Many organizations routinely perform internal audits as part of a compliance plan. Internal auditors have an insider’s view of the work flow of the organization. Unfortunately, they are auditing their coworkers, friends or employers.
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Anyone who has coded or reviewed documentation in a teaching facility is familiar with the Medicare Claims Processing Manual, Chapter 12, Section 100.1.1. This section of the manual contains the guidelines for teaching physicians.
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Chronic kidney disease (CKD) is the gradual loss of kidney function. The function of your kidney is to filter waste and excess fluids from your blood and excrete into the urine. In patients with CKD, the waste and excess fluids can build up in the body.
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Pulmonary hypertension is a certain type of high blood pressure that increases the pressure in the pulmonary arteries/lungs and the right side of the heart. Some of the forms of pulmonary hypertension can be serious and over time even fatal.
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So, you know you need a coding review – where do you start? Defining your goal should always be step one, but that’s not always cut and dry. The answer varies based on the objectives of your review.
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