Clinical coding is a process by which descriptions of diseases, injuries or procedures are assigned a numeric or alphanumeric designation. Coding provides a mechanism for standardizing the recording ...
The need for autonomous coding solutions is multi-faceted and increasing. This need stems mainly from a shortage of qualified coding resources, staggering numbers of patient charts to code, constantly ...
On January 1, 2021, new evaluation and management (E&M) coding guidelines for clinical office visits go into effect across the US. These guidelines, which reflect the most significant change in E&M ...
The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...
Clinical Documentation Improvement: What Executives Need to Know and the Financial Impact of Neglect
Everything hospital executives need to know about the importance of clinical documentation improvement is summed up in one single fact: CDI fuels correct reimbursement and accurate quality reporting.
I recently met an entrepreneur who is building a product that automates part of the clinical coding process. The task is to read free-text clinical notes that summarize a patient encounter and return ...
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