start in 2014 166…
It’s March Madness time, and many men’s college basketball teams have worked very hard to get to the Sweet 16 of the NCAA tournament and beyond. Unfortunately, as with all things there will be winners and losers – and for all but one lucky squad, there will be great March…
EDITOR’S NOTE: This is the second in a series of articles on fast-tracking ICD-10 implementation. It is always good to be in the trenches, helping with ICD-10 implementation. Many are basing their analyses on data and theory, but my team and I look at things differently. You can put together…
True or false: October 2014 will be here before we know it. But with the efforts, costs and time going into preparing for ICD-10, once you have made it through the main implementation tasks and your claims are being processed successfully by all payors, you can take a breath, sit…
“People are aware of the October 1, 2014, implementation date, and now they want to know the how-to part,” says Denesecia Green, Senior Health Insurance Specialist for the Centers for Medicare & Medicaid Services (CMS) Office of Enterprise Management—a special guest on ICD10 Monitor’s March 26 broadcast of Talk Ten…
Podcast Date: 3/26/2013 What is your opinion? Number of Response(s) Response Ratio A. Delay I10 again to give MDs more time 16 5% B. Skip I10 and go direct to I11? 23 6% C. Let's reach out and assist MDs 267 74% D. MDs should know what to do by…
In my previous article I went into detail about which ICD-10 codes most likely could replace some common ICD-9 cervical diagnoses currently used by chiropractic physicians. This is the last article in a series investigating those possibilities. Here, the focus will shift to another area commonly treated by chiropractors: the…
I have had the opportunity to poll my peers at a number of high-profile events and site visits at large integrated delivery systems, renowned academic teaching institutions, health plans, community hospitals, and critical access providers regarding the primary concerns regarding the transition to ICD-10 that are keeping them awake at…
EDITOR’S NOTE: The following is a transcription of a recent segment by Denny Flint on Talk-Ten-Tuesday. Do you like history? I love history. History teaches us valuable lessons. With thanks to Steve Arter, I want to talk about two historical events and how they relate to ICD-10. At the Battle…
When October 1, 2014, rolls around, the ICD-10-PCS (procedural coding system) will replace the ICD-9-PCS currently used for inpatient procedures. Code assignments under this system will be very different for all inpatient coding professionals, starting with the idea that they will need to “build” a seven-character code—either for medical-surgical procedures…
In a March 19 Talk Ten Tuesday poll, 466 participants responded to the following question: “How are physicians at your facility reacting to the ICD-10 transition and their role in CDI?” The responses, shown in Table 1, are unsettling. We know that the American Medical Association (AMA)-induced implementation delay from…
The transition to ICD-10 continues to be in the forefront of changes in healthcare, but most of the focus remains on education and documentation. The prospects of expected financial impact and clinical outcome enhancement among commercial and government payors continue to be unclear, and this prompts health information management (HIM)…
The American Health Information Management Association (AHIMA) through the second AHIMA Grace Award will acknowledge a healthcare delivery organization that has outstanding and innovative approaches to health information management. Named for founder Grace Whiting Myers, the AHIMA Grace Award: In Recognition of Excellence in Health Information Management honors healthcare delivery…
This is the sixth article in a series addressing the definitions and differences between the Medical & Surgical root operations of ICD-10-PCS. As in previous articles, let’s review what we have covered so far. In the Medical and Surgical section (first character 0), there are 31 root operations with standardized…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code set to the other, we are providing tips for coding…
We deal with decisions all the time. As such, everyone has some means of weighting the pros and cons of any given choice. Many years ago, I read something that I have used ever since as a tool of my own in making significant decisions. You are supposed to ask…
Panacea Healthcare Solutions, Inc., a leader in the HIM consulting space and publisher of widely-read ICD10monitor, announces a comprehensive suite of ICD-10 consulting services. "To prepare for ICD-10, hospitals need to identify their specific areas of improvement for coding and documentation in order to better understand where to focus resources…
My employer, the ChiroCode Institute, has published the ChiroCode Deskbook for the last 21 years. It is the "bible" of billing and coding for chiropractic physicians.
