We all know how important clinical documentation is to patient care, and from a compliance standpoint, it is also crucial to auditing – but for those dealing with the financial side of healthcare, the importance may translate into reimbursement losses. Let us look at a clinical scenario.Say an 80-year-old male…
Last spring I wrote about the new third definition of sepsis with a fair amount of enthusiasm and excitement. From my perspective, this new definition was the answer to the ever-present criticism of sepsis criteria – namely, the notion that people who meet the criteria often are not septic. The…
Given the massive number of new ICD-10 codes and the Oct. 1, 2016 compliance date, HRS and ICD10monitor are producing a special-edition Internet broadcast that will focus on the imperative of pre-bill auditing.The free broadcast will air live at 1:00 p.m. on Thursday, Aug. 4. The 60-minute live event is being sponsored…
EDITOR’S NOTE: This is the final installment in a two-part series examining how to manage a CDI program using Key Performance Indicator management strategies.If your set goals are not achievable, you may need to go back and look at the process. How can we eliminate things like duplicative work, administrative…
We are nearly six months into ICD-10 and more coding reviews and audits are underway, which is a good thing. There are close to 30 times more procedure codes and five times more diagnosis codes in ICD-10-CM/PCS, compared to ICD-9-CM.In addition, thousands of new and revised codes will continue to…
The past few years we have focused closely on getting ready for ICD-10. In most cases, the transition to ICD-10 was successful. We had a few bumps in the road, but overall, things went well. What’s next? Now we need to shift the focus to improve coding and clinical documentation…
  From a bird’s-eye view, the transition to ICD-10 has been a huge success with few technical glitches. However, it’s still early. Experts certainly don’t want to rain on anyone’s parade. However, they warn us that everyone must be realistic about the wave of ICD-10 denials that could hit throughout December…
It now has been a few days since ICD-10-CM/PCS was implemented, and these first weeks and months certainly are bringing some excitement and intrigue. 
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