Education and Training . . . for HIM and CDI

For those of us within the Health Information Management (HIM) profession and even Clinical Documentation Integrity (CDI) profession one of the main aspects to our jobs, our careers, is in fact obtaining “Education and Training”.  Although related to each other,...

Project Management for Risk Adjustment Coding Reviews – Part 2

Project Implementation Phase:  Starting the reviews, ensuring quality, and staying on target. Starting the Reviews:  We have lined up the Team, delineated the scope of the review, lined out the review approach and guidelines (as well as other necessary items). ...

Working from Home

When working from home it is important to keep the HIPAA Privacy and Security standards at the forefront as we set up remote working environments in the home office setting. It is equally important to keep a healthy work-life balance in order to manage our time and...

Medical/Clinical Coding for Additional or Secondary Dx

Throughout my career in Health Information Management, one of the particular areas of focus for both auditing and education has been the coding of an additional or secondary diagnosis. Whether inpatient (acute care) or outpatient coding, confusion and even errors...

OIG: Medicaid Fraud Control Units 2020 Report

Medicaid provides coverage and healthcare services with federal and state funding to 72.2 million people in the Unites States. This coverage is for those with limited income and resources i.e., low-income adults, children, pregnant women, elderly adults, and people...