MACRA is a Quality Payment Program (QPP) which replaces the current Sustainable Growth Rate (SGR) methodology and will streamline multiple current programs and reporting. This new framework will offer providers the opportunity to focus on quality health care rather than simply more care.
HIM professionals know that coding accuracy must be monitored and corrected when found to be below standard. At the same time, the speed at which records are coded must be efficient as healthcare organizations are faced with declining reimbursement and increased data collection.
It is the responsibility of the coder to assign codes based on documentation in the chart and as guided by the code-set and the official coding guidelines. But what happens when documentation in the chart is not clear cut?
When coding a patient with DM and peripheral angiopathy, peripheral vascular disease or peripheral arterial disease assume a link between the two conditions unless the… Read More »Coding Tip of the Month – April 2018
Unspecified diagnosis coding continues to be a problem in the US healthcare industry. For many organizations, overuse of nonspecific diagnosis codes has resulted in reimbursement delays and, in some cases, preventable claim denials.