Oct 18th, 2017
Working remotely or offsite has become the new normal for coders, making the art of communication more important than ever. But with such a large influx of young coders, it’s difficult for many who have grown up with texting as a primary form of communication to remember to use complete words and sentences. As such, ...
Failing to thoroughly document signs and symptoms, assessments, and treatments of chronic diseases creates a ripple effect of misfortune. First, all relevant codes are not captured; this leads to improper payment (not to mention, an injustice to the patient). The next thing you know, the claim fails a Risk Adjustment Data Validation (RADV) or Office ...
In Coding
Aug 2nd, 2016
When medical documentation is unclear or incomplete, the coder’s job is to query the provider. This can be done verbally or in writing, but not in an email or with a sticky note in the chart. With the introduction of electronic medical records (EMR), best practice is for queries to be in writing via messaging ...
With a little encouragement, you can rise to challenges and become the “go-to” person. If you answer yes to any of these questions, you need some professional encouragement: Do you sometimes think you will be where you are in your coding career forever?  Do you feel unheard or disregarded by your providers? Are you too ...
Sep 30th, 2015
by Pamela J. Haney, MS, RHIA, COC, CIC, CCS ICD-10 is finally a reality. We have learned to code diagnoses with ICD-10-CM, mastered the root operations in ICD-10-PCS, and we are ready to put our new skills to work. Documentation challenges plagued us in ICD-9 but become more challenging with ICD-10 due to the increased ...