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The boundaries of clinical judgment have always been clearly defined. They belong to the provider, and are supported by documentation, clarified through compliant queries, and governed by regulatory standards that ensure the integrity of the medical record. What has remained constant is accountability.
That accountability is now being challenged.
On May 1,...
Bear with me as I begin this article with the origins of health information (HI) professionals and the American Health Information Management Association (AHIMA).
HI professionals were once known as “medical record librarians” who were trained in library science, allowing them to collect, organize, index, and preserve patient records.
As professional coders, we know it is hard to know everything about every type of coding, from inpatient to outpatient, from long-term care to post-acute care, and from CM to PCS to CPT. Single-path coding is a workflow model that may remove some of the roadblocks to coding productivity.
In single-path coding, one coder does it all. They code the encounter for the ...
The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2027 fiscal year (FY) signals another major acceleration in Medicare’s transition toward mandatory value-based care.
Among the most significant proposals is the Centers for Medicare & Medicaid Services (CMS) plan to expand the Comprehensive Care for Joint Replacement (CJR) Model nationwide thr...
When is code 33886 reported and what is included?
Answer:Code 33886 is reported for delayed placement of distal extension prosthesis(es) for endovascular repair of the descending thoracic aortic aneurysm, false aneurysm, dissection, endoleak, or endograft migration. Code 33886 includes pre-procedure sizing and device selection, nonselective catheter...