Inside Angle

From 3M Health Information Systems

Tag: documentation

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Closing the coding and documentation denial gap

Aug. 18, 2021 / By Keri Hunsaker

Reducing denials is a top priority for every health care organization and revenue cycle department. The ultimate goal is to somehow create a process that eliminates the need to review […]

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Documentation and coding for HCCs in the wound care setting

July 12, 2021 / By Bobbie Starkey

As Medicare Advantage (MA) organizations report chronic disease conditions using ICD-10-CM encounter data to the Centers for Medicare and Medicaid Services (CMS) for use in the hierarchical condition category (HCC) […]

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Physician documentation: Let’s not solve one problem by causing another

May 19, 2021 / By L. Gordon Moore, MD

As part of a clinical improvement project, I was reviewing charts in a hospital and was dismayed by how much junk I had to wade through to find out what […]

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Breathing air into ARDS: Understanding a common manifestation of COVID-19

March 10, 2021 / By Audrey Howard, RHIA, Sue Belley, RHIA

Since the start of the pandemic, health care professionals have focused on understanding acute respiratory distress syndrome (ARDS) as a manifestation of COVID-19. Although ARDS was first clinically recognized in […]

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The value of encounters: It’s about time

July 6, 2020 / By Allison Morgan, MS, CPC

Time flies… 2021 is approaching quickly, bringing with it anticipated E/M changes. A primary focus of the upcoming changes is the element of time and its evolving role in CPT […]

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The symptoms of poor clinical indications in professional coding

July 19, 2019 / By Allison Morgan, MS, CPC

During a recent webinar I attended, participants were asked about their biggest documentation challenge as professional coders. Almost half of the attendees reported that vague or absent language in the […]

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ICD-10 diagnosis coding: The impact of equivocal language

April 17, 2019 / By Karla VonEschen, CPC, CPMA

Spring means different things depending on what part of the country you live in. For me, spring means melting snow, flowers and spring cleaning. This also seems like a good […]

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Seeing pink in February: Documentation specificity with breast studies

Feb. 18, 2019 / By Allison Morgan, MS, CPC

Every October we see pink during breast cancer awareness month. However, with the recent 2019 CPT updates that took effect January 1, the addition of some new breast-related codes reminded […]

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Winter injuries: Documenting to tell the story

Jan. 25, 2019 / By Karla VonEschen, CPC, CPMA

Welcome 2019! For me, this time of year means mostly freezing temperatures and snow, but I have Scandinavian blood and remind myself it’s the life I choose. I live in […]

Doctor and nurse reviewing medical chart in clinic

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Differing perspectives of the medical record

Jan. 21, 2019 / By Sheldon Barlow

The medical record is unique because it is written for various reasons and looked at from various perspectives. It is not only a written representation of a face-to-face medical interaction […]

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CMS clarifies the CC & ROS documentation changes for E/M services for 2019

Dec. 19, 2018 / By Barbara Aubry, RN

Yesterday, I saw a new release from CMS clarifying documentation requirements for E/M services in 2019. Little has changed about the data that needs to be collected, but there has […]

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A look back at popular blogs of 2018

Dec. 17, 2018

Thank you to all the readers of the Inside Angle blog! As we look ahead to 2019, here are some of our most popular blogs of the year:    “CPT […]