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This area of coding is not so easy. While most maternal deaths are preventable, the rate has been increasing in the United States since 2000. As a matter of fact, the U.S. has twice as many maternal deaths than other high-income countries. To reverse this trend, The Joint Commission, the…
Former OIG special agent reveals how the PHE has been abused by con artists to scam unsuspecting seniors. Telemedicine and telehealth: both terms elicit thoughts of being in front of a screen of some sort and having an interaction with a healthcare professional. Prior to the Public Health Emergency (PHE)…
One such example is computer-assisted physician documentation (CAPD). Artificial intelligence (AI), natural language processing (NLP), and “the engine,” machine learning, began creeping into the clinical documentation integrity (CDI) profession 10 years ago, whereas it previously was a field that depended solely on clinical documentation specialists’ (CDS) and coding professionals’ knowledge…
CMS has responded to concerns associated with this issue. As usual, Dr. Ronald Hirsch is making more work for me! He saw an article on sepsis and knew I, and you, my audience, would be interested, so he brought it to my attention (Litell JM, Guirgis F, et. al., Most…
Dear Reader: Maternal mortality rates in the U.S are abnormally high, in comparison to those of other developed countries.  For that reason, we are embarking on a four-part series focusing on this vitally important and timely topic, with today’s edition of ICD10monitor and its accompanying live Internet broadcast, Talk Ten…
All applicable waivers remain in place. As expected, Xavier Becerra, the Secretary of the U.S. Department of Health and Human Services (HHS), has renewed the COVID-19 public health emergency (PHE), extending the many waivers that are in place until Jan. 16, 2022. This renewal was anticipated as the COVID-19 pandemic…
Please urge your friends and family to get vaccinated. In March 2020, when I had COVID-19 before anyone knew it was circulating in Cleveland, I was just coming into the speaking season when I travel around the country presenting at national and regional meetings. It is where I usually pick…
The CMS-HCC model has two components, the hierarchy, and the condition category.   EDITOR’S NOTE: Colleen Deighan will be conducting a Talk Ten Tuesdays Listener Survey on CDI today. Hierarchical Condition Categories or HCCs have been used by the Center for Medicare and Medicaid Services (CMS) as part of a risk-adjustment…