Podcast Date: 3/19/2013 How are physicians at your facility reacting to the ICD-10 transition and their role in CDI? Number of Response(s) Response Ratio A. Great enthusiasm and participation 3 1% B. Some enthusiasm and participation 52 26% C. Little to no enthusiasm and participation 92 45% D. Livid with…
EDITOR’S NOTE: This is a first in a series of articles on fast-tracking ICD-10 implementation. Currently, not everyone is getting ready for ICD-10. Some hospital systems still are calling to get quotes and proposals for their preparatory work. I can understand this strategy being employed by critical-access hospitals and rural…
One of most recognizable American icons, the diner is a place that symbolizes a strong, inherent sense of community. And just about anyone who has frequented a diner likely has experienced the quintessential diner staple: the toasted corn muffin, typically served cut in half, separating the muffin top from the…
The “ostrich” approach will not work in this case, because ICD-10 is not going away. There is much to be done prior to implementation. Two different sets of ICD codes are required, one set for the IRF PAI, and another set for the UB-04. Documentation Requirements: The ICD-9-CM guidelines for…
As hospitals and health systems prepare for the transition to ICD-10, many gifted and intelligent individuals in the health information management (HIM) field are becoming increasingly frustrated by the apparent ambivalence of physicians toward ICD-10 education. Physicians are generally intelligent and extensively educated individuals. One might anticipate that they would…
Podcast Date: 3/12/2013 In general, how have your trading partners responded to you? Number of Response(s) Response Ratio A. We are working well together 55 20% B. It's starting off slow but we're moving 125 47% C. I'm getting minimal response 50 19% D. Is anyone out there? 38 14%…
Despite concerns from the healthcare industry, the Centers for Medicare & Medicaid Services (CMS) confirmed that they are fully behind the October 2014 deadline for implementation of the ICD-10 system, which is “good news,” said Stanley Nachimson, principal of Nachimson Advisors, on Talk-Ten Tuesday’s Thursday broadcast from the HIMSS convention…
EDITOR’S NOTE: Cynthia Fry and Howard White, both from Catholic Health East, have been reporting from HIMSS 2013 in New Orleans this week. Here is the final installment of their perspective from the front lines. Fry wrote today’s story. While the Exhibit Hall was closed on Thursday, there were still…
Rhonda Taller, a member of the HIMSS ICD-10 Task Force, was not surprised by listeners’ answers to Wednesday’s Ten Ready Poll question: When do you plan to be ready for total end-to-end testing? Of the number who responded, 46 percent ““really have no clue” when they will begin end-to-end testing…
We arrived at 7:15 this morning for the HIMSS/WEDI ICD-10 National Pilot Program meeting. Mark Lott described the logic behind the testing plan and stated, “any test that doesn't find things is a waste of time.” The intent of the pilot is to identify issues and share results, testing metrics,…
Firing dual warning shots across the bow last month, both the American Health Information Management Association (AHIMA) and the Healthcare Information and Management Systems Society (HIMSS) sent letters to U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius asking her to hold firm to the October 2014 implementation…
News trickled out of New Orleans Sunday like a small drip from a leaky faucet: municipal officials reported that a fire in the city’s Sewerage & Water Board’s (S&WB) power plant in Carrollton caused the shutdown of what the Times-Picayune newspaper described as Boiler No. 5 – the generator that…
The way to get physicians interested in better documentation is to address the quality of patient care. That’s one bit of the advice that Donald Rappe, MD, medical director, documentation and coding, Group Health Cooperative, gave to listeners on the March 5 broadcast of Talk-Ten Tuesday. Rappe and the two…
The second in a series on three live, half-hour ICD10monitor.com broadcasts during the Healthcare Information and Management Systems Society’s annual conference and exhibit continues today, Wednesday, March 6 at 10a.m. EST. Scheduled to appear are the following:
New Orleans (March 6, 2013) – Healthcare organizations need to manage the information they collect like an asset to ensure it is trustworthy and actionable. Speaking today at HIMSS ’13, AHIMA’s Senior Director of HIM Practice Excellence Lydia Washington, MS, RHIA, CPHIMS, and AHIMA member Sandra Nunn, MA, RHIA, CHP,…
CMS spokesperson Matthew Albright will be the special guest during Talk-Ten-Tuesday’s Thursday edition on March 7, airing live from the Healthcare Information and Management Systems Society’s annual conference and exhibit in New Orleans.
