Are There Best Practices for Establishing Coding Productivity Standards?
Jul31

Are There Best Practices for Establishing Coding Productivity Standards?

Previous standards used for benchmarking productivity required a focus on transactional coding, whereas current standards call for more of a relational approach. The profitability of the organization hinges upon coders’ ability to stay productive, accurate, and efficient in their code selection.

Read More
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.

Read More
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.

Read More
Dense Breasts and Coding Mammography
Mar13

Dense Breasts and Coding Mammography

After years of screening mammograms, always with results that came back clear, Nancy M. Cappello, PhD, was shocked to receive a diagnosis of advanced stage 3 breast cancer. The reason the mammography hadn’t found anything sooner, she learned, was because she had dense breast tissue—a term she had never heard until her cancer diagnosis. This post discusses some basics for mammography coding as it may have related to Nancy Cappello’s experience.

Read More
Is Blockchain Technology in Your Revenue Cycle Future?
Feb12

Is Blockchain Technology in Your Revenue Cycle Future?

What if there were streamlined claims submissions, remittance, and payments for the provider with real-time determinations and claims adjudication for the payers?

Read More
New Year’s Resolutions: Let’s Pledge to Be Informed and Engaged!
Jan09

New Year’s Resolutions: Let’s Pledge to Be Informed and Engaged!

As the coding profession has evolved tremendously, so too have the needs of coding professionals. Experienced coders need education and training tools that will elevate their skill set to match the needs of employers. Today, coders need to be clinically savvy to make intelligent decisions about the documentation.

Read More