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About Cynthia Tang, RHIA, CCS

Cynthia Tang, RHIA, CCS, brings over 30 years of experience in health information management, coding and clinical documentation, and clinical resource management. For the past twenty years she has traveled to hospitals throughout the country to assess their processes for managing health information and clinical documentation and to provide her much-sought after expertise in redesigning operations to promote better patient care and hospital financial health. Her focus is on workflow design and improving clinical documentation with a view to optimizing reimbursement, ensuring compliance, and improving quality and pay for performance measures.
17 08, 2022

The Laterality Code Edit – Is a Query Needed?

By |2022-09-14T19:19:44-04:00August 17th, 2022|Coders' Corner|Comments Off on The Laterality Code Edit – Is a Query Needed?

By Cynthia Tang, RHIA, CCS There is a Medicare Code Editor (MCE) New Edit 20 effective April 1, 2022 for certain diagnosis codes if the laterality is not specified. For example: pressure ulcer of unspecified elbow; intracapsular fracture of unspecified femur. These Medicare Code Edits detect and report errors in the coding claims data. They include submitting a claim with an invalid diagnosis or procedure code, E-code as principal diagnosis, sex conflict, invalid age, etc. These edits must be corrected before the claim is paid by Medicare. This new edit is specifically for certain diagnosis codes that have “unspecified”

28 07, 2022

Coding and Documentation: Getting to What is Essential

By |2022-09-14T19:25:54-04:00July 28th, 2022|Coders' Corner|1 Comment

 By Cynthia Tang, RHIA, CCS I have noticed that individuals with the greatest level of understanding are the ones most able to communicate what is essential in the fewest possible words. They don’t need to deliver a 'word salad' within which an answer may be hiding. Because they understand the topic so well, they express their thoughts simply and directly. This is relevant to those of us who work closely with medical documentation. The ‘cut and paste’ capability of electronic medical records (which seemed like such a timesaver!) actually obscures what is really important rather than focusing attention on

5 12, 2020

Benefiting from a Team Approach to CDI

By |2022-09-14T19:27:47-04:00December 5th, 2020|Coders' Corner|Comments Off on Benefiting from a Team Approach to CDI

by Cynthia Tang, RHIA, CCS From the very beginning, my business partner, Dr. Richard Pinson, and I have taught hospitals that coding specialists, not just nurses, can and should perform the CDI function. We have always included coders in our training sessions and advised hospitals to consider coders for the CDI role. Just as CDI specialists benefit from learning coding guidelines and principles, coding specialists can and should learn the clinical criteria. As an employer, you may benefit from a team approach with both CDI Specialists and Coders able to identify documentation issues that will result in meaningful changes

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