Archive for January 2021
UASI in JAHIMA: COVID-19 ICD-10-CM Coding Timeline for Outpatient Services
By Mary H. Stanfill, MBI, RHIA, CCS, CCS-P, FAHIMA; Pat Maccariella-Hafey, RHIA, CDIP, CCS, CCS-P, CIRCC; Christi LeBlanc, MBA, RHIA; and Janice Noller, RHIA, CDIP, CCS, CICA When COVID-19 emerged in early 2020, new ICD-10-CM codes to identify this condition were not available. Subsequent ICD-10-CM codes and guidelines for reporting COVID-19 changed many times as the pandemic…
Read MoreThe 3 Main Differences between Inpatient and Outpatient CDI
Inpatient and outpatient clinical documentation improvement (CDI) share a common goal: to ensure accurate and complete documentation that reflects the care given to the patient. Inpatient and outpatient CDI also have individual goals such as: Inpatient- Accurate and appropriate diagnosis-related group (DRG) assignment by capturing comorbidities (CC) or major comorbidities (MCC) and quality metrics like…
Read MoreCoding Tip of the Month – January 2021
New Add-On-Code 57465 Computer-Aided Mapping of Cervix Uteri New to Current Procedural Terminology 2021 is the add-on-code 57465. This code was created for the Female Genital System/Endoscopy subsection of the Surgery section to report computer-aided mapping of cervix uteri during colposcopy. +57465 Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and…
Read MoreFirst Quarter 2021 – Client Newsletter
Click here to download UASI’s client newsletter from the first quarter of 2021.
Read MoreUASI in JAHIMA: Top Ten Tips for Denials Management
It has become increasingly important for health information management (HIM) departments to have strategies for tackling denials management. It is in every organization’s best interest to develop a proactive approach to denials management. While many are already doing this work, consistent and constant management of the denials process is essential. The following list—while not exhaustive—includes…
Read MoreInpatient to Outpatient CDI: Understanding the Similarities and Differences – UASI Lunch and Learn: CDI Program Management Series
Click the button below to download a PDF copy of Staci Josten’s Lunch and Learn, “Inpatient to Outpatient CDI: Understanding the Similarities and Differences.”
Read MoreMonthly CDI Scenario Discussion – January 2021
Topic: Obesity severity/specificity in a pediatric case H&P: 8 y/o otherwise healthy male presents with fever, poor intake, and rash that progressively worsened over the last 7 days. Patient had throat pain and fever a week ago and was given a 10-day course of amoxicillin. Following the initiation of the amoxicillin, patient developed a rash…
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