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Don’t Be Leery of the Physician Query – 12 Tips to Ensure Your Queries Work

According to AHIMA, a query can be a powerful communication tool used to clarify documentation in the health record and achieve accurate code assignments. Querying has become a common communication and educational tool for clinical documentation improvement (CDI) and coding departments. An effective query process aids the hospital’s compliance with billing/coding rules and serves as an educational tool for providers, CDI professionals, and coding professionals.

Topics: ICD-10, Coding, HIM, CDI, Education, Quality

CAN YOU CREATE AN INVINCIBLE MEDICAL CODING PROGRAM?

The importance of accuracy and compliance in today's coding environment cannot be overstated. High-quality coding is always a priority – but is there a way to make coding impervious to challenges? Unfortunately, the answer is “NO.”  There is no magic wand that can be waived, spell that can be cast, or cape that you can use to ensure your coding program is invincible.  The fact of the matter is that no two medical records are documented in the same manner and most coding clinics can be interpreted differently.

Topics: Coding, Audit, Education

4 focus areas for HCC Clinical documentation improvement (CDI)

In a previous blog post,  More Than Just HCC's: 6 Best Practices for Outpatient CDI, we discussed the areas that need to be addressed in a comprehensive outpatient clinical documentation improvement (CDI) program. While we recommend going beyond just focusing on Hierarchical Condition Categories (HCC’s), taking a closer look at documentation related to HCC’s is a good place to start. Here are four areas where an HCC-focused CDI program can help you optimize revenue, reduce denials, and improve quality.  

Topics: Coding, CDI

ICD-10 QUICK TIPS: Back to School Bugs Part II: Rhinovirus vs. Enterovirus

This week's post comes from National Compliance and Quality Audit Manager, Sharon Nichols, BSBEB, RHIT, CCS, CHTS-TR.

Topics: ICD-10, Coding

Bringing Physician Practice Coding Under the HIM Umbrella

The landscape of physician coding changed dramatically in 2015 with the implementation of ICD-10 and MACRA. This coupled with the continued trend of health systems acquiring physican practices has put a greater emphasis on coding of professional services. These factors have contributed to many organizations choosing to integrate phyisican coding into their HIM department.  

Topics: Coding

ICD-10 QUICK TIPS: Back to School Bugs Part I: What a Pretty Pink Eye you have!

This week's post comes from National Compliance and Quality Audit Manager, Sharon Nichols, BSBEB, RHIT, CCS, CHTS-TR.

Topics: ICD-10, Coding

Maximizing resources for ICD-10 coding audits

Posted by admin

by Julia Hammerman, Director of Education and Compliance, and Sam Champagnie, Senior Director, HIM Operations

The newness and specificity of ICD-10 ushered in a stronger focus on clinical coding audits. From internal reviews to external coding audits, healthcare organiza­tions nationwide are revisiting tried-and-true audit practices with ICD-10 coding quality in mind. Diagno­sis-related group (DRG) validation audits under ICD-10 have also become more strategic to realize revenue cycle success.

Topics: Coding, Audit

Coding Quality Is Priority #1

In 2015, himagine conducted its inaugural HIM Benchmark Survey in the midst of the preparation for ICD-10. At the time, approximately 56% of respondents reported that they planned to outsource at least a portion of their coding. In our 2016 survey, 63% of respondents indicated that they outsource, making it clear that most healthcare providers currently rely on some coding vendor resources and will likely continue to work with outsourced coders going forward.

Topics: Coding, Outsourcing, Quality

2 key questions to optimize coding audits

In our soon to be released second annual HIM Benchmark Report, 70% of HIM leaders indicated they increased auditing efforts in 2016 and a whopping 96% projected to maintain or increase this level of auditing in 2017.

Topics: Coding, Audit, Quality

ICD-10 QUICK TIPS: Proper Episode of Care Coding for Injuries and Cause of Morbidity

This week's post comes from National Compliance and Quality Audit Manager, Sharon Nichols, BSBEB, RHIT, CCS, CHTS-TR.

Topics: ICD-10, Coding