Health Information Management

Health Information Management Articles by Topic: MS-DRGs

Product Spotlight: CC/MCC capture remains focus for CDI professionals

  • CDI Strategies, Issue 26, December 18, 2014

    Struggling to identify the clinical indicators needed to qualify a diagnosis as a...

Q&A: Acute or chronic cor pulmonale

  • CDI Strategies, Issue 19, September 11, 2014

    Q: We’re having a lot of discussions with physicians right now and need to get some clarity...

News: MS-DRG changes in recent IPPS Final Rule

  • CDI Strategies, Issue 18, August 28, 2014

    The 2015 IPPS final rule, released August 4, focuses on quality initiatives and includes no...

IPPS proposed rule focuses on quality measures

  • HIM-HIPAA Insider, Issue 18, May 5, 2014

    Quality measures are at the top of the list of potential changes outlined in CMS’ 2015 IPPS...

Is neonatal really neonatal? How statistics can be warped through misunderstanding

  • Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014

    Whether you work in a dedicated children’s hospital or a general hospital with a pediatric...

Identify MS-DRG shifts as ICD-10 nears

  • Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014

    Inpatient coders will see an entirely new coding system October 1 when they begin officially using...

Focus on key factors to ensure accurate principal diagnosis selection

  • Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014

    The UHDDS defines principal diagnosis as the condition established after study to be chiefly...

Tip: Brush up on sepsis audits, queries

  • CDI Strategies, Issue 24, November 21, 2013

    "[Recovery Auditors] are doing a really good job at identifying the patients who don't have...

Audio conference: Clinical updates and communication strategies for sepsis coding

  • CDI Strategies, Issue 15, July 18, 2013

    Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...

News: Recovery Auditors continue medical necessity reviews

  • CDI Strategies, Issue 8, April 11, 2013

    Medical necessity for cardiovascular procedures is the top overpayment issue for three out of the...

Tip: Take care sequencing diagnoses

  • CDI Strategies, Issue 1, January 3, 2013

    Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG...

Tip: Use IPPS data to benchmark your CDI program

  • CDI Strategies, Issue 24, November 21, 2012

    By Don Butler, RN, BSN During a recent CDI Talk conversation, I alluded to data available in the...

Q&A: Should cystic fibrosis always be first-listed diagnosis

  • CDI Strategies, Issue 22, October 25, 2012

    Q: I have heard that there is an AHA Coding Clinic for ICD-9-CM, which states that the exacerbation...

Tip: White Paper available on principal diagnosis selection

  • CDI Strategies, Issue 22, October 25, 2012

    A clear understanding of the definition of principal diagnosis and the factors that play into...

What role do coders play in avoiding denials?

  • JustCoding News: Inpatient, Issue 39, September 26, 2012

    Coders are the backbone of an organization’s fiscal health. Timely coding leads to timely...

FY 2013 IPPS final rule: How will the changes empower coders to improve compliance?

  • JustCoding News: Inpatient, Issue 39, September 26, 2012

    Coders play a crucial role in ensuring compliance, and the FY 2013 IPPS final rule, released August...

2013 IPPS Final Rule: Coding, HAC, CC/MCC, and MS-DRG changes

  • JustCoding News: Inpatient, Issue 33, August 15, 2012

    CMS did not make any sweeping changes to its MS-DRG methodology as part of the 2013 IPPS final...

Clarify IBS and IBD before assigning codes

  • JustCoding News: Inpatient, Issue 33, August 15, 2012

    Physicians often use the acronyms IBS (which should indicate irritable bowel syndrome) and IBD...

CMS releases 2013 IPPS Final Rule: Quality initiatives, value-based purchasing, and CC/MCC changes

  • HIM-HIPAA Insider, Issue 5, August 6, 2012

    Inpatient facilities received mixed news on proposed changes to the list of complications and...

Tip: Coding for inpatient postoperative complications requires explicit documentation

  • CDI Strategies, Issue 14, July 5, 2012

    Determining when to code a post-surgical complication as opposed to simply considering it to be an...

