Editor's note: This article is the first in a two-part series.
It's no secret that complications/comorbidities (CC) can dramatically affect DRG assignment and inpatient reimbursement.
What you might not know is that hospital coders often overlook or fail to assign a handful of common CCs time and time again. It's an expensive problem that only targeted audits and proper physician/coder education can fix.
Shannon McCall, RHIA, CCS, CPC, director of HIM/coding for HCPro, Inc., in Glen Allen, VA, and DeAnne Bloomquist, RHIT, CCS, chief consultant of Mid-Continent Coding, Inc., in Overland Park, KS, share some commonly missed CCs and secondary diagnoses, as well as strategies that HIM directors can use to ensure their proper capture.
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