Internal Auditing

Back to the Basics: How to Do an Internal Coding Audit

MRA Coding 1 Comment

Internal coding audits are an important tool in any hospital’s compliance program. They illuminate potential areas for corrections prior to scrutiny by payers and regulators, which can help reduce payer denials and protect revenue. Additionally, performing regular, ongoing internal auditing can improve clinical documentation and coding initiatives, enhance data integrity, and increase communication across the organization. Not only do they …

Auditing

8 Facts To Get Your Team Ready For a Successful Coding Audit

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Simply mentioning a coding audit sends a shiver up a coder’s spine. The thought of scrutinizing their coding quality, as they strive to balance quality and productivity, can bring dread to even the most seasoned coder. But conducting internal or external coding audits are an important part of ensuring quality and regulatory compliance for hospitals and health systems. Knowing these …

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

C. Matheson Coding, Outsourcing 6 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. …

7 Questions For Vendor Relationships In ICD-10

C. Matheson Coding Leave a Comment

The following Latin proverb seems to be particularly relevant in light of ICD-10: “Times change, and we change with them.” By now, ICD-10 has spurred many changes in technology, templates, coding, documentation, and more. However, to be truly successful, organizations must look beyond their HIM internal processes and ask this question: Must the organization’s relationship with its outsource HIM vendor …

9 Tips To Calm Coder Anxiety Heading Into ICD-10

Cathie Wilde Coding Leave a Comment

Combat ICD-10 Information Anxiety Anxiety is always tough to combat, and with the implementation of ICD-10 quickly approaching, coders’ anxiety levels may be at an all-time high. The entire journey has been a rollercoaster, making it difficult to manage emotions and prepare mentally for a go-live date that has essentially been a moving target. Although the House of Representatives and …

Know How To Code Complications Of The Flu During This Peak Season

Cathie Wilde Coding 4 Comments

Flu During Peak Season It’s that time of year again—flu season. According to data from the Centers for Disease Control and Prevention (CDC), 43 states are experiencing high or widespread flu activity mostly due to the spread of the H3N2 virus. For the week ending December 27, 2014, visits for influenza-like illness accounted for 5.9% of all clinic visits. During …

Why it’s important to seize new opportunities in HIM

MRA Leadership 2 Comments

Each of us has the power to change our lives as well as the lives of those around us. This is the theme of a recent article I read by Jeff Haden titled 19 Things Remarkable People Think Every Day. The article, which was published on Inc.com, includes a lot of salient points that are relevant to HIM professionals. My …

Changing Roles for Coding Professionals

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Role changes are on the horizon for coding professionals. With the implementation of Computer Assisted Coding (CAC), ICD-10 and Hospital Value-based Purchasing (HVBP), clinical coding will take on different forms and new responsibilities. Traditional coding careers may transition to auditors, data analysts or even clinical documentation improvement / integrity specialists (CDIS). Coders → Auditors Coders morph into auditors when CAC …