Health Information Management

Health Information Management Articles by Topic: MS-DRGs

Complications of surgery, uncertain diagnoses, and more highlight important updates for coders

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    The American Hospital Association’s Coding Clinic for ICD-9-CM is one of the most important...

Update your ICD-9 knowledge

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    Some of the major code groupings undergoing change this year include more specificity to the...

Determine effect of MS-DRG changes in 2010 IPPS final rule

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    The 2010 IPPS final rule included several changes related to MS-DRGs, complications and...

Briefings on Coding Compliance Strategies, November 2009

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    Inside: Prepare for ICD-10 with anatomy/physiology education Determine your coders’ need...

Update: Know the changes for coding anemia due to chemotherapy

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    In the September BCCS, we published an article with Coding Clinic advice on coding anemia secondary...

Pay attention to the details to avoid upcoding

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Although undercoding is always a concern for facilities, potential upcoding is just as serious a...

Know how code assignment affects data quality and risk adjustment

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Coding has continually evolved over the past 10 years, and it will continue to change with the...

Briefings on Coding Compliance Strategies, October 2009

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Inside: Use productivity benchmarks to set coding standards Roller-coaster fall results in...

Accurately assign POA indicators with the right info

  • HIM Connection, Issue 39, September 29, 2009

    The present-on-admission (POA) indicator refers to conditions that are present at the time an order...

News: Trailblazer outlines inpatient vs. observation status documentation pitfalls

  • CDI Strategies, Issue 18, September 3, 2009

    Following a targeted review of 250 claims with DRG 247, TrailBlazer, the Medicare Administrative...

TIP: Couch your query when clarifying unstable angina

  • CDI Strategies, Issue 18, September 3, 2009

    Editor’s Note: The following tip was excerpted from the article “Tips for problematic...

Clarification: Anemia documentation and coding presents communication hazards

  • CDI Strategies, Issue 18, September 3, 2009

    Editor’s note: The following Q&A first appeared in the August 20, 2009, edition of CDI...

What's the accuracy of your POA indicators?

  • Medical Records Briefing, Issue 9, September 1, 2009

      Just because coders have been reporting the present-on-admission (POA) indicator for nearly...

Briefings on Coding Compliance Strategies September 2009

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009

    In this issue, we dissect the final 2010 IPPS rule, plus discuss the three new NCDs for never...

CMS delays documentation and coding adjustment, reduces payment for common MS-DRGs

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009

    CMS delayed a payment reduction, but changed MS-DRG weights.

Tip: Develop a structured audit plan for CDI staff

  • CDI Strategies, Issue 16, August 6, 2009

    It's important to develop a structured process of performing quality audits of your CDI staff, says...

CMS releases FY 2010 IPPS final rule

  • HIM Connection, Issue 31, August 4, 2009

    Though many hospitals had feared a 1.9% reduction in payment for 2010, they will actually see a...

Q&A: Impact of SOI/ROM on DRG assignment

  • CDI Strategies, Issue 15, July 23, 2009

    Q: When coded, will the five ICD-9 diagnosis codes which turn off if the patient expires for use in...

Know where to look in the medical record when assigning the POA indicator

  • HIM Connection, Issue 29, July 21, 2009

    Certain areas of the patient’s record will most likely provide important clues to the coder...

Medical Records Briefing, July 2009

  • Medical Records Briefing, Issue 7, July 1, 2009

    This month’s expanded issue includes our 4-page quarterly insert about electronic health...

Sequence properly for appropriate DRG assignment

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009

    Every so often, I’m reminded of how important it is to code accurately and in the proper...

2010 IPPS proposed rule brings historic payment lows, few coding changes

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009

    When CMS released its May 1 proposal, hospitals received a mixed bag of news: There are minimal...

Tip: Put on your clinical hat first, coding shoes second

  • CDI Strategies, Issue 11, May 28, 2009

    CDI specialists who seek to alter code sequences in order to optimize CC/MCC capture and case mix...

Q/A: Global payment structure and scheduled ED visits

  • APCs Weekly Monitor, Issue 19, May 15, 2009

    Q: A patient is seen in the ED for laceration repair and then returns for suture or staple removal...

Understand inpatient wound care coding for RAC audits

  • HIM Connection, Issue 19, May 12, 2009

    During the three-year RAC demonstration project, payment for several inpatient debridement...

OIG Work Plan: Still time to prepare

  • Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009

    Four aspects of the 2009 OIG Work Plan apply to inpatient hospitals and coders. Find out how you...

CMS pilot program targets hospitals readmissions

  • HIM Connection, Issue 17, April 28, 2009

    On April 13, CMS announced a pilot project to reduce rates of hospital readmissions. The Care...

Q&A: Improve hospital HealthGrades with CDI

  • CDI Strategies, Issue 3, February 5, 2009

    Note: ACDIS appreciates receiving questions from our readers. We cannot promise to answer every...

Accurately document hemorrhage severity

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009

    Get to know your bleeds to ensure proper coding by Robert S. Gold, MD Consider the following...

MS-DRGs on OIG radar: Ensure compliant coding

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    Since October 1, 2007, providers have been adapting to a revised hospital inpatient reimbursement...

CMS discusses RAC expansion, ICD-10, and never events

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    CMS discusses RAC expansion, ICD-10, and never events CMS hosted a Hospital & Hospital Quality...

Work with physicians to obtain clear-cut documentation for pressure ulcers

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    by Robert S. Gold, MD Applying the present-on-admission (POA) indicator to pressure ulcers is no...

Get a bloody good understanding of GI hemorrhage

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Gastrointestinal (GI) bleed and its manifestations can be confusing without some insight into...

Clear up morphology and neoplasm code confusion

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    The ICD-9-CM Manual provides many helpful tools you can use to your advantage. For example, despite...

One-day stays

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Forty percent of Medicare admission denials relate to improper one-day stays. If this statistic...