Shelley C. Safian, PhD, RHIA, CCS-P, COC, breaks down CPT coding for hearing assessments and for auditory osseointegrated implants used to treat certain types of hearing loss.
We would fail to see ourselves completely if we didn’t consider external views as well, so for this article, we’ll be looking at CDI-focused works from the medical literature.
Coding for conditions complicating pregnancy and delivery can be challenging, given the number of factors that influence maternal and fetal health. This article details ICD-10-CM coding for cervical incompetence, in vitro fertilization (IVF), and postpartum care complications.
Coding and CDI programs can take many approaches to manage denials, whether they focus on physician documentation education, have a team member dedicated to writing appeals, or anything in between.
The Office of Inspector General (OIG) recently released the 2021 version of its annual publication on unimplemented recommendations, which lists overpayments from incorrectly assigned severe malnutrition diagnosis codes as a top concern.
Many physicians are not entirely aware of the denials landscape and their involvement in it is often something that they never anticipated. Educating physicians on their role in coding denials is important as it will help ensure proper reimbursement. Part one of this two-part series discusses how to make time for proactive education.
Most risk adjustment models use ICD-10-CM codes to identify patients who are considered “risky” by healthcare insurance companies. The process of risk adjustment is used to predict costs linked to care delivery and quality reporting, which is why thorough knowledge of risk adjustment is important for hospitals to ensure proper quality reporting.
