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FY 2017 Updates to ICD-10-CM

Author: Rugg, Donna

Source: Journal of AHIMA | Journal of AHIMA - Coding Notes

Publication Date: November 2016



The ICD-10 Coordination and Maintenance Committee’s code freeze, first implemented after the October 1, 2011 annual update, has finally thawed. For fiscal year (FY) 2017 the ICD-10-CM classification is back on track with annual code and guideline updates. Due to the thousands of new/....

Analyzing Eight Months of ICD-10

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: June 2016



Teachers know there are two kinds of students. Student A studies and does their assigned reading throughout the whole semester, earning extra credit where they can. When the final exam rolls up, they’re anxious but prepared—they did their homework. Student B, on the other hand, has the sa....

HIM Enjoying its ICD-10 Moment

Author:

Source: Journal of AHIMA

Publication Date: June 2016



Remember the Y2K bug? Not so long ago, there was a widely spread concern that the change from the year 1999 to 2000 would play havoc with computer systems everywhere. Technology experts set about repairing programs; “preppers” recommended we all stock up on Spam and bottled wat....

Putting the ICD-10-CM/PCS GEMs into Practice (2016 update) - Retired

Author: Archer, Anita; Campbell, Angela; D'Amato, Cheryl; McLeod, Melissa; Rugg, Donna

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: January 2016


Editor's Note: This Practice Brief supersedes the May 2013 and March 2010 Practice Briefs titled "Putting the ICD-10-CM/PCS GEMs into Practice."


Mappings between ICD-9-CM and ICD-10-CM/PCS will play a critical role in the successful utilization of ICD-10-CM/PCS. The Centers for Me....

ICD-10 Two Weeks In: How’s it Going?

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015




Two-plus weeks into the transition to ICD-10-CM/PCS, the chaos predicted by many groups that protested the code sets’ implementation for years has not come to fruition. In fact, preliminary reports from providers, commercial payers, and coding consultants indicate quite the oppo....

ICD-10 Has Arrived

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: October 2015





Ready or not, Judgment Day is here—and if you’re reading this, then you have reached the historic go-live of ICD-10-CM/PCS in one piece. For at least the next month and a half, however, it will be a “hurry up and wait” situation before providers can say with any co....

Long and Winding Road to ICD-10

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: September 2015


The long and winding road that AHIMA members have journeyed toward ICD-10-CM/PCS implementation took some exciting and unexpected turns this year during an otherwise frustrating wait.


The ICD-10 grassroots campaign launched by AHIMA during the 2014 Leadership Symposium resulted i....

ICD-10-CM/PCS Documentation Tips

Author: AHIMA CDI Workgroup

Source: AHIMA Task Force

Publication Date: September 2015

A large library of CDI ICD-10 documentation tips focusing on the language and/or wording that will garnish greater details and specificity of the coded data for a given diagnosis, condition, disease and/or surgical procedure.

Charts versus Discharge ICD-10 Coding for Sternal Wound Infection Following Coronary Artery Bypass Grafting

Author: Southern, Danielle A; Doherty, Christopher; De Souza, Michael A; Quan, Hude; Harrop, Robertson; Nickerson, Duncan; Rabi, Doreen

Source: Perspectives in Health Information Management

Publication Date: July 2015


Abstract


Background: Sternal wound infection (SWI) in patients undergoing coronary artery bypass grafting (CABG) can carry a significant risk of morbidity and mortality. The objective of this work is to describe the methods used to identify cases of SWI in an administrative databa....

Voices from the ICD-10 Zeitgeist

Author: Journal of AHIMA Staff

Source: Journal of AHIMA

Publication Date: June 2015


As it starts to appear likely that ICD-10-CM/PCS will finally be implemented this year, prominent advocates for the transition are striking a more optimistic tune in public statements. Overall, the ICD-10 zeitgeist has steadily swung toward an implementation date of October 1, 2015 after years....

Remediating ICD-10 Knowledge Loss: After Delays Push Back Implementation, How Unprepared Will Your Coders Be to Use the New Code Set?

Author: Black, Michelle A

Source: Journal of AHIMA

Publication Date: June 2015



If you don't use it, you lose it. This is true for much of what we learn in life, and it’s particularly true when it comes to ICD-10-CM/PCS. Although most organizations initiated ICD-10 coder training in 2013, many decided to cease training and dual coding practice after the second ICD-10....

