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Basics of Clinical Documentation Improvement CDI stands for Clinical Documentation Improvement, a specialist which play a vital role in healthcare system. CDI along with coders can help a lot in improving the documentation and accurate coding of medical charts. CDI specialist are typically registered nurses. They carry a Certified Clinical Documentation Specialist (CCDS) credential as … Read more
There are many surgical and non-surgical procedures performed using different approach. If you know about the approach of a procedure, it can help in finding the correct CPT or ICD-10 PCS codes. This way it will be a great help for both outpatient and inpatient coders. Being an outpatient coder, I generally come across the … Read more
Basics of Kcentra ICD 10 PCS Kcentra is a prescription medicine used to treat the symptoms of Vitamin K Antagonist Reversal. Kcentra may be used alone or with other medications. Kcentra belongs to a class of drugs called Blood Components; Hemostatics. It is not known if Kcentra is safe and effective in children. Its Generic … Read more
As a medical coder, I always wanted to learn all the coding facilities. The best thing I like about medical coding is that, you can learn everything here. The amount of knowledge you gain while coding a medical report is unbelievable. Initially people have difficulty in coding a medical report, but when they know everything … Read more
CMS also released Medicare Severity Diagnosis-Related Group (MS-DRG) V39.1 The Centers for Disease Control and Prevention (CDC) released its April 1, 2022 diagnosis files on Dec. 23, 2021. The updated files include a Tabular Addendum, Index Addendum, Official Coding and Reporting Guidelines update, ICD-10-CM Order File, and List of Codes and Descriptions. The Tabular Addendum … Read more
What is Inpatient? Inpatient refers to a patient who is formally admitted to a hospital upon the orders of the physician who then admits the patient for an extended stay. The inpatient coding system is used to report a patient’s diagnosis and services based on his extended stay. In Inpatient coding, same ICD 9/ICD10-CM codes … Read more
We have learned a lot about outpatient coding, diagosis coding guidelines and CPT codes. But, today we will try to learn about inpatient coding guidelines. Here also, we have a lot of terms like POA indicators, Comorbid condition and complications which need to be learnt before coding inpatient charts. I have shared lot of information … Read more
The Inpatient Prospective Payment System (IPPS) Final Rule for Fiscal Year 2021 (FY 2021) went into effect for acute care hospital discharges on October 1, 2020. The final rule was published on the Centers for Medicare and Medicaid Services (CMS) website on September 2, 2020 and was published in the Federal Register on September 18, 2020. The … Read more
Basics for Root operation Insertion in ICD 10 PCS coding ICD 10 PCS codes have been introduced along with ICD 10 codes in 2016. We all know now the main difference between ICD 9 and ICD 10 diagnosis codes. For medical coders ICD 10 and ICD 10 PCS codes are new in medical coding. From … Read more
Medical coding professionals needs to carry credentials or certification for a growth in their career. I have already written a lot about CPC (Certified Professional Coder) exam conducted by AAPC. You would have now got all the important tips for preparing and clearing CPC exam. But, today we will talk of CCS (Certified Coding Specialist) … Read more