Technology has made it difficult to distinguish “clinical documentation” from other text within the health record.
Payers and providers often seem to be in a battle to prove who the bigger advocate is. It is important we work to bridge the gap between providers and payers…
Spinal fusions have created confusion for coding, auditing, and clinical documentation integrity (CDI) professionals for many years.
Inpatient rehabilitation facilities (IRFs) have unique coding and documentation requirements that create special challenges for IRF coding professionals.