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Guidance for Clinical Documentation Improvement Programs

Author: AHIMA

Source: AHIMA practice brief

Publication Date: May 2010

..onals with a clinical or Coding background. It is recomm.. ..lude: Knowledge of Coding concepts and guidelines .. ..onals with a clinical or Coding background. Organization.. ..ated with documentation, Coding , compliance, and informa.. ..f to facilitate accurate Coding , DRG assignment, and rep..

Key Points of the UB-04 (2010 update)

Author: AHIMA Clinical Terminology and Classification Practice Council; Garrett, Gail S.; Jorwic, Therese M; Novak, Natalie; Ruhnau-Gee, Becky; Safian, Shelly C; Zeisset, Ann M.

Source: AHIMA practice brief

Publication Date: April 2010

..t medical necessity. Coding professionals should b.. .. Official Guidelines for Coding and Reporting.” The p.. .. Official Guidelines for Coding and Reporting.” Append.. ..enote version of ICD Classification used (FL66) Expansi.. ..to denote version of ICD Classification used Does not ..

CodeWrite Community News (April 2010)

Author:

Source: AHIMA newsletter

Publication Date: April 2010

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

Snap Judgment

Author: AHIMA Professional Ethics Committee

Source: Journal of AHIMA - website

Publication Date: April 01, 2010





Anyone who is a member of AHIMA or holds its credentials agrees to abide by its code of ethics.


The code sets forth professional values and ethical principles, and it offers guidelines to which professionals aspire. “Ethical behaviors result from a pe....

Medicare Recovery Audit Contracting: Weaknesses Remain in Addressing Vulnerabilities to Improper Payments, Although Improvements Made to Contractor Oversight

Author: U.S. Government Accountability Office

Source: Government (U.S.)

Publication Date: March 31, 2010

..improper Coding or other mistakes.24 Med.. ..the proper Coding of the fields needed for.. ..for Coding a claim, or develop a na.. ..ent system relies on the Coding of services, procedures,.. ..errors, CMS consulted Coding experts about how to res.. ..staff or Coding experts conducting the c..

APC Checklist (2010 update)

Author: AHIMA

Source: AHIMA practice brief

Publication Date: March 2010

..rvice, or be assigned by Coding professionals after .. ..iew of compliance to Coding guidelines, interpretati.. .. Lenahan, Monica. “ Coding Cardiovascular Cathete.. .. Walk, Gerri. “ Coding Radiology Services.&rd.. .. CCS, practice managers, Coding products and services,..

Care and Maintenance of Chargemasters (2010 update)

Author: AHIMA

Source: AHIMA practice brief

Publication Date: March 2010

.. high risk that a single Coding or mapping error could s.. ..ce requires expertise in Coding , billing regulations, .. ..pdates, and official Coding guidelines .. .. in the National Correct Coding Initiative, Outpatient C.. ..edits, and any other Coding or bundling edits ..

Evolution of DRGs (2010 update)

Author: AHIMA

Source: AHIMA practice brief

Publication Date: March 2010

..ing the Most of External Coding Audits: From Preparation.. ..lson, Donna D. "Five RAC Coding Targets: Demonstrati.. ..clinical logic, severity Classification structure, and level of .. ..eds for data management, Reimbursement and comparability, b.. ..w purposes to a tool for Reimbursement to a tool that also ..

Year of the Audit

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2010

..act in three main areas: Coding , privacy and security, a.. ..vate, state, and federal Coding audits; privacy and secu.. ..they are prepared. Coding Audits This year i.. ..s a high watermark for Coding initiatives and audits. .. ..l Swing The newest Coding audit program facing cod..

Putting the ICD-10-CM/PCS GEMs into Practice

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: March 2010

.. index entries, official Coding guidelines, and, when IC.. ..urce system, applicable Coding Clinic for ICD-9-CM adv.. .. Official Guidelines for Coding and Reporting” ind.. ..dictionary. For example, Coding professionals can perfor.. ..ICD-10-CM/PCS code sets. Coding professionals should not..

CodeWrite Community News (March 2010)

Author:

Source: AHIMA newsletter

Publication Date: February 2010

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

AHIMA Comments on CMS' Proposal for Reporting of ICD-10-PCS Codes in Place of ICD-9-CM Procedure Codes on the OASIS Data Set for Home Health Care

Author: Bowman, Sue E; St. Pierre, Mary

Source: AHIMA testimony and comments | AHIMA Advocacy and Policy

Publication Date: February 03, 2010

..clinical details for Coding purposes. Lack of access.. .. training and 4 hours of Coding practice. A coder who ne.. .. Coding practice. This training .. .. Coding skills after ICD-10-CM/P.. ..Director, Coding Policy and Compliance Vi..

