Huff DRG Physicians clarify definitions with external review company

With our continued efforts to reduce discordance with clinical and coding databases, Dr. Huff and other physician members of our clinical coding team recently met with a major Medicare Advantage payer to clarify the definitions being used to validate encephalopathy.  Meeting with the medical director and physician representatives of these companies, a consensus was reached regarding the well established and evidence-based definition of encephalopathy which we currently use for our coding recommendations.  We were assured this will be communicated to their review staff and this should reduce the number of coding challenges regarding the issue.

This is an example of how we are continually engaged with external review companies and regulatory agencies.  We will continue to facilitate discussion and provide input regarding clinical coding issues in support of our clients.

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