Search results for "Clinical Documentation"
Did you mean "clinical presentation"?
Sort by: Relevance | Newest | OldestICD-10-CM specificity: The sky isn't falling
ICD-10-CM allows much greater specificity of diagnosis codes, it will require little more from physicians than ICD-9
https://acphospitalist.acponline.org/archives/2015/07/ICD-10-CM-specificity.htm
15 Jul 2015
Revisiting respiratory failure
Patients with congestive heart failure, pneumonia and chronic obstructive pulmonary disease are particularly susceptible.
https://acphospitalist.acponline.org/archives/2013/10/coding.htm
15 Oct 2013
6 ACP Hospitalist • August 2018 coding corner Documentation ...
Pinson, MD, FACP. The currently preferred clinical terminology of “chronic kidney disease” or CKD should be used in diagnostic documentation. ... A significant conflict exists between the clinical documentation standards and ICD-10-CM coding practices for a patient who has had a kidney transplant.
https://acphospitalist.acponline.org/archives/2018/08/acph-201808-coding-corner-chronic-kidney-disease-including-transplants_t2.pdf
31 Jul 2018
acp-hosp0905.qxd
DOCUMENT CAUSE AND RELATEDFACTORS. Physician documentation of the specific cause of a skin ulcer isimportant to accurate coding. ... billing and clinical documentation improvement consultation for. hospitals throughout the U.S., including the state of New York’s.
https://acphospitalist.acponline.org/archives/2009/05/acph-200905-coding_t1.pdf
20 May 2009
Acute exacerbation of COPD
Diagnosis, treatment, and follow-up of acute exacerbation of COPD in a 67-year-old man.
https://acphospitalist.acponline.org/archives/2016/04/morning-report-COPD.htm
15 Apr 2016
Using observation services
Hospitals often struggle to achieve compliance with CMS regulations for determining whether a patient should be classified as an inpatient or an outpatient with observation services.
https://acphospitalist.acponline.org/archives/2009/11/coding.htm
15 Nov 2009
Ten techniques to redeem copy-and-paste documentation
A practical guide to alleviate errors and restore credibility.
https://acphospitalist.acponline.org/archives/2014/07/EHRS.htm
15 Jul 2014
acp-hosp0000
Table 2. Components of physician participation in clinical documentationimprovement programsAwareness. Participate in clinical documentation improvement(CDI) educational activities. ... Understand impact and objectives of CDI. Ask questions and contact clinical documentation specialist (CDS) if needed.
https://acphospitalist.acponline.org/archives/2014/11/acph-201411-coding_t2.pdf
17 Nov 2014
Helping patients follow their heart (failure meds)
Partnership between clinicians and pharmacy improved medication adherence after discharge.
https://acphospitalist.acponline.org/archives/2018/05/success-story-helping-patients-follow-their-heart-failure-meds.htm
15 May 2018
More on COPD documentation and coding challenges
Additional advice offered on accurately coding the severity of chronic obstructive pulmonary disease.
https://acphospitalist.acponline.org/archives/2017/06/coding-copd-documentation-part-2.htm
15 Jun 2017