News: NHIC Inc., finds one-day inpatient stays have high denial rates

  • CDI Strategies, Issue 10, May 10, 2012

    “This claim was denied after review and it was determined that the documentation did not...

Know how APR-DRGs can assist with physician profiling

  • JustCoding News: Inpatient, Issue 19, May 9, 2012

    Although MS-DRGs have stolen the spotlight since CMS implemented them in 2007, hospitals are...

Healthcare News: CC, MCC, DRG, and HAC changes in the FY 2013 IPPS proposed rule

  • JustCoding News: Inpatient, Issue 19, May 9, 2012

    Inpatient acute care hospitals could see a 2.3% increase in payment rates under the fiscal year...

News: IPPS proposed rule expands VBP, increases IPPS payment

  • CDI Strategies, Issue 9, April 26, 2012

    CMS projects that payment rates to general acute care hospitals will increase by 2.3% in fiscal...

News: Latest version of the ICD-10 MS-DRG conversion project available.

  • CDI Strategies, Issue 7, March 29, 2012

    CMS posted v29 of the ICD-10 MS-DRGs and an updated version of the v27 Medicare Code Editor (MCE...

Revenue Cycle Institute releases '2011 Recovery Audit Benchmarking Report'

  • HIM-HIPAA Insider, Issue 10, March 6, 2012

    The Revenue Cycle Institute has released a new white paper, “2011 Recovery Auditor...

News: Trailblazer blames lack of documentation for MS-DRG 246 denials

  • CDI Strategies, Issue 4, February 16, 2012

    Fifty-eight percent of claims billed with MS-DRG 246, percutaneous cardiovascular procedure with...

Q&A: Coming to terms with the clinical/coding language disconnect

  • CDI Strategies, Issue 3, February 2, 2012

    Q:  I am fairly new to CDI and I have a nursing background. I’m trying to understand how...

News; CMS releases online list of DRGs for ICD-10

  • CDI Strategies, Issue 2, January 19, 2012

    CMS recently published a draft ICD-10 MS-DRG definitions. According to the website, the definitions...

Q&A: Proper sequencing of heart failure with hypertensive heart/kidney disease

  • CDI Strategies, Issue 2, January 19, 2012

    Q:I have a question regarding sequencing. I would usually have sequenced 428.21 (heart failure) as...

News: CMS debuts web page for ICD-10 CC and MCC lists

  • CDI Strategies, Issue 1, January 5, 2012

    CMS recently released ICD-10 CC and MCC lists on its web site. It lists the diagnosis by ICD-10...

CMS makes several key changes to MS-DRGs for FY 2012

  • JustCoding News: Inpatient, Issue 1, January 4, 2012

    Coders should already be familiar with the 285 new, revised, and deleted ICD-9-CM codes that CMS...

Tip: Consider the benefits of inter-departmental coding conferences with ICD-10 on the horizon

  • CDI Strategies, Issue 27, December 22, 2011

    Most of the cases that HIM professionals code are straightforward; some are more difficult, and a...

News: Trailblazer to begin prepayment reviews for four cardiac-related procedures

  • CDI Strategies, Issue 27, December 22, 2011

    Effective December 15, Trailblazer Health Enterprises, LLC, began prepay service-specific medical...

Q&A: ’Suggestive’ documentation could require clarification

  • CDI Strategies, Issue 27, December 22, 2011

    Q:Does documentation such as “suggestive of” or “suspicious of” qualify as...

Q&A: Post-surgical complication of encephalopathy

  • CDI Strategies, Issue 24, November 10, 2011

    Q:Can a patient have encephalopathy after a surgery? For example, a patient post surgery...

Q&A: Coding for surgical debridement of devitalized tissue with scalpel

  • HIM-HIPAA Insider, Issue 45, November 8, 2011

    Q: One of our podiatrists documents “surgical debridement of devitalized tissue with...

What color is your PEPPER?

