When a Midwest-based provider of behavioral health services faced a critical challenge in its Clinical Documentation Improvement (CDI) operations, they turned to e4health.
Coding + CDI
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Improving Query Compliance: An In-Depth Review of e4health’s Audit Proficiency
When senior leadership at a mid-Atlantic health system faced the critical challenge of ensuring the appropriateness of provider responses to Clinical Documentation Improvement (CDI) queries, they turned to e4health.
CDI Tips & Friendly Reminders: Coma
ComaDefinition: Deep state of unconsciousness where patients are unable to move or be aware of or respond to their surroundings with loss of thinking abilities however retain non-cognitive function and normal sleep patterns.Diagnostic CriteriaA comprehensive...
Coding Tips: Complication Comorbidity Update
Complication Comorbidity UpdateSocial Determinants of Health (SDOH) codes Z59.00, Homelessness unspecified, Z59.01, Sheltered homelessness and Z59.02, Unsheltered homelessness will be considered CC’s (complication/comorbidity) beginning with October 1, 2023...
CDI Tips & Friendly Reminders: Pathological Fractures
Pathological FracturesDefinition: A bone fracture that occurs without adequate trauma, caused by an underlying disease.Diagnostic CriteriaIdentified in Radiology/Diagnostic Imaging such as X-Ray, CT, MRI, or bone scans. There are various underlying causes for...
CDI Tips & Friendly Reminders: Hypertensive Crisis
Hypertensive CrisisDefinition: HTN: Systolic blood pressure (SBP) of 130mm Hg or more and/or diastolic blood pressure (DBP) of more than 80mm Hg HTN Crisis: Generic term to describe hypertensive urgency or hypertensive emergency, typically seen with elevated blood...
CDI Case Study: e4health CDI Solutions Yield Significant Financial and Quality Improvements
When a 125-bed acute care medical center located in the heart of Eastern Long Island, New York, needed assistance taking their Clinical Documentation Integrity (CDI) Department to the next level, they turned to e4health.
Decoding V28 Transition: Key Takeaways from Journal of AHIMA
Medicare Advantage is on the brink of a significant restructuring as it transitions from V24 to V28 of the hierarchical condition categories (HCCs) risk adjustment model. In a recent Journal of AHIMA article, I partnered with Jeanie Heck, BBA, CCS, Education...
CDI Tips & Friendly Reminders: Respiratory Failure
Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
Enroll in e4health’s 2024 Risk Adjustment Webinar Series for FREE CEUs
The first part of the series, “Medicare Advantage HCC Model Changes From v24 to v28” is a deep dive into the upcoming HCC model changes. This webinar is approved for 1.0 AHIMA and AAPC CEU. The following six parts of the series are designed to provide additional...
e4health’s Outpatient Medical Coding Integrity Supervisor Stephanie Perry Featured in “Compliance Conversations” episode by Healthicity
Coding Strategies for Successful Revenue Cycle ManagementTune in to this Compliance Conversations episode, "Coding Strategies for Successful Revenue Cycle Management," to understand modifiers, status indicators, and their significance in the reimbursement process....
CDI Tips & Friendly Reminders: Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...