After a bevy of happy hours Monday night, we returned to HIMSS bright and early Tuesday morning to begin the new day. The keynote speaker was Eric Topol, MD, director of the Scripps Translational Science Institute. His talk focused on the engagement of the patient and the future of healthcare.…
Podcast Date: 3/5/2013 How many of you have confirmed that you will be coding PCS for outpatient services? Number of Response(s) Response Ratio A. Yes 49 15% B. No 21 16% C. Still not sure 66 4% D. Haven't addressed yet 30 40% E. Not applicable 62 25% Total Results:…
Consider the practice known as dual coding – or is it double coding? That is a very good question to ask yourself as you work toward ICD-10 implementation. The difference between the two can be difficult to discern at first, but know this: dual coding can be your avenue to…
One reason for adopting ICD-10-CM that is cited frequently is the increased specificity provided by ICD-10 codes. This increased specificity provides more precise language and up-to-date terminology, which in turn allows for a more accurate description of a patient’s disease or condition. More accurate diagnoses in turn provide improved morbidity…
Electronic health records (EHR) and the use of copy/paste functions are hotly debated topics that have seen a surge in publicity recently. In fact, regulators are becoming increasingly concerned that the copy/paste function is contributing to an increase in provider fraud and abuse. Copying clinical documentation poses both clinical and…
In this publication and many others; in private meetings and HIMSS seminars and institutes; in business and government; we all have discussed in detail ICD-10 and all it means. This certainly is appropriate, as implementing ICD-10 may be the most complex, convoluted, and confusing single system change any of you…
The Urban Dictionary defines “on the grind” as meaning to work hard, and to always be hustling. We’re finding that almost all of our clients are “on the grind” when it comes to ICD-10, meaning that active remediation program work (i.e. post-assessment work) is either in full swing or gearing…
Download Media File Trust HCPro for ICD-10 Training Twenty-five years of experience, with 13,000 professionals trained, HCPro has delivered live and online training to more than 4,000 healthcare organizations. HCPro’s ICD-10 education solution will also prepare your coders, CDI professionals and physicians for ICD-10.Intensive classroom education paired with convenient online…
A stellar lineup of healthcare thought leaders will appear on three live, half-hour ICD10monitor.com broadcasts during the Healthcare Information and Management Systems Society’s annual conference and exhibit beginning today, Tuesday, March 5, and continuing through Thursday, March 7 in New Orleans.
Providers, payers, clearinghouses, and vendors were all on board during Sunday’s ICD-10 symposium, where the hot topic was end-to-end testing for ICD-10. From HIM professionals to CMS representatives, more than 300 attendees heard afternoon speakers present the justification, rationale, and tool sets available for end-to-end testing of ICD-10 claims. Attendees…
Download Media File Live Broadcast Coverage from HIMSS Conference to Feature Industry Thought Leaders Register Now to Join Us March 5th - 7th
A stellar lineup of healthcare thought leaders will appear on three live, half-hour ICD10monitor.com broadcasts during the Healthcare Information and Management Systems Society’s annual conference and exhibit March 5, 6 and 7 in New Orleans.
I have traveled extensively since the beginning of the year, visiting prestigious organizations on both coasts and many places in between, and a recurring theme I’ve encountered involves how to remediate electronic clinical content in anticipation of the transition to ICD-10. Between upgrades related to Stage 2 of meaningful use…
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding. In fact, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition, we are providing tips for coding under this system.
