Search results for "Clinical Documentation"


 
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Insufficient insufficiency

Physicians often use the term renal insufficiency to communicate the status of a patient’s renal function, but this isn't enough when the medical record supports a more specific condition.
https://acphospitalist.acponline.org/archives/2009/03/coding.htm
15 Mar 2009

Documenting adverse drug reactions and poisonings

Adverse effects of a correctly administered drug or drugs must be coded and reported differently than the misuse of a drug, which is classified as “poisoning” in ICD-9-CM coding.
https://acphospitalist.acponline.org/archives/2010/01/coding.htm
15 Jan 2010

Is it sepsis?

John Doe was brought to the emergency department by ambulance from a local nursing home.
https://acphospitalist.acponline.org/archives/2009/02/coding.htm
15 Feb 2009

Medicare reports on the 2016 Physician Fee Schedule Value Modifier

For physicians who haven't begun working on the Value Modifier, 2016 is the year for immediate action.
https://acphospitalist.acponline.org/archives/2016/05/coding-physician-fee-schedule-value-modifier.htm
15 May 2016

Physician advisor as a career path

These physicians help ensure compliance with regulatory issues and advise on medical necessity and documentation needs.
https://acphospitalist.acponline.org/archives/2021/03/coding-corner-physician-advisor-as-a-career-path.htm
15 Mar 2021

10th Annual Top Hospitalists issue

Meet our 2017 Top Docs.
https://acphospitalist.acponline.org/archives/2017/11/10th-annual-top-hospitalists.htm
15 Nov 2017

Connecting the causes and codes for pneumonia

The rules that govern code assignment for pneumonia bear little relationship to long-accepted clinical documentation practices.
https://acphospitalist.acponline.org/archives/2016/08/coding-pneumonia-causes.htm
15 Aug 2016

acp-hosp0000

CODING CORNER. Table 3. Tasks of physician advisors inclinical documentation improvement programs Review records referred by the clinical documentation. ... improvement (CDI) team in a timely manner. Resolve clinical documentation specialist/coder mismatches of diagnosis-related groups.
https://acphospitalist.acponline.org/archives/2014/11/acph-201411-coding_t3.pdf
17 Nov 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_t1.pdf
17 Nov 2014

Syncope, latent TB, and perioperative aspirin

Summaries from ACP Hospitalist Weekly.
https://acphospitalist.acponline.org/archives/2018/05/recent-research.htm
15 May 2018

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