The American Health Information Management Association (AHIMA) has posted a new paper in its Thought Leadership series that has implications for coding compliance in Risk Adjustment.
The paper, Defining the Core Designated Clinical Documentation Set for Coding Compliance, seeks to define what core pieces of documentation are required for coding of medical records in various settings.
While it doesn't represent official coding guidance, it may be useful to medical groups, hospitals and oters seeking to develop Policies and Procedures related coding, internal Risk Adjustment Data Validations, encounter data submissions, and encounter data corrections.
The paper may be downloaded from the AHIMA website, at: http://www.ahima.org/downloads/pdfs/advocacy/DefiningCoreClinicalDocumentation_TL.pdf
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