documentation: all articles most popular
February 12, 2017
Carl Natale

How technology can improve patient care and ICD-10 data care

The debate over the usefulness of ICD-10 data often glosses over a basic point: Physicians resent recording the data — even if it's called clinical documentation.
February 08, 2017
Carl Natale

Why coding audits are features not ICD-10 glitches

It feels weird to consider an increase of coding audits to be a benefit of ICD-10 implementation, but that's what Susan Belley is going for in her Health Management Technology column.
January 19, 2017

Medical practices need to brace for coding challenges

Healthcare is a constantly evolving industry. Medical knowledge thankfully increases constantly. But the regulatory and financial structures offer less welcome evolution.
January 11, 2017

ICD-10 coding is only as good as the documentation

It's worth emphasizing that healthcare providers cannot code what has not been documented in the clinical notes or reports. Even when it means leaving money on the table.
December 07, 2016
Carl Natale

Four needed elements in ICD-10 queries

There should be no question anymore. ICD-10 codes need to be as specific as as possible. But Stephanie Ellis of Ellis Medical Consulting in Franklin, Tennessee, has found that missing specificity is a common coding error.
October 25, 2016
Carl Natale

ICD-10 codes and documentation need to get more specific

It's too early to tell if the end of the ICD-10 specificity grace period is having any effect, but there are signs of optimism that heathcare providers will get more specific without much trouble.
June 29, 2016
Carl Natale

The best ICD-10 query is the one not written

If you're going to query physicians when creating an ICD-10 claim, you better do it right. Or better yet, not do it at all.
June 20, 2016
Carl Natale

How to improve ICD-10 queries

From the little information being shared, one of the frustrations associated with ICD-10 implementation is the rise in queries from medical coding and billing staff. What used to be good enough for clinical documentation doesn't cut it now.
May 12, 2016
Carl Natale

How one physician figured out ICD-10 coding requires specificity

TheWorkgroup for Electronic Data Interchange (WEDI) survey results lead us to believe that the ICD-10 transition has had little impact on healthcare productivity. You can he survey argue fairly that the small survey size did not represent the whole industry.
April 04, 2016
Carl Natale

Which came first? ICD-10 or CDI?

Of course clinical documentation improvement (CDI) programs have been around long before the ICD-10 deadline Oct. 1. But there is an interesting chicken and egg issue here.