  • HIM-HIPAA Insider, Issue 39, September 27, 2011

    The Program for Evaluating Payment Patterns Electronic Report (PEPPER), distributed either...

FY 2012 IPPS final rule includes some surprises

  • HIM-HIPAA Insider, Issue 38, September 20, 2011

    The FY 2012 IPPS final rule is out, and hospitals that are bracing for changes effective October 1...

Tip: Making sense of myocardial infarction sequencing rules

  • CDI Strategies, Issue 17, August 18, 2011

    By Linda Renee Brown, RN, CCRN, CCDS, MA One of the most confusing diagnoses to code and sequence...

Don’t remain silent if you observe a pattern of fraudulent conduct

  • HIM-HIPAA Insider, Issue 33, August 16, 2011

    It started with two courageous coders who knew the query process at Johns Hopkins Bayview Medical...

CMS releases 2012 IPPS final rule

  • HIM-HIPAA Insider, Issue 32, August 9, 2011

    CMS released its final rule for the FY 2012 Inpatient Prospective Payment System integral to...

Q&A: Definition of ’marrying’ DRGs

  • CDI Strategies, Issue 16, August 4, 2011

    Q: I am having trouble grasping the concept of “marrying” DRGs. Can you explain what...

News: IPPS Final Rule released

  • CDI Strategies, Issue 16, August 4, 2011

    CMS released the Inpatient Prospective Payment System (IPPS) Final Rule, Monday, Aug. 1, reducing a...

Use PEPPER to enhance your RAC readiness

  • HIM-HIPAA Insider, Issue 25, June 21, 2011

    Not sure where to focus your RAC preparations these days? Look no further than the Program for...

CMS releases final rule on Medicaid HCACs

  • HIM-HIPAA Insider, Issue 24, June 14, 2011

    Provider-preventable conditions (PPC), including health care-acquired conditions (HCAC), are now...

Q&A: RAC, medical necessity, and the role of CDI

  • CDI Strategies, Issue 12, June 9, 2011

    Q: With all the auditing going on I would like to find out how effects CDI programs in other...

HAC data goes public: Is your hospital ready?

  • HIM-HIPAA Insider, Issue 22, May 31, 2011

    If you haven't already heard, HAC data is now publicly available on CMS' website, and as of April...

News: CMS releases latest MS-DRG version, hosts ICD-10 teleconference

  • CDI Strategies, Issue 10, May 12, 2011

    Hospitals can start experimenting with how new ICD-10-CM/PCS codes will translate to MS-DRGs since...

Q&A: Including CC/MCC information on physician education materials

  • CDI Strategies, Issue 10, May 12, 2011

    Q:I’ve heard different opinions between the coders and some of our CDI consultants regarding...

Know how ICD-10 could affect your bottom line

  • HIM-HIPAA Insider, Issue 18, May 3, 2011

    Exactly how will ICD-10 affect MS-DRG assignment? As coders began learning the intricacies of...

News: CMS proposed IPPS changes continue DCA reductions, include HAC and excisional debridement

  • CDI Strategies, Issue 9, April 28, 2011

    CMS expects a year-over-year reduction of 0.5% in payments to acute care hospitals under the...

News: RACs target respiratory system diagnosis with ventilator support

  • CDI Strategies, Issue 4, February 17, 2011

    A recent special edition MedLearn Matters article SE1028 outlines four risk areas targeted by the...

Know when to report secondary diagnoses

  • HIM-HIPAA Insider, Issue 7, February 15, 2011

    A patient’s medical record could include a laundry list of diagnoses, but not all of these...

Briefings on Coding Compliance Strategies, February 2011

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2011

    Learn about reporting secondary diagnoses,  assigning the POA indicator, ICD-10 procedure...

Know which coding issues to include in your facility's 2011 audit plan

  • HIM-HIPAA Insider, Issue 2, January 11, 2011

    With an ever-growing list of RAC-targeted MS-DRGs and a host of coding compliance traps that...

