Laterality in clinical documentation: Understanding ICD-10-CM’s new unspecified rule
We spoke with coding professional June Bronnert, MHI, RHIA, CCS, CCS-P to understand the new unspecified rule and how it impacts clinical documentation.
We spoke with coding professional June Bronnert, MHI, RHIA, CCS, CCS-P to understand the new unspecified rule and how it impacts clinical documentation.
Halloween was meant to be celebrated for a month, right? Get spooky with these seasonally appropriate ICD-10-CM codes.
IMO has examined the role of clinical terminology in documenting the pandemic from a variety of different angles. Check out this resource roundup to see what we’ve learned.
Surgical dictionaries are important tools that link clinical documentation to their corresponding administrative codes, which are necessary for billing and regulatory reporting needs. But these standardized codes are not static, which means effective dictionaries require continuous upkeep. And when a surgical dictionary becomes unhealthy – with outdated or inaccurate codes – there are several side effects that can negatively impact organizations.
Back in May, IMO’s Chief Clinical Officer, Steven Rube, MD, FAMIA, sat down with HIMSS to talk about how the COVID-19 pandemic has highlighted key areas in clinical documentation where the process of recording patient information is not intuitive – and why having greater specificity in clinical notes is critical to making the most of the patient record.
Capturing social determinants of health (SDOH) enables the use of data to fight healthcare disparities that often result from inequity. Read on for an introduction to what SDOH are and how the data may be used.
While the pandemic continues, the 2020 Tokyo Olympics have provided a welcome spectacle to many worldwide – allowing us to embrace our global community, celebrate new world records, and of course, champion some ICD-10-CM codes.
When surgical schedulers don’t have the right clinical terminologies built into their EHR workflows, small inefficiencies – like case delays or preference card errors – quickly add up. And they’re not just frustrating in the operating room, they also wreak havoc on optimal financial return.
In a recent interview on the Modern CTO podcast, hosted by Joel Beasley, our COO Ivana Naeymi-Rad explains how IMO improves data quality in healthcare and offers a bold approach to handling imposter syndrome.
Memes, blogs, and webinars – oh my! There are endless opportunities to support clinicians as they tackle the issues that make their medical problem lists problematic. Continue reading for resources to help make your problem list work for you, not against you.
Learn how streamlined clinical workflows can help optimize your financial return. Add up the impact with the IMO value calculator.
Providing patient care – and understanding the resulting clinical data – is no longer a responsibility isolated to the primary provider. Today, medicine is a team effort involving multiple clinicians, immediate family members, and other healthcare professionals. Given this, many ask how the EHR can adapt to act as a communication medium for the modern patient’s care team.