Avoiding the Bad and Ugly of An EHR Conversion

Karen G Blog, HIM Leave a Comment

By Karen Gallagher Grant, RHIA,CHP, COO Planning for an electronic health record (EHR) or technology conversion is slightly different for every hospital or health system, but some clear commonalities must be taken into account. During my career, I have seen some really great models, but also some bad and even ugly approaches. What follows are some of the not so …

Back To Basics – Section III. Reporting Additional Diagnoses

Cathie Wilde Articles, Blog, Coding Leave a Comment

One of the more prominent guidelines found in the ICD-10-CM Official Guidelines for Coding and Reporting is Section III. Reporting Additional Diagnoses but it isn’t always applied appropriately. The guideline states: For reporting purposes the definition for “other diagnoses” is interpreted as additional conditions that affect patient care in terms of requiring: clinical evaluation; or therapeutic treatment; or diagnostic procedures; or …