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20,000 Inpatient Reviews Reveal Coding Opportuniti...

A review of 20,805 inpatient encounters found that coding opportunities frequently exist even when the DRG is correct. Reviewers identified more than 21,700 diagnosis and procedure coding recommendations, with over half involving missing codes that should have been reported. The largest financial opportunities were tied to principal diagnosis selection and ICD-10-PCS procedure coding, generating approximately $1.71 million and $1.20 million in impact, respectively. The findings demonstrate that hospitals should look beyond DRG accuracy and routinely evaluate diagnosis coding, procedure coding, and clinical documentation to improve revenue int...

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    20,000 Inpatient Reviews Reveal Coding O...

    A review of 20,805 inpatient encounters found that coding opportu...

    Big Changes Coming to CPT Coding for Mat...

    Beginning January 1, 2027, CPT will retire the global obstetric p...

    Why Being Proactive Matters in Coding Qu...

    Taking a proactive approach to coding quality helps healthcare or...

    What is Type 5 Diabetes and How is it Co...

    Type 5 diabetes is a newly recognized form of diabetes linked to ...

    Coding Heart Failure Documented as HFrEF...

    Heart failure with reduced ejection fraction (HFrEF) and heart fa...

    Impella Pump Procedures in ICD-10-PCS Co...

    Accurate ICD-10-PCS coding for Impella pump procedures includes b...

    Health Information Associates Named to B...

    Health Information Associates (HIA) was recognized on Becker’s He...


    Medical Coding Tips

    Coding Diabetes Mellitus with Presumed Conditions

    Diabetes is a systemic condition, meaning its presence has e...

    FY 2026 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    ICD-10-CM Code Updates - April 1, 2026

    CMS and the CDC have released the updates to the ICD-10-CM c...

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...


    Annual Code Updates

    FY 2026 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    ICD-10-CM Code Updates - April 1, 2026

    CMS and the CDC have released the updates to the ICD-10-CM c...

    New Technology Add-On Payment (NTAP) Updates for F...

    New Technology Add-on Payments or NTAPs can represent a sign...

    ICD-10-PCS Code Updates - April 1, 2026

    CMS has released the updates to the ICD-10-PCS classificatio...

    Industry News

    Coding Diabetes Mellitus with Presumed Conditions

    Diabetes is a systemic condition, meaning its presence has e...

    FY 2026 ICD-10-CM Code Updates

    The Center for Medicare and Medicaid Services has released t...

    ICD-10-CM Code Updates - April 1, 2026

    CMS and the CDC have released the updates to the ICD-10-CM c...

    Hierarchical Condition Categories (HCCs) Release o...

    Hierarchical Condition Categories (HCCs) which is CMS’ risk ...


    Query Tips

    Sep 17, 2025

    Postoperative Complications: Tips for Clarifying A...

    What Is a Postoperative Complication? A postoperative compli...

    Jul 16, 2025

    Anemia Query Best Practices: Clarifying Type/Cause

    Anemia is a common, treatable condition that is both underdi...

    Jul 17, 2025

    Querying for Sepsis: How to Identify Clinical Indi...

    What is Sepsis? Sepsis is a serious, potentially life-threat...

    Apr 17, 2025

    Writing a Query Question – Simple and Concise is t...

    The question asked in a physician query may be the most impo...

    Company News

    Halloween Hazards: A Mini-Guide to ED and Urgent C...

    Halloween brings fun, fright—and a rise in emergency and urg...

    Dec 24, 2022

    The 12 Pains of Christmas in ICD-10 Codes

    HIA presents The 12 Pains of Christmas in ICD-10 Codes! Base...

    Untangling the Tinsel: How to Solve Common Coding ...

    Complex coding scenarios often lead to delays, denials, and ...

    Dec 10, 2025

    Home Alone ICD-10 Codes

    The holidays may be merry and bright, but even the most fest...



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