CE Articles

Establish a process for conducting targeted coding audits

Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.

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Crafting an effective clinical validation appeal

Inpatient coders must be familiar with different types of denials such as those due to clinical validity concerns. Alba Kuqi, MD, MSHIM, CDIP, CCS, CCDS, CRCR, CICA, CSMC, RHIA, CCM, outlines components of a clinical validation denial and tools used to craft a clinical validation appeal.

Record reviews: Finding what works for you

Reviewing a sample of claims for clinical validity and coding accuracy can seem like a daunting task. Kaitlin Loos, RN, BSN, CDI auditor, and Molly Siebert, RHIA, CCDS, CDI specialist, describe their individualized review processes.

Healthcare News: CMS releases FY 2023 IPPS proposed rule

CMS released the fiscal year (FY) 2023 IPPS proposed rule on April 18, with proposals for the annual ICD-10-CM/PCS code update and increases to hospital payment rates. The rule also introduces new quality measures aimed at advancing health equity and improving maternal health outcomes.

Q&A: Documentation and ICD-10-CM coding for septic shock

Q: If a critical care provider describes a patient as having “shock,” is a diagnosis of sepsis implied?

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SelectCoder Tip of the Week

Drug-induced thyroiditis should only be coded when clinical record documentation clearly indicates thyroiditis (inflammation of the thyroid), resulting from the administration of a specific drug or chemical. The causative drug or chemical should be identified and the coder should follow guidelines for coding of adverse effects and poisoning when assigning ICD-10-CM code E06.4 (drug-induced thyroiditis). If the provider documentation states "hypothyroidism, due to drugs or toxins," see ICD-10-CM code E03.2 (hypothyroidism due to medicaments and other exogenous substances).

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Platinum members can view the latest stories from Briefings on APCs (updated each Thursday) and Briefings on Coding Compliance Strategies (updated each Tuesday).

Product Spotlight

Break Down 2022 ICD-10-PCS Reporting for Brain Procedures

Join expert speaker Shelley C. Safian, PhD, RHIA, HCISPP, CCS-P, for this 60-minute webinar on Wednesday, May 18. She will review nervous system anatomy and terminology, cranial diagnoses requiring surgical intervention, and ICD-10-PCS coding for common procedures such as craniotomies and neuroendoscopies.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

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JustCoding News: Inpatient
editor@justcoding.com

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