Healthcare organizations concerned about how to record data on patients’ social determinants of health are allowed to use non-physician documentation to support ICD-10 coding for common socioeconomic issues, says the…
As coders grow and mature in their knowledge of and experience with ICD-10, it's critical hospital administrators recognize best practices and pinpoint coding deficiencies for continued improvement. H.I.M. ON CALL…
A patient's medical record involves systematic documentation of care and treatment including examinations, tests, medications, therapies and more. A complete and accurate record of this sensitive information must be maintained…
It is only two years until the compliance date for the ICD-10 code sets and yet not enough hospitals have yet begun readiness assessments and impact analyses, said Jim Jacobs,…