Understanding 2020’s Unexpected Updates

It has been a wild year for coding updates so far and we haven’t even implemented the codes for fiscal year 2021 yet.  I will be detailing those code changes in two information-packed webinars scheduled to air later this month, but an August 1, 2020 release is one...

Critical Questions for Critical Care

This blog post has been a long time coming, as this topic has been top-of-mind since 2018, when critical care services were placed on the Office of Inspector General (OIG) work plan. Since that time, I have had an opportunity to review hundreds of critical care charts...

Defining an Organization’s Legal Health Record

As a health information professional with years of experience, I’ve seen the definition of the Legal Health Record (LHR) change with the emergence of the electronic health record (EHR).  As a custodian of medical records, a designated position at most hospitals,...