How to Succeed in Coding Diabetes Mellitus Without Really Trying

Becky Buegel, RHIA, CDIP, CHP Best Practices Leave a Comment

My first blog on Diabetes Mellitus (DM) covered the pathophysiology of DM Types 1, 1.5, and 2. Read Part 1 Here. Types 1 and 2 (and even 1.5, though not “officially” recognized) are considered primary types of DM. There are other forms of DM that are due to underlying conditions or are “induced” by drugs or chemicals. Complications of primary DM include: hyperglycemia,...

7 Signs Your Cancer Registry is Performing Well

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Cancer Registry Leave a Comment

The cancer registry network is a powerful resource in oncology healthcare. The connections and relationships with members of the cancer care team are a valuable source of knowledge and provide many opportunities for resource-sharing and growth. The cancer registry should never be maintained solely for the purpose of meeting minimum reporting requirements. Instead, it...

Coverage For Medicare Colonoscopies

Erika Stevens, CPC - Senior Professional Physician Coding Specialist Inpatient Coding Leave a Comment

Colonoscopies are critical to our well being. How these important services are documented and coded is equally as important. Medicare covers screening colonoscopies every 24 months if the patient is at high risk for colon cancer or once every 120 months, or 48 months after a previous flexible sigmoidoscopy. No cost to the beneficiary for screening colonoscopies and the...

Free CEU's for Medical Coders

C. Matheson, RHIA, CCS AHIMA Leave a Comment

In my estimation, we in healthcare, love initials after our last names. While I have no actual data to support my “theory”, I’d say that most of us involved in healthcare (whether practitioners or allied health professionals) have more that one credential. Professional credentials are our way of proving our expertise in a given subject such as HIM, coding, compliance,...

Oncology Quality Studies: Study Conduct and Data Collection (Part 4)

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Oncology Leave a Comment

In this fourth installment of our series on oncology quality studies we will talk about conducting the study according to the planned methodology or quality measures and how to organize the data collection process. The methodology is the roadmap, or strategy, that describes the way the study is to be conducted and identifies the methods to be used during the process. The...

Driving Data into the Future: NCRA Conference Overview

Michele Webb CTR NCRA 1 Comment

On June 3 – 5, 2021 cancer registrars across the country came together for the National Cancer Registrar’s Association (NCRA) 47th Annual Educational Conference. This year’s event was held virtually and offered up to 29.25 continuing education (CE) hours featuring workshops and presentations from the standard-setting agencies and cancer registry community. Conference...

Social Determinants of Health: A Coding Guide

Caitlin Wham, CCS Health and Wellness Leave a Comment

As value-based healthcare models continue to grow, the collection and documentation of social determinants of health data has become a key factor in improving patient care and outcomes. As HIM and Coding Professionals, our role in understanding, collecting and appropriately reporting social determinants of health is more important than ever. What are social determinants...

Helpful Snippets from a Coding Director

Cathie Wilde, RHIA, CCS - Director, Coding Services Medical Coding Leave a Comment

As coders, we often encounter common coding scenarios that seem straightforward, but we may need to be reminded of applicable guidelines and coding advice. Sometimes this requires us to seek further clarification if the documentation is not clear. With awareness of the documented circumstances and pertinent guidance, the potential implications for inaccurate coding can be...

Oncology Quality Studies: Planning and Methodology (Part 3)

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Oncology Leave a Comment

We have covered the first two steps in this multi-part series. In Step 1 we talked about assembling a team of experts to participate in the study project. In step 2 we identified the problem statement. Now, in Step 3 we will look how the study is conducted and the methodology used to structure the analysis.   Quality studies are, by intent, a process that is used to help...

Tips for Wound Care Documentation

Erika Stevens, CPC - Senior Professional Physician Coding Specialist Outpatient Coding 1 Comment

Active wound care procedures are performed to remove devitalized and/or necrotic tissue to promote healing. Debridement is the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected wound until surrounding healthy tissue is exposed. These services are billed when an extensive cleaning of a wound is needed prior to...

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