This episode of our award-winning podcast continues an examination of the recent updates to the coding guidelines released by the Centers for Medicare and Medicaid Services (CMS). Knowing these guidelines is crucial to practices and healthcare organizations for accurate reporting and reimbursement. Two leading clinical documentation experts join Tomas in this critical discussion.

 

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal
Clinical Operations and Quality
Vizient

Guests:
Sheila Bowlds, MBA
Associate Principal
Clinical Documentation Improvement
Vizient

Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIP
Senior Consulting Director
Clinical Documentation Improvement
Vizient

 

Show Notes:

[00:35] Increase to DRG relative weights and to reimbursement`

[02:54] Changes to coding guidelines

[05:37] Codes involving social determinants of health (SODH)

[07:06] Documenting SDOH

[08:48] Other changes

 

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Sheila’s email: sheila.bowlds@vizientinc.com

Jim’s email: james.tamburini@vizientinc.com

ICD-10-CM Official Guidelines for Coding and Reporting: https://www.cms.gov/files/document/fy-2024-icd-10-cm-coding-guidelines.pdf

 

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