The Principal Diagnosis Effect

Cathie Wilde Coding, Outsourcing Leave a Comment

A sixty-nine year old male is admitted with severe abdominal pain and is found to have diverticulitis. He undergoes an open sigmoidectomy with pathology report revealing a peridiverticular abscess. The patient has other secondary conditions such as COPD, hypertension, Stage II chronic kidney disease, hypothyroidism and GERD. The coder codes K57.32 for the diverticulitis figuring the abscess will not make …

ICD-10-PCS Coding For Venous Access Lines and Catheters

C. Matheson Coding, Outsourcing 4 Comments

One challenging coding area with the ICD-10 transition is the coding of venous and arterial lines and catheters. This article aims to provide greater clarity with regard to procedure coding tips for coding of venous catheters. Types of Lines: Central Lines– (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. …

Top 7 Ways to Reduce Coding Audit Anxiety

Lynn S Coding, Leadership, Outsourcing Leave a Comment

Simply mentioning a coding audit sends shivers up a coder’s spine. Coders acknowledge and support the need for audits; however the mere thought of an audit presents a level of anxiety with thoughts of their coding quality being scrutinized, as they continually strive to balance quality and productivity. Here are the Top 7 Ways to Reduce Coding Audit Anxiety: Accept …

Best Practices to Meet Cancer Registry Reporting Deadline

Kerri Helms Cancer Registry, Leadership Leave a Comment

Cancer registries are legislatively mandated to collect confidential data on tumor characteristics, monitor cancer trends, aid in epidemiologic research, and collect quality cancer data elements. Abstracting Timeliness and what this means to you: Abstracting timeliness entails the completion of all analytic cases within six months from the date of initial diagnosis must be reported to your state central registry. All …

Internal Coding Audit Best Practices

Cathie Wilde Coding 1 Comment

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 documentation, enhancing data integrity and …

HIM Best Practices For Scanning Into The Electronic Health Record (EHR)

Charlie Disclosure Management, Leadership, Outsourcing 6 Comments

Scanning Information Into The Electronic Health Record (EHR) It’s a fact. Without HIM best practices for scanning information into the electronic health record (EHR), organizations run the risk of poor quality images that are unreadable, unreliable, and that could pose significant risk to patients. It isn’t difficult to imagine a scenario in which a physician can’t make a critical medical …

Cost, Efficiency And Expertise Challenges For Health Information Management Today And In the Future

Laureen Rimmer Leadership, Outsourcing Leave a Comment

The Growth In HIM Roles In just 10 short years, the times have changed and with those changes the challenges facing today’s healthcare organizations are impacted by the speed of technology and continued decreasing revenue margins. When we think back to Health Information Management (HIM) Departments a decade ago, we were focused on managing a medical record that was hybrid, …

Top 10 Best Practices for Outsourcing Coding Services

C. Matheson Coding, Outsourcing 1 Comment

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 can prove to be very …

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

Lynn S Coding Leave a Comment

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 to emerge through your CMI. …

ePHI Patient Engagement Heats Up With The Proposed MU Stage 3

Ann D Disclosure Management Leave a Comment

Earlier this year, the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) published the proposed Meaningful Use (MU) Stage 3. The industry is currently waiting for publication of a final rule. In the meantime, everyone seems to be contemplating potential HIM implications of this new phase of MU. MU Stage …