Tips & Expertise: 2023 E/M Changes

Q:  Can time spent pre-charting the day before or charting notes a day after the date of the encounter be counted towards the total time for the E/M?​ A:  Per time guidelines, only time spent on the date of the patient encounter can be counted towards the total time...

Tips & Expertise: 2023 IPPS Updates

Q:  Can you summarize how MS-DRG grouper logic works?A:  The first step in grouping an MS-DRG is the assign the case to a major diagnostic category (MDC). This is done by classifying the principal diagnosis into one of 25 MDCs based on body system and case similarity....

Behind the Mystery of the Biliary Tree

The liver, gallbladder, and pancreas play important roles in digestion through the release of bile and digestive enzymes. The ductwork that connects these organs to each other and ultimately to the alimentary canal of the gastrointestinal tract, is often a mysterious...

Tips & Expertise: 2023 ICD-10-CM Updates

Q:  Does acute/chronic respiratory acidosis really code as acute/chronic respiratory failure? Can a code for respiratory acidosis be reported with the respiratory failure codes?A:  Yes, that is how it is indexed in ICD-10-CM. There is an Exclude2 note for code E87.29,...