If communication fails between physicians and ambulatory surgery center coders, your ASC could end up coding claims inappropriately and receiving too little or too much money for a procedure. If your ...

The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...

Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement? A:With only a few exceptions, ICD-10-CM code assignment must be based on documentation by the ...

Regulatory demands, quality reporting requirements and value-based bundled payments have prompted provider documentation initiatives to improve accuracy, yet these programs often exacerbate the ...

Like many aspects of healthcare, clinical documentation is a complex yet necessary process. It is tied to more than just health information management functions; it is also essential to a hospital’s ...