Hospitals are facing a steady rise in payment disputes over their assignment of a Diagnosis Related Group (DRG). These disputes fall into two ...

On April 1, your revenue cycle will have additional diagnosis code options to further capture social determinants of health. The CDC just released upcoming changes to both the ICD-10-CM diagnosis code ...

Diagnosis-related group coding determines eligibility for many Medicare bundled payment initiatives. This approach excluded many patients with chronic obstructive pulmonary disease likely to benefit ...

Don't code hospital records prematurely, warns Donna Wilson RHIA, CCS, CCDS, senior director at Compliance Concepts, Inc. Wilson's advice follows a recent article from The Centers for Medicare & ...

ICD-10-CM coding can be challenging for coders in the outpatient setting. It is important to remember that the Official ICD-10-CM Guidelines for Coding and Reporting provide a road map to ensure ...

Two ICD-9-CM diagnosis codes are no longer eligible for a co-morbidity payment adjustment under the End-State Renal Disease Prospective Payment System, according to a release by the American ...

Diagnosis-based payment systems can create incentives to upcode patients to a higher level of severity to increase payment. In some instances, upcoding can be a form of fraud if providers code ...