Coding tips from the experts

  • HIM-HIPAA Insider, Issue 1, January 4, 2011

    Briefings on Coding Compliance Strategies recently asked advisory board members about the best...

Briefings on Coding Compliance Strategies, January 2011

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2011

    Learn about coding issues to include in your 2011 audit plan, the benefits of online social...

Briefings on Coding Compliance Strategies, December 2010

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2010

    Learn about the OIG work plan, acute kidney injursy, acute kidney failure, documentation and DNFB...

Involve coders in your RAC defense strategy

  • HIM-HIPAA Insider, Issue 46, November 23, 2010

    Now that RAC medical necessity audits are well under way, the focus has shifted from anticipatory...

Q&A: Assigning the correct DRG when a caregiver refuses a vaccination

  • HIM-HIPAA Insider, Issue 44, November 9, 2010

    Q: I heard that code V64.05 (vaccination not carried out because of caregiver refusal) has been...

Briefings on Coding Compliance Strategies, November 2010

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2010

    Learn about medical necessity audits, linking signs and symptoms with definitive conditions...

Column: What impact will ICD-10 have on MS-DRG payments?

  • CDI Strategies, Issue 21, October 14, 2010

    by Shannon McCall, RHIA, CCS, CCS-P, CPC-I, CCDS I often wondered how the ICD-9-CM code set would...

Column: Offer insight in addition to education when training physicians

  • CDI Strategies, Issue 20, September 30, 2010

    By Glenn Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS I recently received a fortune cookie from a...

Q&A: Obtaining documentation for multiple significant trauma

  • CDI Strategies, Issue 20, September 30, 2010

    Q: Whenever we get a trauma patient, it’s either very easy to get to the multiple significant...

Do some analysis to deal with the DCA

  • HIM-HIPAA Insider, Issue 38, September 28, 2010

    The FY 2011 inpatient prospective payment system final rule released July 30 includes the usual...

Assigning the principal diagnosis: Four case studies

  • HIM-HIPAA Insider, Issue 35, September 7, 2010

    The following four case studies test your knowledge of correct principal diagnosis (PDX...

News: Review coding, documentation guidelines for latest RAC target-neoplasms

  • CDI Strategies, Issue 18, September 2, 2010

    Confusing coding guidelines and insufficient documentation have made neoplasms a target area as...

Briefings on Coding Compliance Strategies, September 2010

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2010

    Learn about the FY 2011 IPPS final rule, the three-day payment rule, documentaiton and coding...

Tip: Spice up your PEPPER-related meetings

  • HIM-HIPAA Insider, Issue 13, August 24, 2010

    The electronic Program for Evaluating Payment Patterns Electronic Report (PEPPER) contains data for...

Tip: Use your case-mix index to help measure the effectiveness of your CDI program

  • HIM-HIPAA Insider, Issue 32, August 17, 2010

    Calculating a hospital’s case-mix index (CMI) is one way to gauge a CDI program’s...

News: IPPS Final Rule confirms DCA adjustment, kidney injury designated CC

  • CDI Strategies, Issue 16, August 5, 2010

    On July 30, CMS issued the inpatient prospective payment system (IPPS) final rule to update...

CMS proceeds with documentation 2.9% payment cut in FY 2011 IPPS final rule

  • HIM-HIPAA Insider, Issue 30, August 3, 2010

    On July 30, CMS issued the inpatient prospective payment system (IPPS) final rule to update...

Review of neoplasm coding guidelines good strategy when preparing for RAC audits

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    It shouldn’t come as a surprise that HealthDataInsights—the RAC for Region D—is...

Briefings on Coding Compliance Strategies, August 2010

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    Learn about avoidable V code traps, why you shouldn't bypass coding rules for more money, why...

Prevent RAC DRG validation and complex coding denials

  • HIM-HIPAA Insider, Issue 26, July 6, 2010

    Medically unnecessary services and incorrectly coded items had the highest amounts of RAC...

Prepare for RAC audits by taking a closer look at mechanical ventilation

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    Inpatient admissions requiring mechanical ventilation tend to be high-dollar cases, which is...

