Clinical decision-making, hospital management, and patient care have all changed as a result of healthcare technology. Nurses have historically been thought of as providing bedside care, but they are ...

ICD-10-CM coding can be challenging for coders in the outpatient setting. It is important to remember that the Official ICD-10-CM Guidelines for Coding and Reporting provide a road map to ensure ...

For emergency care, for example, some of the largest increases in coding intensity were seen for diseases of the ear and mastoid process (27.9% to 46.9%); diseases of the eye and adnexa (28.1% to ...

Correspondence Published: 24 April 2009 Clinical coding of surgical procedures in the ophthalmology department A Tatham & A Castillo Eye 24, 182–185 (2010) Cite this article ...

Accurate coding is crucial for providers’ financesSo, how do you optimise clinical coding and tariffs? Some operations have one obvious OPCS procedure code and are straightforward to code, but when ...

Against this backdrop, a 2023 KLAS report showed that 11% of survey respondents identified coding as the area where automation is most needed and 40% stated autonomous coding is the top area where ...

Clinical coding is based solely on the medical record (clinical) documentation by the physician. Coders are only permitted to code what is documented by physicians and other providers such as NPs ...