Tag: Reimbursement

Medical coding accuracy is critical for patient care and reimbursement. One of the most serious conditions requiring precise coding is septic shock. Knowing **what is the ICD-10 code for R65 21** is essential for medical professionals and coders alike.

According to the Centers for Medicare & Medicaid Services (CMS), the presence of a Major Complication or Comorbidity (MCC) can significantly impact hospital reimbursement by indicating a greater severity of illness and higher resource utilization. This article explains what are MCC medical terms, focusing on their primary use in clinical documentation and billing within the healthcare system.

According to the Centers for Medicare & Medicaid Services (CMS), incomplete or conflicting debridement documentation can lead to claim denials and potential audits. Healthcare providers must therefore have a clear understanding of **what are the documentation requirements for debridement** to ensure proper billing and compliance while maintaining high-quality patient care.

According to the Healthcare Financial Management Association (HFMA), effective Clinical Documentation Improvement (CDI) programs can lead to a 25-30% reduction in claim denials for health systems. This impressive statistic highlights just one facet of a multi-pronged strategy. Understanding **what is the goal of CDI** is essential for grasping its profound impact on both patient care and the financial health of a medical organization.

Over one-third of physicians report spending more than half their time on administrative tasks, including documentation. This highlights the critical need for efficiency, which is where the function of the CDI comes in, ensuring patient records are complete and accurate.