CDI and coding professionals should consider the totality of the record when…
Why Providers Should be Documenting “Evidence of” a Diagnosis Based on Clinical Findings
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Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
Tips for Preparing for New Coding Changes for 2023
With the start of fiscal year (FY) 2023 right around the corner, this is a good…
CDI: Documenting Diagnoses and Patient Safety
Documenting a diagnosis in the health record extends beyond its impact on…
Compliant Retrospective Query Processes
The best practice is to add any retrospective query response as an addendum…
HACs and the HAC Reduction Program (HACRP)
HACRP is designed to reduce rates of healthcare-associated infections…
What Is Your Data Telling Medicare?
“Upcoding” remains a common mechanism of improper payments. “Healthcare compliance…
Is Everything in the Medical Record “Documentation”?
Do health information management (HIM) and clinical documentation integrity (CDI)…
Is There a Blind Spot in Your Mid-Revenue Cycle?
As a former manager of clinical documentation integrity (CDI) and utilization…
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It
The diagnosis of Healthcare-Associated Pneumonia (HCAP) is clinically out of date…
Know the New Pediatric Sepsis Criteria
“Surviving Sepsis Campaign International Guidelines for the Management of Septic…
HAC’s and PSI’s: What’s all the confusion about?
The health care industry continues to transition toward a value-based…