CE Articles | | Start the new year off on the right foot: Restore proper coding query practices | | Jillian Harrington, MHA, CPC, CPC-I, CPC-P, CCS, CCS-P, CEMC, MHP, writes that in order to ensure proper coding, documentation, and reimbursement, it’s great practice to have inpatient coding and CDI teams review querying procedures yearly. Note: To access this free article, make sure you first register here if you do not have a paid subscription. |
| Key performance indicators: Using data to strengthen denials management | | Anneleah Williams-Bridges, MS, MBCA, RHIA, CCS, CCS-P, CCDS, RH-CBS, LIA, says that until recently, many organizations have solely used their coding and CDI resources to strengthen the capture of CCs/MCCs, severity of illness/risk of mortality scores, and MS-DRG validation; however, facilities that are not leveraging these teams for denials management and tracking denials as a key performance indicator should consider doing so. |
| Denials management: Benefits of physician education | | Many physicians are not entirely aware of the denials landscape and their involvement in it is often something they never anticipated. Educating physicians on their role in coding denials is important as it will help ensure proper reimbursement. Part two of this two-part series discusses involving physicians in administrative law judge appeals and monitoring success rates. |
| Healthcare News: Fall 2021 hospital safety grade report released | | The fall 2021 Leapfrog Hospital Safety Grade report has been released, assigning grades to 2,901 hospitals. The grades come from hospitals’ performance on over 30 evidence-based measures of patient safety. For the first time, a new grading factor for post-operative sepsis, blood leakage, and kidney injury were included in those measures. |
| Q&A: ICD-10-CM reporting for gangrene, diabetes | | Q: We recently had a patient with a history of diabetes admitted with gangrene of the left second toe. Can you review any guidance related to ICD-10-CM coding and documentation for a case like this? |
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New on JustCoding.com | | New on JustCoding Platinum! Platinum members can access the webinar “Dive Into ICD-10-CM/PCS Reporting for Diabetes.” If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787. Free quiz Test your knowledge with this week’s free quiz, which features ICD-10-PCS Revision codes for the lower vein. Mini poll Which of the following describes the type of facility for which you primarily code? Click here to share your answer. | | |
SelectCoder Tip of the Week | | ICD-10-CM codes from category E05.- (thyrotoxicosis) are combination codes that indicate the presence or absence of thyrotoxic crisis or storm. A thyrotoxic crisis (also called "thyroid storm") is a condition that may occur among individuals with hyperthyroidism and is marked by tachycardia, fever, and hypertension, which may or may not result in congestive heart failure and/or shock. Thyrotoxic crisis should only be coded when specified by the provider and cannot be assumed based upon other symptoms alone. Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder. | | |
| Product Spotlight | | Cardiorenal Syndrome: ICD-10-CM Reporting, Clinical Indicators Webinar During this 60-minute webinar, Sarah Nehring, CCS, CCDS, RHIT, will review inpatient ICD-10-CM reporting for cardiorenal syndrome (CRS). She will provide an in-depth review of clinical indicators, classifications, and the various types of CRS. Nehring will also touch on other corresponding conditions such as CKD, renal failure, and heart failure. The presentation will be followed by a live Q&A. For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace. | | |
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