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CDI in the Outpatient Setting: Finding the 'Hidden Gems' of Opportunity for Improvement

Author: Merriweather, Kay; Slater, Leslie; Bohley, Michele

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: July 2017



“If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming the center of healthcare in th....

Beyond APCs: New Challenges with Outpatient Coding, Compliance, and Reimbursement. Do You Know Where You Stand?

Author: Bohley, Michele; Kost, Beth

Source: AHIMA Convention

Publication Date: October 21, 2005

Presentation Overview

Effective August 1, 2000, Medicare began making payments for certain services provided in a hospital ambulatory outpatient setting based on Ambulatory Payment Classifications (APCs). Many facilities are still struggling with accuracy of coding and documentation and m....