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 …