MRA Thought of the Day–Growing Your Own Registrars: Tough Times Demand Creative Solutions

Charlie Cancer Registry Leave a Comment

By Nancy Hinchliffe, RHIA, CTR, Vice President of Cancer Registry, MRA According to the Centers for Disease Control and Prevention (CDC), more than 16 million Americans were diagnosed with cancer between 1990 and 2004. Not only are new cancer cases being identified daily, but patients are surviving longer thanks to new medical treatments and modalities. More cancer cases generate greater …

MRA Thought of the Day–Clinical Documentation versus Clinical Evidence

MRA Coding Leave a Comment

An elderly patient with a past medical history of CHF presents to the hospital with dyspnea and hyponatremia. Review of the history and physical indicates the patient’s daily Lasix dose was increased recently. What to do? Dig deeper! Upon further review, progress notes revealed that the patient has been non-compliant with a low sodium diet with excess water ingestion. The …

MRA Thought of the Day–Don’t let technology “downtime” bring your staff down

Charlie Coding Leave a Comment

Recently, an inpatient coding validation audit was scheduled to be performed for a MRA client hospital. However clinical program passwords and system access had not been set up or tested. We simply could not get access to the medical record information we needed to conduct the work. Consequently, the review was delayed and productivity came to a grinding halt. The …

MRA Thought of the Day–Difficult Coding Scenario: Searching for an unlikely CC

Cathie Wilde, RHIA, CCS, AHIMA Approved ICD-10-CM/PCS Trainer Coding Leave a Comment

An 88 year old patient was admitted to the hospital after suffering a cerebral infarct. After review of the record, code 434.91 was assigned as the Principal Diagnosis along with several other chronic condition codes resulting in a DRG of 066 – Intracranial Hemorrhage or Cerebral Infarction without CC/MCC. No complication or comorbidity (CC/MCC) condition was identified. Or was a …

MRA Thought of the Day–Countering the 1-10 Drop by Improving I-9 Tip #3

Charlie Coding Leave a Comment

So the big question is, “How do I mitigate that drop in productivity?” You could hire an outsourcing company to provide coders through the transition. If you choose this option, go ahead and secure your contract now. Coding companies also expect an increase in work, and therefore demand, over the next two years. Their best resources are already getting assigned. …

ICD-10: Re-Form-ulation

Charlie Coding Leave a Comment

Not the most exciting project and perhaps the most underestimated is the redesign of forms to accommodate the transition to ICD-10. Those of particular concern are those critical for clinical documentation by doctors, nurses, ancillary departments and others. Beware, this will take much longer and cost much more than you anticipate. On the surface, it appears to be an easy …