Coding and Documentation

Use this sample physician query form for documenting sepsis as a template for your organization.

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

There’s still time to register for NAHRI’s biggest event of the year! Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event kicks off in less than a week.

From October 6–­8, attendees will tune in for three jam-packed days of educational sessions, networking opportunities, and daily moderated Q&A. NAHRI members can gain full access to the event for just $179, while nonmembers can register for $199. If you want to get your entire revenue integrity department involved, NAHRI is offering the special group discount rates.

During a meeting in early September, members of the ICD-10 Coordination and Maintenance Committee proposed creating new ICD-10-CM codes related to screening, exposure, and personal history for the novel coronavirus (COVID-19). The new codes, if finalized, would take effect in January 2021.

CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11.

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said in an August 14 letter.

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.