ReviewMate

eLearning Library: A Resource for Every Day​

eLearning Library: A Resource for Every Day By Tammy Cartiglia, RHIA|March 13th, 2025| by Tammy Cartiglia, RHIA Libman Education’s eLearning Libraries offer unlimited access to up-to-date courses designed to enhance job-specific, self-paced learning. All eLearning Libraries offer AHIMA and AAPC CEUs. An abundance of CEUs to obtain! Your library is carefully curated to address the […]

Healthcare in Interesting Times

Healthcare in Interesting Times By Charlie Eckert, Vice President, Strategic Growth|March 13th, 2025| A colleague and I were recently discussing the general level of challenge in the healthcare industry with mergers and consolidations, layoffs of staff, and facility closures changing the landscape daily. Healthcare organizations are feeling economic pressure and taking steps to address critical […]

Teleradiology Coding in 2025

By Kimberly Maupin, CPC, and Briauna Driggers Teleradiology has transformed healthcare by enabling radiologists to provide critical diagnostic services from any location, addressing provider workforce shortages, as well as increasing accessibility and efficiency. However, with these advancements come complex compliance challenges, particularly in state licensure, coding, and reimbursement. What is teleradiology? Teleradiology is a type […]

Preparing for an HCC Audit: Good Documentation is Key

Preparing for an HCC Audit: Good Documentation is Key By Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA | April 24th, 2024| By Rose T. Dunn, MBA, RHIA, CPA, FACHE Good documentation is the best defense against a negative audit outcome. We often find ourselves grousing about Dr. X who never documents something or Dr. […]

Denial Rates in the Danger Zone: Coding to Withstand Audits

Denial Rates in the Danger Zone: Coding to Withstand Audits By Angela Lima, BS, CCS, CDIP, COC, CIC | March 29th, 2024 | By Angela Lima BS, CCS, CDIP, CIC, COC, AAPC-Approved Instructor “One-third of US hospitals’ average denial rates are in ‘danger zone,’ survey finds” Did this catch your attention? An article in Becker’s […]

ICD-11 Content Compared to ICD-10-CM

ICD-11 Content Compared to ICD-10-CM By Mary H. Stanfill, MBI, ACHIP, RHIA, CCS, CCS-P, FAHIMA | April 19th, 2024 | By Mary H. Stanfill, MBI, ACHIP, RHIA, CCS, CCS-P, FAHIMA Content analysis is a key consideration in evaluating a new code set. This involves examining the content and level of detail represented in each code […]

PEPPER Reports: Identifying Audit and Compliance Risks for your Organization

PEPPER Reports: Identifying Audit and Compliance Risks for your Organization By Cynthia Tang, RHIA, CCS | April 19th, 2024 | Coders’ Corner | By Cynthia Tang, RHIA, CCS Your PEPPER report is an excellent source of insight into areas of potential risk and specifically to provide guidance on where to focus your hospital’s auditing and […]

Updating the Facility-Specific Coding Guidelines: Part 1

Updating the Facility-Specific Coding Guidelines: Part 1 By Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer – April 8, 2024 EDITOR’S NOTE: This series is based on the “Developing Facility-Specific Coding Guidelines” which is an AHIMA Practice Brief. This practice brief was updated in December 2023. It also contains an Excel tool to […]

ICD-10-CM: Overview of Traumatic Fractures

ICD-10-CM: Overview of Traumatic Fractures By Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Traumatic fractures are coded in ICD-10-CM chapter 19. Within the categories that describe fractures, subcategories identify the most common types of fractures for the specific bone identified in that code category. Terms such as transverse, spiral or comminuted can be found in these […]

Billing for Non-Physician Practitioners: Split-Shared and Incident-To

Billing for Non-Physician Practitioners: Split-Shared and Incident-To By Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, COC | March 7th, 2024 | There is always confusion in appropriate roles and billing for non-physician practitioners (NPPs) such as nurse practitioners and physician assistants. Non-physician practitioner is the term CMS uses for these individuals, while other payers […]