Medical Necessity

Measuring CDI Performance: A Truthful Conclusion

Task-based, outcomes measurement versus process improvement generally does not support sustainable long-term results. I was recently asked by a chief financial officer (CFO) what other

Read More

Nine Elements of an Effective CDI Program

These foundational elements are essential to assure that there is a better way to improve CDI. Clinical Documentation Integrity (CDI) programs continue to evolve over

Read More

Medical Necessity versus MDM: There is a Difference

Many healthcare professionals use these terms interchangeably. Medical decision-making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity

Read More

A CDI Revolution Unfolding

As the provision of healthcare changes, so too must clinical documentation improvement. I have always been convinced of the strong capabilities of current clinical documentation

Read More

Chronic Conditions: Code or Not to Code MCCs

Understanding the correct use of chronic condition codes in the coding process. Coders are often confused regarding when they should code co-morbid chronic conditions and

Read More

The Controversy Continues: Medical Necessity versus MDM

“Medical necessity” is a much-used but often-misunderstood concept. After our recent four-part series on the “Pitfalls of an Audit” and our last Talk Ten Tuesdays

Read More

Risks Associated with Critical Care Coding

Questions abound when reporting critical care services. Reporting Adult Critical care can be complicated. It is not only the coding but the rules and that

Read More

Featured Webcasts

Implantable Medical Device Credit Reporting for 2023 – What You Need to Know

Learn how to save your facility hundreds of thousands of dollars in repayments and fines by correctly following CMS requirements for implantable medical device credit reporting. We provide you with all the need-to-know protocols, along with the steps for correct compliance while offering best practices to implement a viable strategy in your facility.

January 25, 2023

Trending News

Featured Webcasts

Trending News