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Use Data Mining Findings as a Tool to Support CDI Education
Author: Easterling, Sharon; Endicott, Melanie; Lojewski, Tedi; Maccariella-Hafey, Patricia C; Martin, Ginny
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: July 2014
Clinical validation involves the clinical review of a case to determine whether or not the patient truly possesses the conditions documented in the health record. Productivity and coding quality often suffer when the health record lacks accurate documentation to support the claim, and cur....
Utilizing the CMS Website for Additional Coding Direction
Author: DeVoe, Megan
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2018
By Megan DeVoe, CCS
Editor’s Note: This is the final article in a three-part series on how to master the information available on the Centers for Medicare and Medicaid Services website.
Have you ever wondered how a code bec....
What’s the Difference? SNOMED CT and ICD Systems are Suited for Different Purposes
Author: Stearns, Mike; Fuller, Jan C.
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2014
The International Classification of Diseases (ICD) and SNOMED CT are similar in that both systems have alphanumeric codes associated with clinical concepts. But the systems differ in their purpose and structure, and are best used in different ways in healthcare. For starters, ICD is a cla....
When Guidelines Depend on the Setting: Comparing, Contrasting Facility Reporting and Professional Fee Coding
Author: Arner, Kathy
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2007
Coding for facility and professional services on the same encounter can be confusing. This article outlines the differences in guidelines between the two coding types.
The Setting Factor
Over and over, coding professionals have been tol....
Where to Find Answers to Your Coding Questions
Author: Brouch, Kathy L.
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2003
For more information on physician queries, see the "Developing a Physician Query Process" practice brief in the October 2001 Journal of AHIMA and in the FORE Library: HIM Body of Knowledge in the Communities of Practice at www.ahima.org.
Is obtaining an answer to a coding question a daunting t....
WHO Releases ICD-11 Preview
Author: Palkie, Brooke; Kerr, Katie MA, RHIA
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: October 2018
By Katie Kerr, MA, RHIA, and Brooke Palkie, EdD, RHIA
The World Health Organization (WHO) released ICD-11 in June 2018, 18 years after the launch of ICD-10. It has been hailed as a vast improvement and was released in a completely electronic format th....
Wound Care in the Outpatient Setting
Author: Hundal, Ripandeep K
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2016
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. Wounds are typically due to accidental injury but may also result from surgery, stitches, or chronic disease processes.1
Wound care involves evaluation,....
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