2020 Proposed Rule Changes For ICD-10-CM Codes
May28

2020 Proposed Rule Changes For ICD-10-CM Codes

The Proposed Inpatient Prospective Payment System (IPPS) Rule was published on April 23, 2019. This month’s Code Cracker takes a look at some of the changes, including the 273 new codes, 21 deleted and 30 code title revisions revealed in the FY 2020 Proposed Rule Tables.

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When Healthcare Providers and Privacy Legislation Collide
May15

When Healthcare Providers and Privacy Legislation Collide

In response to the increasing issue of data breaches, a number of proposals for legislation related to breaches and personal privacy have been made at both the federal and state levels.

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Skewed Public Perception of the CDI Role and Impact in Healthcare
May08

Skewed Public Perception of the CDI Role and Impact in Healthcare

It seems lately that every time you turn on the television there is a new medical drama starting. Unfortunately, the depiction of healthcare and the patient encounter is offered in a very skewed view depending on the story line and intended impact.

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IR-DRGs and CDI in the UAE: AHIMA World Congress
Apr24

IR-DRGs and CDI in the UAE: AHIMA World Congress

Clinical documentation improvement holds much promise for healthcare providers beyond the United States, including exciting opportunities for Al Ain Hospital, AWC’s newest organizational member, and other providers in the UAE related to International Refined Diagnosis-Related Groups.

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Compelling Production of the Audit Trail in Litigation
Apr18

Compelling Production of the Audit Trail in Litigation

When might a plaintiff in a medical malpractice action want a defendant healthcare provider to produce an electronic audit trail, and what proofs might be offered in favor of and against production? A recent case, Vargas v. Lee, suggests some answers.

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The Gastrointestinal Bleed Conundrum: To Code “with bleed” or Not?
Apr17

The Gastrointestinal Bleed Conundrum: To Code “with bleed” or Not?

How to code gastrointestinal conditions with or without bleeding has been a topic of discussion among coding professionals and clinical documentation improvement (CDI) professionals since the publication of the third quarter 2017 issue of the American Hospital Association’s Coding Clinic. Coding Clinic advised coders to apply the “With” guideline associating bleeding to the gastrointestinal condition even when the medical record lacks a causal relationship documented by the physician.

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