Q&A: Benchmarks for DRGs

  • CDI Strategies, Issue 13, June 24, 2010

    Q: Do you know of any recommended benchmarks or targets we should be hitting?  For example...

FY 2011 IPPS proposed rule spurs discussions about regulatory hot topics

  • HIM-HIPAA Insider, Issue 24, June 22, 2010

    The fiscal year (FY) 2011 IPPS proposed rule released April 19 addresses several highly debated...

Coming soon in Medical Records Briefing

  • HIM-HIPAA Insider, Issue 24, June 22, 2010

    In the July issue of MRB, you’ll find the following articles and more!

FY 2011 IPPS proposed rule spurs discussions about regulatory hot topics

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2010

    The fiscal year (FY) 2011 IPPS proposed rule released April 19 addresses several highly debated...

Briefings on Coding Compliance Strategies, June 2010

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2010

    Learn about the three-day payment rule, FY 2011 IPPS Proposed Rule, discharge disposition codes...

Help ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC

  • HIM-HIPAA Insider, Issue 19, May 18, 2010

    MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC...

Use PEPPER to improve coding compliance

  • HIM-HIPAA Insider, Issue 18, May 11, 2010

    Aside from being a catchy acronym, PEPPER (Program for Evaluating Payment Patterns Electronic...

Prepare for RAC audits by exercising caution with septicemia codes

  • HIM-HIPAA Insider, Issue 16, April 27, 2010

    Overcoding and coding based on insufficient documentation may be one reason why RACs are auditing...

Audit wound debridement MS-DRGs before your RAC does

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    Coders don't need a RAC audit to tell them that reporting inpatient wound care is particularly...

Understanding circulatory system anatomy will help you prepare for coming conversion to ICD-10-CM/PCS

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    Dust off a medical terminology book and start reviewing anatomy and physiology. This may be the...

Audit present-on-admission indicators to ensure compliance, data accuracy

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    Was it present on admission (POA) or did it develop during the patient's stay?

Briefings on Coding Compliance Strategies, March 2010

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    In this issue, we detail how to ensure compliance and date accuracy by auditing...

Use PEPPER reports to stay on top of common coding errors

  • HIM-HIPAA Insider, Issue 5, February 9, 2010

    HIM directors can evaluate their hospital’s potential risk for overcoding and unnecessary...

Brush up on sequencing as RAC complex reviews get under way

  • HIM-HIPAA Insider, Issue 5, February 9, 2010

    As RACs begin to roll out complex reviews and request medical record documentation, compliant...

RAC posts dozens of new issues for under- and overpayment DRG-validation complex review

  • HIM-HIPAA Insider, Issue 3, January 19, 2010

    In recent weeks, HealthDataInsights (HDI) has added dozens of new issues to its CMS-approved list...

Use PEPPER reports to stay on top of common coding errors

  • HIM-HIPAA Insider, Issue 3, January 19, 2010

    CMS has once again contracted with the TMF Health Quality Institute to release Program for...

Q&A: Defining differences in DRG systems

  • CDI Strategies, Issue 26, December 24, 2009

    Q: What are the differences between the MS-DRG and the APR-DRG systems?  A:Garri L...

RAC begins complex DRG validation audits: Medical record documentation requests imminent

  • HIM-HIPAA Insider, Issue 49, December 8, 2009

    Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in...

Briefings on Coding Compliance Strategies, December 2009

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2009

    Inside: New E codes require detailed documentation OIG focuses on hot-button issues in 2010 Work...

Refresh your knowledge of core concepts for coding accuracy

  • HIM-HIPAA Insider, Issue 46, November 17, 2009

    Clinical knowledge is an essential element for capturing severity and MS-DRG assignment, according...

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-HIPAA Insider, 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?

  • HIM Briefings, 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-HIPAA Insider, 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-HIPAA Insider, 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

  • HIM Briefings, 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 Insider, 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-HIPAA Insider, 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-HIPAA Insider, 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...