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Briefings on Coding Compliance Strategies

Issue 5, May 1, 2013 - VIEW THE FULL ISSUE

• Physician engagement is key to coding accuracy

  William E. Haik, MD, FCCP, CDIP, a practicing ­pulmonologist and director of DRG Review, Inc...

• Don't let underpayments fly under the radar

  Nearly 75% of participating hospitals ­nationwide with RA activity reported receiving at least...

• Keep current on changes to the three-day ­payment rule

  The three-day payment window has been wrought with compliance challenges since its inception. In...

• Comply with new ACDIS/AHIMA query practice brief

  In February, AHIMA published an update to its 2010 query practice brief. The updated brief...

• Why coders should be aware of advice for coding ESRD, excisional debridement, and more

  Coders should question the ­validity of coding advice and work collaboratively with physicians...

Issue 4, April 1, 2013 - VIEW THE FULL ISSUE

• Use caution when reporting unrelated DRGs

  DRGs for procedures unrelated to the principal diagnosis shouldn't occur frequently. If they do...

• Get to know the ICD-10-PCS root operations

  Editor's note: This is the second article in a two-part series about ICD-10-PCS root operations.

• Condition code 44: How coders and billers can help ensure compliance

  Although coders and billers don't play a role in determining whether condition code 44 is...

• Plan for the worst, hope for the best

  When Lori Belanger, RN, BSN, RHIT, inpatient coder and CDI specialist at Northern Maine Medical...

• ICD-9-CM codes for PEGJ and cardiorenal syndrome require physician input

  by Robert S. Gold, MD

Issue 3, March 1, 2013 - VIEW THE FULL ISSUE

• Look for clinical clues when querying for CCs and MCCs

  Everyone knows that CCs and MCCs are under scrutiny these days. ­However, that doesn't mean...

• Coded data drives so much more than ­reimbursement

  Researcher Bill Rudman, PhD, RHIA, says he didn't fully understand the implications of codes that...

• Get to know the ICD-10-PCS root operations

  Editor's note: This is the first article in a two-part series about ICD-10-PCS root operations.

• Create a coding/CDI e-blast for physicians

  The advent of electronic media is slowly but surely changing the way we access information...

• Face-to-face talks are crucial for CDI

  by Robert S. Gold, MD

Issue 2, February 1, 2013 - VIEW THE FULL ISSUE

• Copy and paste documentation poses challenges for coders

  As Lucile Packard Children's Hospital in Palo Alto, ­Calif., implemented its EHR, the dreaded...

• Do both conditions truly meet the definition of principal diagnosis?

  The ICD-9-CM guidelines state that it's unusual for two or more diagnoses to meet the definition of...

• POA indicator accuracy remains high

  In times of increased auditor scrutiny, it's important for coders to remind themselves of their...

• Coding productivity losses: Four lessons learned from the Canadian ICD-10 experience

  Will ICD-10-CM/PCS wreak havoc on coding productivity?

• Why ICD-10-CM falls short for some diagnoses

  by Robert S. Gold, MD

Issue 1, January 1, 2013 - VIEW THE FULL ISSUE

• Are you ready for ­Recovery Auditor prepayment reviews?

  After a six-month delay, the Recovery Auditor prepayment review demonstration program began in...

• Think before you query for causes of pneumonia

    Clinically Speaking column: Drew Siegel, MC, CPC, and Robert S. Gold, MD, review...

• Cozy up with the FY 2013 ICD-10-CM guidelines

  Upon quick glance, the FY 2013 ICD-10-CM Official Guidelines for Coding and Reporting probably look...

• Highlights from the FY 2013 OIG Work Plan

  The FY 2013 OIG Work Plan includes plenty of new additions in which inpatient hospitals might be...

• Briefings on Coding Compliance Strategies 2012 index

  Looking for a past BCCS article? Find what you need with the 2012 article index.