You've heard it a million times before: if it isn't documented, it isn't done. This adage is applicable to many aspects of healthcare, including documentation of extended stay certification under Medicare Part A.Read More »
Going into fiscal year 2018, we have just 728 ICD-10-CM code changes to introduce into our workflow, an easy feat comapred to coding updates in years past. However, there's still plenty of work to be done. Read More »
Clinical documentation improvement (CDI) is shifting gears to clinical documentation integrity at WakeMed Hospital in Raleigh, North Carolina. The CDI department recently transitioned from being under the health information management umbrella to falling under revenue integrity.Read More »
A two-year-old child is brought in to the emergency department with a case of croup, experiencing inflammation in the lungs as well as coughing. The child is treated with Dexamethasone, a corticosteroid that reduces inflammation. The child’s coughing subsides and he is discharged.
With healthcare billing growing in complexity each year, healthcare organizations must take extra steps to maximize reimbursement and maintain compliance.Read More »