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 ...

The number of diagnosis codes has expanded from 13,000 ICD-9 codes to 68,000 ICD-10 codes, with 78 percent of ICD-9 diagnosis codes mapping 1-to-1 with an ICD-10 code, either exactly or approximately.

A troubling trend among insurance companies is threatening orthopedic ASCs across the country: narrowing payable diagnosis codes for osteoarthritis of the knee. Surgeons need to prove patients have a ...

AS Malaysians grapple with rising healthcare costs and increasing insurance premiums, the government is exploring a new payment model aimed at curbing medical inflation, which is scheduled to be ...