Health Information Management

Don't bypass coding rules to get more money: Take a closer look to compare acute, chronic conditions

HIM-HIPAA Insider, September 21, 2010

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

by Robert S. Gold, MD

Last month I discussed the importance of queries related to sepsis versus UTI due to an indwelling catheter, as well as symptoms of more definitive diagnoses. This month I’ll explore why it’s necessary from an ethical perspective to query for clarification when there is insufficient documentation of acute versus chronic conditions. The bottom line is that coders can’t assign codes based on which ones will yield more reimbursement. Instead, they have ethical obligations and plenty of coding rules to follow.
 
Note: To read more, visit the HCPro website. Subscribers to Briefings on Coding Compliance Strategies have access to this article in the September issue of their newsletters.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    The HIM Director's Handbook, Second Ed.
  • The HIM Director's Handbook, Second Ed.

    This second edition is an updated version of the earlier best seller and details everything you need to know to direct your...

  • The HIM Director's Guide to ICD-10

    ICD-10 is the biggest change for the HIM industry since the implementation of DRGs in the 1980s. HIM directors must take...

  • Coding and You

    Coding and You is written specifically to help non-coders; medical assistants, lab technicians, compliance professionals...

  • Acute and Chronic Renal Failure Coding:

    Our experts address new AKIN criteria, acute vs. chronic kidney disease, and other clinical aspects of renal failure and...

  • ICD-10 Trainer

    ICD-10 Trainer provides the latest news and updates related to ICD-10 regulations, and tips from HCPro experts and faculty...

Most Popular