Good morning everyone! My name is Denise and I am a certified coder and auditor for a nephrology practice. I have a dilemma, I have searched every which way possible on the web and posted this on my coding certification website. I had plenty of exposure, but no one responded. So now I am trying here Does anyone know where I can find an ICD-9 code for this diagnosis? Renal vein entrapment syndrome also goes by Nutcracker syndrome, and mesoaortic ...
Below is what appears to be conflicting guidelines in regards to querying based on clinical indicators. Any thoughts? AHIMA Managing an Effective Query Process: Article citation: “In situations where the providers documented diagnosis does not appear to be supported by the clinical findings, healthcare entities policies can provide guidance on a process for addressing the issue without querying the attending physician.” Guidelines for Achieving a Compliant ...
Does any one have a new cdis orientation check list that would be willing to share with me? We may be expanding in the future. Any assistance would be helpful. If so please email me. Thanks in advance. SSW swildt@georgetownhospitalsystem.org
Dr. Gold, When Auditor findings include the verbiage, " documentation not supported in the medical record to support acute hospitalization." Does this mean the patient was sicker than was documented or does it mean the patient was not sick enough to warrant inpatient admission? Best HB
I have had several people ask me how I keep the excitement alive in my department which has been in existence 8 years. It is not hard to do when Documentation Improvement is my love, passion and life. I continually look for areas of improvement and where we can go from where we are today. I am never satisfied with accomplishing only the basics... but push forward to reach for the stars. I firmly believe that Documentation Improvement is one of the most important departments in the ...
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