by Geoff New, MBA, RHIA, CHFP, CRCR, FHFMA, FAHIMA | Apr 1, 2020 | Clinical Documentation Improvement, Clinical Revenue Integrity, Coding, Denial Management, True Clinical Picture
As HIM professionals, we learn the importance of documentation very early in our education and careers. And we know two things for sure: (1) every record represents a real person, and (2) if it wasn’t documented, it didn’t happen. That’s why during any disaster, and...
by Scot Nemchik | Mar 27, 2020 | Clinical Revenue Integrity, Coding
For the most part, updates to code sets and the guidelines that govern their utilization are predictable. Every year, we can bank on changes to the Inpatient Prospective Payment System going into effect on October 1st, and changes to the Outpatient Prospective Payment...
by Janice Tarlecki, MBA, RHIA, CCS | Feb 28, 2020 | Clinical Revenue Integrity, Coding
IMPORTANT UPDATE – New ICD-10-CM Code Effective April 1, 2020 Given the need to capture the reporting of COVID-19, The Centers for Disease Control has changed the effective date of new diagnosis code U07.1, COVID-19, from October 1, 2020 to April 1, 2020. Click...
by Janice Tarlecki, MBA, RHIA, CCS | Sep 5, 2019 | Clinical Revenue Integrity, Coding
On August 2, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Fiscal Year (FY) 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) final rule. The rule contains many changes to MS-DRGs that will significantly affect the day-to-day...
by Scot Nemchik | Aug 15, 2019 | Coding, True Clinical Picture
This blog post is part of our ongoing series discussing the True Clinical Picture. Before we go any further, let’s quickly reflect on what we mean by True Clinical Picture. TRUE CLINICAL PICTURE: A complete and comprehensive record that serves as the source of truth...
by Scot Nemchik | Aug 6, 2019 | Clinical Documentation Improvement, Clinical Revenue Integrity, Coding, Denial Management, True Clinical Picture
For quite some time now CMS has reiterated their plan to perform a comprehensive assessment of current ICD-10-CM complication and comorbidity (CC) and major complication and comorbidity (MCC) designations. This year’s proposed rule, published on April 23, 2019...
