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
World-class expertise with up-to-date coding techniques.
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.
Coding Tips: New Codes for Sickle Cell Disease with Dactylitis
New Codes for Sickle Cell Disease with Dactylitis (Valid for October 1, 2023 discharges)• D57.04 Hb-SS disease with dactylitis• D57.214 Sickle-cell/Hb-C disease with dactylitis• D57.414 Sickle-cell thalassemia, unspecified, with dactylitis• D57.434 Sickle-cell...
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...
Coding Tips: New Code for Resistant Hypertension
New Code for Resistant Hypertension (Valid for October 1, 2023 discharges)I1A.0 Resistant hypertension May be documented as: Apparent treatment resistant hypertension, Treatment resistant hypertension, True resistant hypertension. The ICD-10-CM Tabular instruction...
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...
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: Acute Kidney Injury (AKI)
Acute Kidney Injury (AKI) DefinitionAn abrupt (within hours) decrease in kidney function, which encompasses both injury (structural damage) and impairment (loss of function). Etiology categorized as:Pre-Renal: Caused by any type of reduced blood flow to the...
National RA/HCC Audit Project Case Study
When a large agency sought to determine the performance and validity of risk adjustment and HCC coding across the nation, they contracted with a renowned global leader in healthcare auditing.
SDOH and IP Reimbursement
Stay in the know about how proposed changes to SDOH codes could affect IP MS-DRG reimbursement. Inpatient prospective payment system (IPPS) payment is made based on the use of hospital resources using various factors: the treatment of a patient’s severity of...