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As the task of query creation is becoming more prevalent in coding departments, reviewing essential query requirements is a must for all inpatient coders.
Wednesday, December 12, 2018
 

CE Articles

Essential query requirements for your coding team

As the task of query creation is becoming more prevalent in coding departments, reviewing essential query requirements is a must for all inpatient coders. This article covers these essential requirements including the growing adoption of electronic medical records, when to query, and pointers for submitting queries to physicians.

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Coding managers: Cover your bases when onboarding new inpatient coders
Sarah Humbert, RHIA, and Catrena Smith, CCS, CCS-P, CPCO, CPC, CIC, CPC-I, CRC, CHTS-PW, explore three scenarios for onboarding new inpatient coders and provide valuable advice to prepare them for success.
Adapting documentation practices for new malnutrition criteria
Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS, review the recently published “Global Leadership Initiative on Malnutrition (GLIM) Criteria for the Diagnosis of Malnutrition: A Consensus Report From the Global Clinical Nutrition Community” and help coders apply this criteria in ICD-10-CM.
Healthcare News: OIG announces inpatient hospital billing, coding study
CMS and the Office of Inspector General (OIG) claims to have identified unspecified upcoding in hospital billing—either accidentally or intentionally reporting higher severity codes than supported by documentation to increase payment. Because of this, these entities will conduct a two-part study to assess inpatient hospital billing, according to the OIG.
Q&A: Should documentation specify pressure injuries or pressure ulcers?
Q: Should we be advising our providers to start documenting pressure injury as opposed to pressure ulcer? Or is it OK to document either term?
 

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The description of "emaciated" or "emaciation" without being documented with the term malnutrition should be assigned with ICD-10-CM code R64 (cachexia).

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Product Spotlight

Malnutrition: Assessing the impact of the GLIM criteria webinar

During this 90-minute webinar on Thursday, December 13, Richard Pinson, MD, FACP, CCS, and Cynthia Tang, RHIA, CCS will discuss the new Global Leadership Initiative on Malnutrition (GLIM) criteria. The speakers will also discuss how to navigate between physicians’ use of these standards, and how to square the recommendations with clinical expectations and rules governing code assignment.

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JustCoding News: Inpatient
editor@justcoding.com


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JustCoding's Member Spotlight

This month, we are pleased to introduce Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CRC, CCDS, director of HIM/coding at HCPro in Middleton, Massachusetts.

What has been your biggest professional challenge?

My biggest challenge is usually staying up-to-date with the ever-changing environment, whether it be new coding guidance, reimbursement regulations, or quality initiatives.

What has been most rewarding about your job?

By far, the students! I am blessed to have met and taught thousands of people over the past 16 years. I’ve met so many wonderful people.

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