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.
In the January 2018 edition of the peer-reviewed Journal of the American Health Information Management Association (JAHIMA), UASI corporate trainer Natalie Satori, MEd, RHIA, published an article that seeks to clear up some of the confusion surrounding clinical criteria, as they pertain to coding guidelines and clinical validation specifically for sepsis.
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