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Beyond auditing for code assignment, coding reviews also provide an opportunity for you to conduct a thorough compliance evaluation that not only addresses other components of the coding process but also the integrity of the patient’s record.
Trouble viewing? See it online! Wednesday, July 11, 2018
 

CE Articles
Conducting thorough compliance reviews through coding audits

Rose T. Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, writes that beyond auditing for code assignment, coding reviews also provide an opportunity for you to conduct a thorough compliance evaluation that not only addresses other components of the coding process but also the integrity of the patient’s record.

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Clarifying recent ICD-10-CM Salter-Harris fracture coding advice
Erica E. Remer, MD, FACEP, CCDS, reviews recent Coding Clinic guidance surrounding the code assignment of a Salter-Harris type I physeal fracture of the third metatarsal bone of the left foot.
Diagnostic clues can help form a compliant ICD-10-CM query for undocumented diagnoses
In many cases, knowing when to query is simple, but the more challenging cases contain clues that require additional interpretation. Drew Siegel, MD, CCDS, takes a look at a few of the more interesting and often undocumented diagnoses, including respiratory failure and acute kidney injury, and points out the diagnostic clues to form a compliant query.
Healthcare News: Surviving Sepsis Campaign releases guideline update
The Surviving Sepsis Campaign recently released a 2018 update to guidelines for the care of patients with sepsis. The update includes a new “hour-one bundle” which replaces previous versions of the Surviving Sepsis Campaign guidelines.
Q&A: Reporting hemodialysis and CKD in ICD-10-CM with a failed transplant
Q: In ICD-10-CM, how would you report a patient who is receiving hemodialysis and has chronic kidney disease (CKD) when a failed kidney transplant is also documented?
 

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SelectCoder Tip of the Week

When a condition classifiable to ICD-10-CM code category N26.- (unspecified contracted kidney) is present in combination with a diagnosis of hypertension, then I12.9 (hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease) should be assigned followed by the appropriate N26.- code.

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Learning the ins and outs of auditing and refining your internal coding audit process is the first step in avoiding denials. The Essential Guide to Coding Audits takes an in-depth look at the coding auditing process, ranging from external audits and accuracy rates to structuring your own internal coding audit program, to help facilities with increased challenges raised by ICD-10-CM.

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JustCoding's Member Spotlight

This month, we are pleased to introduce Kathy Dorich, RN, CCDS, CHPQ, who has over 30 years of acute care experience and 10 years of experience in CDI.

Why did you get into this line of work? 

After working in quality department of an acute care hospital, I was asked to lead a team of nurses who specialize in CDI. The hospital saw the value of CDI and decided to expand the team and formalize the program.

Continue reading the member spotlight here.

JustCoding is always looking for more members to feature in this section. If you’d like to share your coding story, please email editor Amanda Norris at anorris@hcpro.com.
 

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