Coding and Documentation

Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel,the agency is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released November 1. 

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.

Advisory board member Jugna Shah weighs in on the policy changes of the 2018 IPPS final rule. 

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. 

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.

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.

With healthcare billing growing in complexity each year, healthcare organizations must take extra steps to maximize reimbursement and maintain compliance.