CE articles Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer, writes about key details in documentation that coders will need to look for in order to report procedures using the root operation Dilation.  The AHA's Coding Clinic for ICD-10-CM/PCS, Third Quarter 2015, opens with a discussion of the differences between excisional and non-excisional debridement-diagnoses with a long history of coding and clinical documentation confusion, explains Sharme Brodie, RN, CCDS. Barbara A. Anderson, RN, MSM, says that in 2014, 66% of 318 hospitals surveyed by AHIMA had a CDI program in place. Anderson explains how CDI programs can be a valuable bridge between clinical care and coding at hospitals, and gives examples on how to improve upon a facility’s program. On March 9 and 10, CMS held the ICD-10 Coordination and Maintenance Committee meeting to discuss approving changes, additions, and other modifications to the ICD-10 code set. Q: Can you clarify the expectations related to documenting the discussion between a physician and a clinical documentation improvement specialist when a query is done verbally? The 2013 ACDIS/AHIMA physician query practice brief Guidelines for Achieving a Compliant Query Practice expanded on the need to document this interaction and we’re wondering if our process is compliant.
Spotlight Many coders had their ICD-10 training long before ICD-10 implementation. Now that the new code set is here, it’s important to make sure you are coding accurately. Whether you completed HCPro's Certified Coder Boot Camp®—Inpatient Version or you need to further your inpatient coding knowledge beyond the basics, this course is for you. Certified Coder Boot Camp—Inpatient Master Class is an intermediate-level course designed to help coders develop and maintain their ICD-10 coding skills. Get ample practice coding real medical and surgical inpatient records that cover several chapters within the ICD-10-CM/PCS manuals. During the course, participants can have their questions answered to make sure they are coding inpatient records completely and accurately. For more information or to order, call 800-650-6787 and mention Source Code EZINEAD or visit the HCPro Healthcare Marketplace.
News Headlines March 23, 2016 March 23, 2016
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