Answering the Tough ICD-10 Questions: Coding Experts Offer Tips on How to Make it to October 1, 2015 and Beyond

Author: Hinkle-Azzara, Barbara; Carr, Kimberly J

Source: Journal of AHIMA

Publication Date: June 2015



At a US House of Representatives subcommittee hearing on February 11, lawmakers and stakeholders agreed that the implementation of the ICD-10-CM/PCS code sets should not be further delayed. Moreover, in March the House passed legislation that provides a permanent replacement to the Sustain....

Final Push to ICD-10 Implementation

Author: Birnbaum, Cassi L

Source: Journal of AHIMA

Publication Date: June 2015



Chills run up and down my spine as I write this article, knowing how hard we have worked as a profession, association, and industry to get to this red letter date for ICD-10-CM/PCS.


Just before I wrote this column, I was on the edge of my seat along with the rest of indust....

Paving the Final Steps to ICD-10

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: June 2015



What a difference a year makes.


A year ago, the HIM industry was reeling from an unexpected delay to the implementation of ICD-10. The change was brought on at the last minute, slipped into legislation and passed within a couple of days. The result was a one-year delay of ICD....

ICD-10 Journeys: a Health System and Coding Company Compare Notes

Author: Muscarella, Maria A.; Peña, Manny

Source: ICD-TEN Top Emerging News | AHIMA newsletter article

Publication Date: March 2015


The transition to ICD-10-CM/PCS has been a roller coaster ride for HIM professionals. The industry has prepared, delayed, prepared, delayed, and prepared again—this time with the expectation that the new coding system will finally go live on October 1, 2015. With its ups and downs, ICD-10 imple....

Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments

Author: Mills, Ronald E; Butler, Rhonda R.; Averill, Richard F.; McCullough, Elizabeth C; Fuller, Richard L; Bao, Mona Z

Source: Journal of AHIMA - website

Publication Date: February 2015



On October 1, 2015, ICD-9-CM is scheduled
to be replaced by the International Classification
of Diseases, Tenth Revision, Clinical
Modification (ICD-10-CM) for reporting
diagnosis data across all sites of service and the
International Classification of Diseases, Tenth

The Year Ahead

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: January 2015



Human beings have been fascinated by birds—their flight patterns, colors, and songs—for centuries. In the ancient world, “augurs,” Roman practitioners of “augury,” looked for clues about the past and future by observing birds in flight, hoping for omens.....

Coding Injuries in ICD-10-CM (update)

Author: Zeisset, Ann M.

Source: Journal of AHIMA

Publication Date: November 2014



ICD-10-CM provides greater specificity in coding injuries than ICD-9-CM. While many of the coding guidelines for injuries remain the same as ICD-9-CM, ICD-10-CM does include some new features, such as seventh characters.

Chapter 19 Overview


Chapter 19 is titled "In....

Cost of Converting Small Physician Practices to ICD-10 Much Lower than Reported

Author: Kravis, Thomas C; Belley, Susan; Smith, Donna; Averill, Richard F.

Source: Journal of AHIMA - website

Publication Date: November 2014




The controversial delay of ICD-10 implementation was based in part on the perceived time, cost and lost productivity for physician offices to perform the necessary assessment, training, software conversions, testing and “super bill” updates.1 Current evidence suggests that....

Setting the Facts Straight About ICD-10: What Physicians Need to Know About the Transition

Author: AHIMA

Source: AHIMA Advocacy and Policy

Publication Date: November 2014

While many organizations see the benefits of using ICD-10, including the ability to capture more detailed information, others have concerns, including the costs of implementation. Despite the significant amount of information that has been published about ICD-10 during the last 10 years, many misconceptions persist today. The information below covers basic facts about the ICD-10 transition that are of particular interest to the physician community.

ICD-10's Impact Reaches Far Beyond Coding: Examining the New Code Sets' Revenue Cycle Implications

Author: Arends-Marquez, Alexa; Knight, Nicole; Thomas-Flowers, Dwan

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2014



The implications of ICD-10-CM/PCS (ICD-10) for coding operations are a common topic of industry discussion, but the impact of ICD-10 reaches far beyond coding alone. ICD-10 is embedded in the entire revenue cycle for providers. The conversion will impact almost every aspect of operations,....

Leading Your Facility Through the ICD-10 Delay Storm

Author: Horn, Kelli

Source: Journal of AHIMA

Publication Date: October 2014



When the Centers for Medicare and Medicaid Services (CMS) announced in the spring of 2014 that ICD-10-CM/PCS would be unexpectedly delayed for at least one year, the health information management (HIM) community was shocked. Hospitals, healthcare facilities, and educational organizations h....

