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Inpatient coding audits need to be tailored to the type of record being reviewed, the time it may take to complete the audit, and any compliance-related issues that may crop up.
Trouble viewing? See it online! Wednesday, September 19, 2018
 

CE Articles
Coding managers: Assess the type, timing of your facility’s coding audits

Inpatient coding audits need to be tailored to the type of record being reviewed, the time it may take to complete the audit, and any compliance-related issues that may crop up. This article focuses on how coding managers can streamline these aspects to ensure a successful audit.

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Complex pneumonias: A target for external reviewers
William E. Haik, MD, FCCP, CDIP, writes that complex pneumonias can segregate to a higher-weighted MS-DRG than other pneumonia types, so reviewing clinical elements with your physician staff may help improve documentation and avoid adverse determinations by external reviewers for these conditions.
Managing inpatient denials: Reviewing for more than clinical indicators and coding guidelines
Allen Frady, RN-BSN, CCDS, CCS, CRC, says that defending code assignment against denials requires more than reviewing the denial to determine if the condition was coded and reported according to the coding guidelines; it requires an understanding of payer requirements as well.
Healthcare News: Early readmissions more likely to be preventable with hospital-based interventions
Early readmissions were more likely to be preventable and amenable to hospital-based interventions, according to a recent study published in the Annals of Internal Medicine.
Q&A: Principal diagnosis selection for patient with CKD, ARF
Q: Our team is having a hard time determining a principal diagnosis for a patient with a history of stage 5 chronic kidney disease (CKD) who is receiving chronic hemodialysis and is in acute renal failure (ARF) with volume overload. Which ICD-10-CM code should be the principal diagnosis?
 

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SelectCoder Tip of the Week

Assign ICD-10-CM code I43 (cardiomyopathy in diseases classified elsewhere) only when the clinical record supports a cause and effect relationship between the underlying disease process and cardiomyopathy.

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JustCoding's 2019 MS-DRG and ICD-10-PCS Code Updates Webinar

During this 60-minute program on Wednesday, September 19, expert speaker Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, will help you sift through the changes to various MS-DRG classifications and pinpoint changes of note for your facility, review the new and revised code descriptions for the 2019 ICD-10-PCS code set, determine potential areas of documentation improvement for new and revised codes, and answer specific questions during the live Q&A.

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Amanda Norris
Editor
JustCoding News: Inpatient
editor@justcoding.com


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JustCoding's Member Spotlight

This month we are pleased to introduce Mary Ann Polantz, RHIT, CCS, CCDS, who has 34 years of experience in coding and 45 years of experience in the healthcare industry. Mary Ann is currently a consultant at CBIZ KA Consulting Services, LLC, located in East Windsor, NJ.

What has been your biggest professional challenge?

My biggest challenge was probably the transition from working in a hospital setting to working in the consulting environment.

What has been most rewarding about your job?

Working with our clients to ensure accurate ICD-10-CM/PCS coding while recovering the revenue they may be leaving on the table.

Continue reading the member spotlight here.
 

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