Q: Why is it necessary for coders, CDI professionals, and providers to align documentation and coding for substance-related disorders when applying both the DSM-5 and ICD-10? How does this impact risk adjustment and HCC capture?
Discover how Nancy Blattberg-Smith, MPH, RHIA, CDIP, CCS, and Michelle Knuckles, RHIA, CDIP , have helped build a functional coding, CDI, auditing, and education model that can improve cross-functional resources, communication, and education for developing integrated DRG denial strategies.
Asthma and chronic obstructive pulmonary disease, which encompasses emphysema and bronchitis, are two of the most prevalent and debilitating respiratory conditions. Understanding these diseases and their pathophysiology is crucial for accurate diagnosis, treatment, and coding, particularly when the conditions overlap. Note : To access this free article, make sure you first register if you do not have a paid subscription.
When a woman is pregnant, relational connections between multiple organ systems can affect both mother and fetus and thereby alter, and perhaps complicate, the care they require. In addition, determining whether a condition was pre-existing or due to the pregnancy is important but can be tricky. Shelley C. Safian, PhD, MAOM/HIM/HI, RHIA, CCS-P, COC, CPC-I, provides clarifications for these types of scenarios.
A study published in the Journal of the American College of Cardiology found that people under age 50 who consume cannabis are 6.2 times more likely to experience a heart attack than individuals who do not. It also found that they are 4.3 times more likely to experience an ischemic stroke and 2 times more likely to experience heart failure.
Coders play a vital role in applying CDI technology standards by guaranteeing that the output of automated tools aligns with compliant coding practices and official coding guidelines. Alba Kuqi, MD, MSHIM, RHIA, CCM, CRCR, CICA, CSMC, CSAF, CCS, CCDS, CDIP, breaks down a framework for selecting, implementing, and maintaining technology solutions that support compliant documentation practices.
Coding practices by Medicare Advantage insurers make members seem sicker, which resulted in an extra $33 billion in payments from the federal government in 2021, relative to coding by traditional Medicare providers, according to a study published by the Annals of Internal Medicine .
As clinical validation becomes an area that payers and regulatory bodies are investigating heavily, the need for steadfast collaboration between coding professionals and CDI specialists has never been greater. TaraJo Vaught, MSN, RN, CCDS, CCDS-O, explores how these two teams can bridge the gaps between them and enhance their clinical validation practices to drive better outcomes across the board.
Cardiomyopathy refers to a group of conditions in which the heart muscle becomes diseased, making it harder for the body to pump blood effectively to the rest of the body . While accurate ICD-10-CM coding of cardiomyopathy requires precise documentation of the cause (if known) and complications, the type will drive the final code choice. Note : To access this free article, make sure you first register if you do not have a paid subscription.
