To assign an appropriate diagnosis related group (DRG), you must correctly identify present on admission (POA) indicators on all inpatient claims for services rendered in general acute care hospitals. This may be challenging if there are documentation deficiencies in the medical record. Here’s how to remedy those deficiencies. POA Review POA is defined as conditions ...
May 1st, 2012
With a trend moving toward hospital care, consider chargemaster basics. By Dorothy Steed, CPA, CPC-H, CPC-I, CEMC, CFPC, CPMA, CHCC, CPUM, CPUR, CPHM, CCS-P, ACS-OP, RCC, RMC As more physicians head under the hospital umbrella to furnish cost-effective care, opportunities are opening for coders in the facility environment. Your doctor may be considering a move ...
In CMS
Feb 1st, 2010
By Jillian Harrington, MHA, CPC, CPC-I, CCS-P Each October, the Office of Inspector General (OIG) reveals to us in their annual Work Plan what they will be working on with respect to Department of Health and Human Services (DHHS) programs and operations in the upcoming year. This plan can give you an idea of what ...
In Billing
Jan 1st, 2010
When clinically accurate documentation is achieved, everything else falls into place. By Nancy Reading, RN, BS, CPC, CPC-I In the past several years, health information managers have seen the introduction of new measurements and indicators that affect inpatient coding. Huge changes to Diagnosis Related Grouper (DRG) calculations, present on admission (POA) indicators, and quality measures ...
In Coding
Jan 1st, 2010
Physician office and hospital coding are sometimes two different worlds. By Dorothy Steed, CPC-H, CHCC, CPC-I, CPUM, CPUR, CPHM, CCS-P, CEMC, CFPC, ACS-OP, RCC, RMC, PCS, FCS, CPAR When physician coders/billers transition to a hospital environment, they frequently encounter difficulty without a clear understanding as to why. Hospital managers have positions to fill, but the ...