A lot can happen in nine months—and that’s exactly the hope of leaders from the Centers for Medicare & Medicaid Services (CMS) and professional organizations when it comes to being ready for end-to-end testing of ICD-10 claims by October 1, 2013. Yes, you read it right: By October 1, 2013—one…
We are always in search of the fastest and least painful ways to solve our problems, and selecting a computer-assisted coding (CAC) solution is no exception. Some consider it a silver bullet or magic pill. Still, there is never any easy, one-size-fits-all answer. Nowhere is that truer than when it…
Yakima, Washington – February 26, 2013 ---VitalWare has announced the filing of a provisional patent for Sherpa, a proprietary, Physician Documentation Ontology™ (PDO) engine. Sherpa automatically presents clinical concepts and their related categories to the physician during a patient encounter, addressing gaps in today’s documentation practices and guiding clinicians to…
“In the First Person”—a series of daily journal entries—highlights editorial coverage being provided by ICD10monitor during the Healthcare Information and Management Systems Society’s annual conference and exhibit on March 5, 6, and 7 in New Orleans. Cynthia D. Fry, PhD, vice president of revenue for Catholic Health East, and Howard…
Podcast Date: 2/26/2013 What do you think is the biggest benefit of CAC? Number of Response(s) Response Ratio A. Coding quality 51 15% B. Coding productivity 95 16% C. Accurate payment 11 4% D. Assistance with training 29 40% E. Reporting consistency 39 25% Total Results: 225 100%
Think about where medical technology was in the 1970s, and all the advances that have occurred since then. There was no such thing as echocardiography at the time! The code sets utilized today are more than 40 years old and do not reflect current medical practices, while the new code…
ICD-10 will be challenging for everyone, but in particular practitioners. Many physicians in all specialties are moving to electronic health records now or will transition in the next year. Selecting the appropriate specificity of an ICD-10 code may be challenging. How do you assist practitioners with documentation improvement to allow…
In my previous article I went into detail about which ICD-10-CM codes would be most likely to replace the 739 primary diagnosis (Chiropractic subluxation) in ICD-9-CM. Using a Medicare local coverage determination (LCD) and the General Equivalence Mappings (GEMs) as a starting point, in this article I will attempt to…
As I continue to listen to voices from across the industry as we move into the critical last 600 days before ICD-10 implementation, I am becoming concerned that our discussion is still stuck in silos (i.e. financial neutrality, a payer strategy and solutions, etc.). Providers have an expectation that with…
Yakima, Washington --- With current CDM maintenance systems being labor intensive and time consuming, often requiring numerous steps, screens, and reports just to maintain, VitalWare has redesigned the process with the latest in cloud-based technologies with a new tool called, CDM Navigator™ CDM Navigator’s robust design and unique user interface…
Washington, D.C.- – Inadequate attention to the integrity of clinical documentation in electronic health records (EHR) could compromise the usefulness of these records for patient care and quality reporting as well as business, compliance and legal uses, according to testimony given recently by the American Health Information Management Association (AHIMA)…
Podcast Date: 2/12/2013 Where are you in regards to I-10 testing? Number of Response(s) Response Ratio A. Successful testing with all or most of our partners 9 4% B. Beginning to have success 24 10% C. Having trouble 3 1% D. In beginning phase 109 43% E. Haven't started 107…
When each new year arrives, many of us make resolutions. The most common resolutions involve losing a few pounds or becoming more organized. But now that 2013 has arrived, ICD-10 implementation has drawn closer – and procrastination is not an option! It comes highly recommended that your new year’s resolution…
The gravity of undertaking a complete replacement of one of the most essential elements of the healthcare reimbursement mechanism cannot be overstated: If ICD-10-CM implementation is executed flawlessly, there will be little difference between “before” and “after,” yet if there are problems, the impact will range from painful to cataclysmic.…
As many coding professionals may know by now, the ICD-10-CM coding system brings with it several significant changes from the ICD-9-CM coding system. In general, the character length of the codes will increase—from ICD-9’s three to five to ICD-10’s length of up to seven. In ICD-9 alphanumeric characters only were…
Part of mastering ICD-10-CM requires an understanding of the new terminology. In ICD-9-CM, codes identifying residual effects following treatment for the acute phase of an illness or injury are designated as late effect codes. In ICD-10-CM, the term “late effect” has been replaced with sequela. General Guidelines The ICD-10-CM guidelines…
At first glance, the transition to ICD-10 seems like a daunting task. The code set used throughout the U.S. is set to expand from 18,000 to 155,000 codes, after all. Those codes also will transition from being just three to four numbers to seven alphanumeric characters. As a result, both…
“The game is afoot!”—or at least that’s what Sherlock Holmes uttered to Watson before one of their criminal-catching adventures, and it’s also true in the case of ICD-10 preparation. Although the Oct. 1, 2014, implementation date is still 21 months away, guests on the Jan. 29, 2013, broadcast of Talk…
Ensuring successful migration to ICD-10 will require intensive planning and an integrated, enterprise-wide technology approach that minimizes compliance risk. Parallel to developing new policies and procedures, implementing new workflows and introducing intensive staff training, providers must acquire information technology (IT) resources that address both the financial and compliance challenges presented…
I don’t know how you feel about it, but I actually like winter. In truth, I like any place that has four distinct seasons a year, even if three of them – autumn, winter and spring – tend to be a bit short in North Texas! What I don’t like…
Podcast Date: 2/5/2013 What/who are you going to rely most on to provide I-10 education to your Physicians? Number of Response(s) Response Ratio A. Internal CDI Staff 81 31% B. Internal HIM/Office Staff 77 30% C. Peer (MD to MD) 22 9% D. Deploy on-line educational tools 39 15% E.…
Download Media File Talk-Ten-Tuesday: The Post-2014 Era: Looking Beyond the Deadline Tuesday, February 5, 201310:00-10:30 AM EST7:00-7:30 AM PST Register Today!
