Social Determinants of Health
Social determinants of health (SDOH) are the non-medical factors that influence health outcomes. Providers can receive additional reimbursement when they document and address those SDOH that impact a...
View Article2024 CPT Blog: Part 3
2024 CPT TRFA Updates We continue our deep dive into the 2024 CPT changes this week with updates to the codes for Transcervical Radiofrequency Ablation of Uterine Fibroids (TRFA). Category III code...
View Article2024 NCCI Policy Manual for Medicare Services
CMS updates the NCCI Policy Manual for Medicare Services once a year. This is a general reference tool that the Medicare Administrative Contractors (MACs) use to explain the rationale for NCCI edits....
View Article2024 CPT Update Guide
2024 brings significant CPT code revisions. This guide will identify important guidelines & parenthetical note additions & revisions. We’ll review anatomy & other pertinent clinical...
View ArticleMelissa Koehler
After spending a year working on nursing pre-requisite courses, I quickly figured out that face-to-face patient care was not for me but was still interested in healthcare. I stumbled upon an...
View Article2024 Evaluation & Management Updates
As we step into 2024, the landscape of healthcare continues to evolve, with Medicare introducing significant updates in evaluation and management (E/M) coding. Among the most notable changes is the...
View ArticleDiagnosis Coding for Neoplasms
The accurate classification and documentation of diseases are key, especially in the case of neoplasms. The importance of precise diagnosis coding cannot be overstated. With advancements in medical...
View ArticleCDI Tip: Pediatric Respiratory Failure
Diagnostic Criteria for Acute Respiratory Failure in Pediatric Patients Provider documentation often describes the patient’s symptoms and assessment without stating the words “acute respiratory...
View Article7 ways to engage your remote HIM employees (part one)
It’s not new news that work as we knew it has changed dramatically over the past few years with more employees working remotely than ever before. While this is a newer phenomenon for many HIM...
View Article7 ways to engage your remote HIM employees (part two)
Last week we posted Part 1 of this blog that covered our first 3 tips on how to engage your remote HIM employees. Hopefully, you’ve implemented at least one of those tips. Now for Part 2 with the...
View ArticleCoding Tip of the Month: Pediatric Sepsis
• Neonatal sepsis: a systemic infection, usually bacterial, occurring during the neonatal period (the first 90 days after birth). • Early-onset sepsis (EOS): (birth to 7 days of life)...
View ArticleChronic Kidney Disease
CKD as defined by NKF KDOQI: kidney damage for >3 months • For CKD to be diagnosed, one of the following criteria must be present for >3 months: • CKD stage is determined by the...
View ArticleAdult Obesity/Morbid Obesity with BMI >35
Coding Tips Obesity and morbid obesity are always clinically significant and reportable when documented by the provider. (Coding Clinic 4th Quarter 2018 p.77). 1) being 100 lbs or more above ideal body...
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