Clinical & Coding

With all of the attention around the increased specificity of ICD-10-CM codes, facilities are concerned that documentation will lack sufficient...Read More »

by Robert S. Gold, MD

The goals of coding should always be ensuring data accuracy and capturing a patient’s true clinical picture....Read More »

Clinical documentation plays a vital role in all coding. It is especially important, however, when reporting conditions such as stroke, which more...Read More »

Q: A 79-year-old male nursing home patient presents with lethargy, confusion, and fever after failing an outpatient course of Bactrim for...Read More »

Most of the cases that HIM professionals code are straightforward; some are more difficult, and a few just drive them crazy. Consider the benefits...Read More »

By Jennifer Avery, CCS, CPC, CPC-H, CPC-I

Invest in computer-assisted coding (CAC) now because of its potential positive impact on productivity and quality, says Gloryanne Bryant, RHIA...Read More »

The most recent issue of the Medicare Quarterly...Read More »

Q: I am unsure how “ribs” are categorized in ICD-10. I don’t understand if taking one rib is considered a resection or an excision and why...Read More »

by Linda Renee Brown, RN, MA, CCDS, CCS, CDIP

I realize that many of the faithful members of ACDIS are, indeed, coders, but most...Read More »