Archive for August 2021
Top 10 Documentation and Coding Issues for Hospitals in 2021
Make sure you are addressing these top documentation and coding compliance concerns. Risk-based review of inpatient DRG cases, examples include: RAC DRG targets; PEPPER targeted DRGs COVID related inpatient discharges Clinical indicators, cases at risk for clinical denials (e.g. Sepsis, CHF, ARF, severe malnutrition, encephalopathy) IP cases with only 1 MCC/CC code or HAC/PSI cases…
Read MoreReporting Percutaneous Ventricular Assist Device Insertion – August 2021 Coding Tip
Learn more about codes 33995 and 33997, which are new to the 2021 Current Procedural Terminology (CPT).
Read MoreSenior Consultant – IP/OP Auditor
We are currently seeking an experienced Coding Auditor to join our HIM consulting team working remotely from a home office.
Read MoreFY 2022 IPPS MS-DRG Final Rule Updates
The annual final rule from the Centers for Medicare and Medicaid Services (CMS) regarding the Inpatient Prospective Payment System (IPPS) MS-DRGs was issued on August 2, 2021. [1] This final rule is effective October 1, 2021. [2] It was proposed in April that 3,490 unspecified diagnosis codes currently designated as either CC or MCC would…
Read MoreCY 2022 OPPS Proposed Rule
On July 19th the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 Outpatient Prospective Payment System (OPPS) proposed rule. [1] After a comment period, the final rule will be published in November 2021. Notable changes proposed for CY 2022 include: A net increase in OPPS payment rates of 2.3% over…
Read MoreShock CDI Scenario – August 2021
H&P: 58 yr old male with chest pain and SOB presents to the ER. Troponins ordered along with EKG revealing nonspecific ST changes with rising levels. Cardiology consult for NSTEMI with orders for ASA 325mg x1, Nitropaste, and o2. While waiting on consult, patient became lethargic and pale with fingertip cyanosis noted. Repeated VS showed:…
Read MoreFHIMA 2021 Recap
The 2021 Florida Health Information Management Association (FHIMA) Annual Convention took place July 19-21 in Orlando. UASI sent Regional Market Manager Brad Allen, Vice President of Strategic Initiatives Michael Burke, and Vice President of Corporate Development Nancy Koors to the Sunshine State in order to catch up with Florida HIM professionals. Although the Convention was…
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