Archive for November 2018
Coding Tip of the Month – November 2018
The coding guidelines for BMI have been revised in two areas and extensive coding advice for BMI appeared in the Fourth Quarter 2018 Coding Clinic: The revised guidelines are: B.14 Documentation by Clinicians Other than the Patient’s Provider Code assignment is based on the documentation by patient’s provider (i.e., physician or other qualified healthcare practitioner…Read More
Expanding Clinical Validation: What Is It, and Why Is It Important?
In the CDI arena, there is an increasing focus on clinical validation – and for good reason. According to the Centers for Medicare and Medicaid Services’ (CMS) 2011 Recovery Audit Contractor (RAC) Statement of Work, “Clinical validation is a separate process [from DRG validation], which involves a clinical review of the case to see whether or not the…Read More