Coding Tip of the Month – October 2019

CKD, Hypertension and Diabetes Mellitus: The Third Quarter 2019 Coding Clinic provided additional explanation and interpretation  in regard to assuming a cause and affect effect relationship between CKD,  hypertension and diabetes mellitus. Although previous advice regarding CKD, hypertension and diabetes provided in Fourth Quarter 2018  was not mentioned in the Third Quarter 2019 advice comparing…

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Six Rules for Successful Denials Management

How to Get From Revenue Integrity to Revenue Intelligence For health systems and hospitals, claims denials have a significant impact on overall financial performance. From lost charges and Medicare/Medicaid cost outliers to defensive and forensic audits, the impact can reach into the tens of millions of dollars for large systems. The regulatory consequences can also…

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UASI Monthly CDI Scenario Discussion – October 2019

Topic: Clinical Validation: Acute Post Operative Pulmonary Insufficiency/Acute Postoperative Respiratory Failure Scenario: H/P: 65 y/o male with past medical history of DMII, HLD, HTN, and obesity admitted with chest pain worse on exertion. Medications: Insulin, Metoprolol, Lisinopril, ASA, Crestor. BMI 34. Patient had a positive stress test. Cardiac cath shows severe three vessel disease and…

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The US ICD-11 Implementation

UASI Solutions

When will ICD-11 be implemented for morbidity reporting in the US? That’s a question everyone wants the answer to, but the answer is not yet known and there is presently too much uncertainty to accurately predict an implementation date. The World Health Assembly adopted ICD-11 in May 2019. Anticipating that, the HHS Secretary tasked the…

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