Education and Tips
Learn useful information and tips used in the industry.
Coding Tips Obesity and morbid obesity are always clinically significant and reportable when documented by the provider. (Coding Clinic 4th Quarter 2018 p.77). 1) being 100 lbs or more above ideal body weight; or 2) having a BMI of 40 or greater; 3) having a BMI of 35 or greater with one or more obesity… Read More »Adult Obesity/Morbid Obesity with BMI >35
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CKD as defined by NKF KDOQI: kidney damage for >3 months • For CKD to be diagnosed, one of the following criteria must be present for >3 months: • CKD stage is determined by the stable GFR: Stage GFR ESRD Dialysis-dependent stage 5 Provider documentation should be clear if… Read More »Chronic Kidney Disease
Read More• Neonatal sepsis: a systemic infection, usually bacterial, occurring during the neonatal period (the first 90 days after birth). • Early-onset sepsis (EOS): (birth to 7 days of life) usually occurs in the healthy full-term infant. It can be due to infection by the bacteria found in the mother’s… Read More »Coding Tip of the Month: Pediatric Sepsis
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Last week we posted Part 1 of this blog that covered our first 3 tips on how to engage your remote HIM employees. Hopefully, you’ve implemented at least one of those tips. Now for Part 2 with the additional 4 tips: 4. Share good news with the team when someone is successful or gets a… Read More »7 ways to engage your remote HIM employees (part two)
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It’s not new news that work as we knew it has changed dramatically over the past few years with more employees working remotely than ever before. While this is a newer phenomenon for many HIM employees, at UASI we’ve been working this way for over 20 years. In order to recruit and retain the best… Read More »7 ways to engage your remote HIM employees (part one)
Read MoreDiagnostic Criteria for Acute Respiratory Failure in Pediatric Patients Provider documentation often describes the patient’s symptoms and assessment without stating the words “acute respiratory failure.” If clinical indicators support the presence of acute respiratory failure, a query should be sent. Providers frequently use templated notes that are copied/pasted into subsequent notes. This is a great… Read More »CDI Tip: Pediatric Respiratory Failure
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The accurate classification and documentation of diseases are key, especially in the case of neoplasms. The importance of precise diagnosis coding cannot be overstated. With advancements in medical knowledge and technology, understanding the intricacies is crucial for healthcare professionals striving to provide optimal care for their patients.
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As we step into 2024, the landscape of healthcare continues to evolve, with Medicare introducing significant updates in evaluation and management (E/M) coding. Among the most notable changes is the introduction of new care management codes, promising to streamline and enhance the delivery of patient care for Medicare beneficiaries.
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