CODING CDI GUIDE2019 RESOURCE GUIDECONTENTSAHA Central Of31 ceAmerican Society ofAnesthesiologists54AviacodeCoding ConceptsFirst Class Solutions56Healthcare Cost SolutionsIndiana University School of ID: 898175
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1 Journal of AHIMA April 19 / CODING& CDI
Journal of AHIMA April 19 / CODING& CDI GUIDE 2019 | RESOURCE GUIDE CONTENTSAHA Central Of ceAmerican Society ofAnesthesiologists54AviacodeCoding ConceptsFirst Class Solutions56Healthcare Cost SolutionsIndiana University School of Informaticsand Computing at IUPUILabouré CollegeSourceHOV Healthcare, Inc.Stat Solutions, Inc. see our full pro le on AHIMA ResourceConnect at resourceconnect.ahima.orgAHIMA ResourceConnect advertisers as of 3/4/19. CODING & CDI GUIDE / April 2019 \b\b\r\b
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€‚ƒ€„ Month 2014GUIDE NAME HERE April 2019 / CODING & CDI GUIDEBecome a Code Cracker and Documentation DetectiveLIKE THE HEALTHCARE profession itself, healthcare coding and clinical documentation improvement (CDI) are dynamic, ever-changing industries that re-quire professionals to stay vigilant with their training. Hoping to help coding and CDI professionals with this Journal of AHIMA’s Code Cracker and Docu-mentation Detective web-exclusive columns feature industry experts diving into the details and o ering readers best practices that ensure quality clinical in-formation and properly coded
3 and billed cases. Speci cally, Doc
and billed cases. Speci cally, Documentation Detective discusses how to achieve quality clinical documentation with a comprehensive approach aimed at covering all realms of the healthcare industry—inpatient, outpatient, phy-sician o ce, and beyond. Code Cracker acts as both a job aid (How do I code diabetes mellitus with as-sociated conditions again?) as well as a forum to vet big picture questions about the industry at large (Just how e ective is computer-assisted coding?). The vendors in this Resource Guide aim to of-fer services that help healthcare organizations get their coding and CDI work done right. This is also the objective of the Documentation Detective and Code Cracker blogs—illustrated below wit
4 h a se-lection of popular recent posts t
h a se-lection of popular recent posts that show a coding professional or CDI specialist’s work and training is never nished. Code Cracker HighlightsCode Cracker is updated monthly and available at https://journal.ahima.org/category/blogs/code-cracker/Computer-Assisted Coding: Helpful or Hurtful?Computer-assisted coding (CAC) has become a com-monly recognized presence on the health information management scene, so much so that we now have coders in the workforce that have likely only ever brie y trained on coding without CAC—or potentially have never worked without CAC at all. But what im-pact does that have on the profession?Will Coders Ever Return to the Of ce?It feels like it has been much longer since th
5 e days when many coding professionals we
e days when many coding professionals were working in the basement of a hospital, still coding from paper charts, the idea of being able to work from home much more dream than reality. Now that the telecommunting coder is indeed reality, some wonder what impact—postive or negative—this is having on work dynamics and quality.Coding Diabetes Mellitus with Associated ConditionsOne of the most popular Code Cracker articles, this post reviews the confusion among coding profession-als regarding interpretation of the coding guideline “with.” An area that contains many instances of using this guideline in ICD-10-CM is coding Diabetes Melli-tus with associated conditions. There are 53 instances of “with” subterm c
6 onditions listed under the main term Dia
onditions listed under the main term Diabetes.Documentation Detective HighlightsDocumentation Detective is updated monthly and available at https://journal.ahima.org/category/blogs/tion-detective/.The Impact of Neonatal Abstinence Syndrome on Clinical DocumentationWhile neonatal abstinence syndrome is a serious con-dition, the lack of a standard clinical de nition makes it di cult for providers to recognize the symptoms and accurately diagnose and treat newborns. If the syndrome is not recognized, and thus not document-ed, then the correct diagnosis code will not be as-signed—which in turn impacts the state and national statistics regarding this syndrome.Temporary Newborn Name Compliance: A Focus onPatient SafetyAssign
7 ing newborns temporary names at birth is
ing newborns temporary names at birth is a common practice for hospitals. As a result, a large volume of patients with similar identi ers could po-tentially result in duplicate records and increase the risk for sentinel events.It’s Complicated: Post-Operative ComplicationsThe challenge for CDI specialists is in determining if the condition is an expected outcome of the proce-dure or patient’s disease process, or if it is an actual post-operative complication. 54 1 Claims errors are costing you.Code with con dence.Anesthesia coding includes many unique challenges. Code accurately and compliantly with the 2019 editions of CROSSWALK and Relative Value GuideThese essential tools are available as print and electronic &#
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