Medical Coding

Showing Category: Medical Coding

Hospital E&M coding app for iPhone and iPad

Code your inpatient visits with confidence Hospital Coding is a E&M coding app developed to help you accurately code for common hospital based services like admissions, follow up visits, hospital discharges, and critical care services. This E&M coding reference is ready for the 21st century as an iOS app instead […]

MCC and CC List for CMS MS-DRG

Effective documentation of Complications and Comorbidities (MCCs and CCs) plays an important role in hospital reimbursement. The Medicare inpatient prospective payment system (IPPS) defines over 800 Medicare Severity-Diagnosis Related Group (MS-DRG) codes that are used determine payment for hospital services. MS-DRG codes are often “trifurcated”, meaning that three levels of […]

MS-DRGs and Comorbid Conditions (CCs and MCCs)

Administrative Consultant Service, LLC (ACS) developed this excellent 6 page handout that discusses the impact of improved clinical documentation on hospital reimbursement under the MS-DRG system used by Medicare.Several examples of how specific and accurate documentation can lead to improved hospital revenue and an extensive list of common comorbid conditions […]

Critical Care Audit Worksheet

Critical care billing and documentation is intimidating to many healthcare providers.  The rules are not as detailed as the 1997 E&M Guidelines issued by CMS, and there is room for interpretation of what qualifies as a critical illness. Clear, complete, and concise medical documentation is essential to providing patients with […]

TrailBlazer E&M Coding Cheat Sheet

Clear, complete, and concise medical documentation is critical to providing patients with high quality and safe medical care. Medical documentation is also essential for accurate and timely payment for healthcare services. Qualifying for payment requires skillful application of the documentation guidelines for evaluation and management services published by the Center […]