Podcast Date: 1/29/2013 What tools and processes are you using to educate your physicians? Number of Response(s) Response Ratio A. Perform concurrent I-9/I-10 Audits via a CAC 13 5% B. Perform concurrent I-9/I-10 Audits via data analytics 32 13% C. Perform ICD-10 Documentation Audits 67 26% D. None, we will…
Let me start out by explaining how difficult it is to come up with the antonym to synergy. I searched multiple thesauruses and websites and finally found the term dysergy, which is probably etymologically correct. Why the search? As I have assisted hospitals and their medical staffs in preparation for…
Codes in the ICD-9-CM classification system to report fracture aftercare are limited. The ICD-9-CM Official Guidelines indicate that the facility that provides the initial fracture treatment reports a code for the acute fracture. Rehabilitation facilities that provide subsequent care for healing fractures must report codes for fracture aftercare, as the…
We’ve long believed that, when it comes to ICD-10, transactional processing will be less problematic strategically/intellectually than analytic processing. Most healthcare providers (and payers) stopped building their own transaction processing systems years ago, opting for transaction processing systems from software (and now “cloud”) partners. It’s logical to assume (especially given…
The expectation is that ICD-10-CM/PCS will improve the data being collected, which in turn will allow data-driven outcomes to improve the delivery and quality of healthcare. Although clinical documentation is the foundation of the health record, sometimes there are gaps within the documentation or within the translation of the documentation…
The expectation is that ICD-10-CM/PCS will improve the data being collected, which in turn will allow data-driven outcomes to improve the delivery and quality of healthcare. Although clinical documentation is the foundation of the health record, sometimes there are gaps within the documentation or within the translation of the documentation…
As we work with healthcare clients of all sizes, types and geographical areas, we are coming to understand that one size does not fit all when it comes to the bill associated with the educational strategy for your transition to ICD-10. For example, when your organization performed its original assessment…
As we work with healthcare clients of all sizes, types and geographical areas, we are coming to understand that one size does not fit all when it comes to the bill associated with the educational strategy for your transition to ICD-10. For example, when your organization performed its original assessment…
News from “Inspector Documenteau,” a.k.a. the Center for Medicare & Medicaid Services (CMS), may have reached your desk around November 9 and then again on December 7, 2012, regarding progress notes, amendments, corrections, and delayed medical record documentation. At a recent meeting, I found that Inspector Documenteau is gearing up…
News from “Inspector Documenteau,” a.k.a. the Center for Medicare & Medicaid Services (CMS), may have reached your desk around November 9 and then again on December 7, 2012, regarding progress notes, amendments, corrections, and delayed medical record documentation. At a recent meeting, I found that Inspector Documenteau is gearing up…
Those of you who, like me, majored in the “dismal science” (also known as economics) will remember Adam Smith as the first modern economist. His classic work was The Wealth of Nations, in which he immortalized the concept of the invisible hand to describe the self-regulating behavior of the market:…