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Internal Coding Audit Best Practices

Now that we are six months into the new ICD-10 classification system, it’s important to determine whether coders have incorporated all their pre-ICD-10 education and are applying it appropriately. One critical way to provide assurances regarding coding accuracy and compliance is to perform regular, ongoing internal auditing. Additional benefits include reducing payer denials, improving clinical […]

Top 10 Best Practices for Outsourcing Coding Services

Medical Coding Outsourcing We live in a constantly expanding environment for outsourcing services, and the coding and health information industry is no stranger to outsourcing. Whether it is full department outsourcing, hand-picked silos of outsourcing for specific hard to fill or hard to train services or outsourcing to augment your current staff, utilizing contract labor […]

Have You Performed A Case Mix Index Check-up Post ICD-10 Go Live?

Organizations did a fantastic job preparing for ICD-10. However, now that the dust has settled, we need to drill down into the data. Specifically, case mix index (CMI). With more than two months’ worth of ICD-10 data, it’s easier to make comparisons and draw logical conclusions. If coding and/or documentation problems exist, they’re likely starting […]

7 Questions For Vendor Relationships In ICD-10

  The following Latin proverb seems to be particularly relevant in light of ICD-10: “Times change, and we change with them.” By now, ICD-10 has spurred many changes in technology, templates, coding, documentation, and more. However, to be truly successful, organizations must look beyond their HIM internal processes and ask this question: Must the organization’s […]

Think “Reciprocity” To Combat Coder And CDI Turf Wars In ICD-10

Unfortunately, the silos between coders and CDI professionals still exist in many hospitals. In some organizations, the walls may be slowly coming down, but in others, the silos stand tall. The irony is these two roles actually have more in common than they might realize. With communication and collaboration, coders and CDI specialists actually have […]

Dissect The Operative Note With CDI Specialists To Ensure ICD-10 Readiness

As the ICD-10-CM/PCS deadline approaches, it behooves HIM professionals to remind CDI specialists and physicians about important components of a thoroughly-documented operative note. Such a note supports accurate code assignment for reimbursement, and it also provides an accurate record for continuity of care as well as quality initiatives and legal and research purposes. Most Important […]

9 Tips To Calm Coder Anxiety Heading Into ICD-10

  Combat ICD-10 Information Anxiety Anxiety is always tough to combat, and with the implementation of ICD-10 quickly approaching, coders’ anxiety levels may be at an all-time high. The entire journey has been a rollercoaster, making it difficult to manage emotions and prepare mentally for a go-live date that has essentially been a moving target. […]

Know How To Code Complications Of The Flu During This Peak Season

  Flu During Peak Season It’s that time of year again—flu season. According to data from the Centers for Disease Control and Prevention (CDC), 43 states are experiencing high or widespread flu activity mostly due to the spread of the H3N2 virus. For the week ending December 27, 2014, visits for influenza-like illness accounted for […]

Coders, Use Those Resources

        In today’s electronic world, coders have a variety of technology tools to make their jobs easier. These applications boost coder productivity while also improving code quality and accuracy. With the inevitable implementation of ICD-10, the reliance on coding technology will become even more prevalent—and important. Here are key coding resources every […]

Changing Roles for Coding Professionals

Role changes are on the horizon for coding professionals. With the implementation of Computer Assisted Coding (CAC), ICD-10 and Hospital Value-based Purchasing (HVBP), clinical coding will take on different forms and new responsibilities. Traditional coding careers may transition to auditors, data analysts or even clinical documentation improvement / integrity specialists (CDIS). Coders → Auditors Coders […]