Coding ICD-10-PCS Procedures in the Ancillary Sections: Understanding Imaging, Nuclear Medicine, and Radiation Therapy

Author: Kostick, Karen M.; Sanvik, Gina

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: September 2014



Editor’s note: This is the second in a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the last three Ancillary sections. The side....

3 Myths of ICD-10-CM/PCS: Addressing Why it is Not Feasible to use SNOMED CT in Place of ICD-10 or Wait for ICD-11—and Other Misperceptions

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: August 2014



As the US healthcare industry experiences yet another delay in ICD-10-CM/PCS implementation, misunderstandings surrounding the ICD-10-CM/PCS transition continue to perpetuate. This article addresses a few of the most common misperceptions—myths that need to be exposed with fact-based....

Reinventing CDI: Organizations Relaunching And Reworking Data Integrity Efforts, And Coding Roles, With Clinical Documentation Improvement Programs

Author: Butler, Mary

Source: Journal of AHIMA

Publication Date: July 2014



It’s a particularly busy night in the local hospital’s emergency department, which is running—as usual—slightly short-staffed. The on-call attending physician goes from room to room treating and diagnosing patients with typical emergency department maladies: influenza, fractured ankle, in....

Coding ICD-10-PCS Procedures in the Ancillary Sections: Understanding Imaging, Nuclear Medicine, and Radiation Therapy

Author: Kostick, Karen M.; Sanvik, Gina

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: July 2014



Editor’s note: This is the first installment of a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the six Ancillary sections. The....

Cultivating Opportunities to Lead in the Face of Delay

Author: Kennedy, Angela

Source: Journal of AHIMA

Publication Date: June 2014



The International Classification of Diseases (ICD) is a language used to capture morbidity and mortality data and helps to provide a snapshot of population health around the world. ICD-9-CM was implemented in the United States in 1979 and is long overdue for replacement. The system is obs....

Bird’s Eye View of ICD-10 Documentation Gaps: Vendor analysis offers big picture look at nationwide documentation holes—and how to fill them

Author: Hinkle-Azzara, Barbara; Carr, Kimberly J

Source: Journal of AHIMA

Publication Date: June 2014



Increased clinical specificity is one of the greatest advantages of moving to ICD-10-CM/PCS. With specificity comes the ability to perform granular research that can help uncover significant trends and statistics to identify causes of diseases, links between diseases, and more. While heal....

'Recalculating' the Route to ICD-10

Author: Gordon, Lynne Thomas

Source: Journal of AHIMA

Publication Date: June 2014



Have you ever driven a car using a global positioning system? If so, you’ve heard what happens when you take a turn that’s not on the system’s expected route: an annoyed-sounding voice will say “Recalculating!”


Since early April, the entire healt....

Coding ICD-10-PCS Medical and Surgical-Related Sections: Understanding Osteopathic, Other Procedures, and Chiropractic

Author: Barta, Ann

Source: Journal of AHIMA | Journal of AHIMA - Coding Notes

Publication Date: June 2014


Editor’s note: This is the third in a series of three articles discussing the Medical and Surgical-related sections of ICD-10-PCS.

IN THIS ARTICLE, the Journal of AHIMA continues its three-part Coding Notes series focusing on the nine Medical and Surgical-related sections of ICD-10-PC....

Things Overheard at the ICD-10 Summit

Author: AHIMA

Source: Journal of AHIMA

Publication Date: June 2014


Coming on the heels of an unexpected delay of the implementation of the new code set, this year’s ICD-10-CM/PCS and Computer-Assisted Coding (CAC) Summit, held in Washington, DC from April 22–23, was rife with uncertainty and questions—as well as some zingers from federal health officials.

Don’t Deny the Denials: Experts Recommend Implementing a Strong Claims Denial Strategy to Offset ICD-10-based Coder Productivity Loss

Author: Eramo, Lisa A

Source: Journal of AHIMA

Publication Date: June 2014



As organizations prepare for the implementation of ICD-10-CM/PCS next year, many are looking for creative strategies to mitigate anticipated decreases in coder productivity that will come with the switch. Some are ramping up education, others hiring additional staff members or implementin....

Coding ICD-10-PCS Medical and Surgical-Related Sections: Understanding Measurement and Monitoring, Extracorporeal Assistance and Performance, and Extracorporeal Therapies

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: May 2014



Editor’s note: This is the second in a series of three articles discussing the Medical and Surgical-related sections of ICD-10-PCS.


In this article, the Journal of AHIMA continues its three part Coding Notes series focusing on the nine Medical and Surgical-related secti....

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