2010 CPT Coding Update

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010

..pendix B of the 2010 CPT Coding book. The changes took e.. .. used throughout the CPT Coding book to assist users in .. ..o been added to instruct Coding professionals on how to .. ..s. The guidelines direct Coding professionals to report .. .."2010 CPT Coding Update"..

ICD-10-PCS Root Operation Guidelines

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010

..se concepts will prepare Coding professionals for the tr.. ..es not contain exclusive Coding instruction. Users are n.. .. information for correct Coding . The user may choose a v.. ..tation is incomplete for Coding purposes, the physician .. ..elines directing correct Coding . The draft guidelines af..

CodeWrite Community News (February 2010)

Author:

Source: AHIMA newsletter

Publication Date: January 2010

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

Recovery Audit Contractor (RAC) Toolkit

Author: AHIMA

Source: AHIMA toolkit

Publication Date: January 19, 2010

..Clinical Coding and reimbursement plays .. ..of medical practice, and Coding and billing policies, to.. ..incorrect application of Coding rules and must be suppor.. ..article, or Coding guidance. .. ..Medicare-sanctioned Coding guideline exists. .. ..• HIM director for DRG Coding appeals ..

CodeWrite Community News January 2010)

Author:

Source: AHIMA newsletter

Publication Date: January 2010

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

Pain-free Wound Care Coding

Author: Endicott, Melanie

Source: Journal of AHIMA

Publication Date: January 2010

..he nuances of wound care Coding , including the ICD-9-CM .. ..and CPT Coding guidelines, local covera.. ... Wound Care Diagnosis Coding Causes of open wounds .. ..omyelitis is documented, Coding professionals should ass.. ..ons and joints. When Coding pressure ulcers, both th..

ICD-10-CM and ICD-10-PCS Preview Exercises

Author: Barta, Ann

Source: AHIMA book

Publication Date: January 02, 2010

..nd it is imperative that Coding professionals be prepare.. ..he transition to the new Coding system. This workbook wi.. ..ll prepare current Coding professionals for the in.. ..-CM/PCS and will prepare Coding students for a smooth tr.. ..every solution. 450 Coding exercises with detailed ..

RAC Primer for LTC Facilities

Author: Leonard, Mary Ann

Source: Journal of AHIMA

Publication Date: January 2010

.. Official Guidelines for Coding and Reporting.” .. .. Obtain current ICD-9-CM Coding tools and manuals .. ..taff in correct ICD-9-CM Coding procedures .. ..“ICD-9-CM Official Coding Guidelines for Coding an..

Testimony of Mary H. Stanfill, MBI, RHIA, CCS, CCS-P on behalf of the American Health Information Management Association (AHIMA) to the Standard Subcommittee of the National Committee on Vital and Health Statistics

Author: Stanfill, Mary H

Source: AHIMA testimony and comments | U.S. National Committee for Vital and Health Statistics

Publication Date: December 09, 2009

..ities for automating the Coding .. ..the need for the current Coding workforce to become .. .. Coding professionals, who curre.. ..g and 4 hours practicing Coding .. .. Coding conventions, related cod.. ..g applying the ICD-10-CM Coding conventions and ..

Recommended Actions to Improve External-Cause-of-Injury Coding in State-Based Hospital Discharge and Emergency Department Data Systems

Author: U.S. National Center for Injury Prevention and Control

Source: Government (U.S.)

Publication Date: December 02, 2009

..External-Cause-of-Injury Coding in .. ..External-Cause-of-Injury Coding in .. ..External-Cause-of-Injury Coding in State-Based Hospital .. .. External-Causeof-Injury Coding in State-Based Hospital .. ..Why Improving E- Coding in State Morbidity Data .. ..R Report for Improving E- Coding ...........................

Developing a Coder Training Strategy for ICD-10-CM/PCS

Author:

Source: AHIMA Advantage

Publication Date: December 2009

.. Coding managers are at the fore.. ..right Coding professionals at the rig.. ..meet this goal, Coding managers can take .. ..training to learn both Coding systems. This .. ..presents a challenge to Coding managers, who must plan .. .. Coding managers should consider..

CodeWrite Community News (December 2009)

Author:

Source: AHIMA newsletter

Publication Date: December 2009

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

Role-based Model for ICD-10 Implementation: Long Term Care

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

..sonnel working with ICD Coding Corporate administ.. ..oyees with experience in Coding who were trained on the.. ..ot professionally) Coding individuals or staff mem.. ..bers who are new to Coding who have education in an.. ..education regarding ICD Coding to possessing a HIM cred..

Role-based Model for ICD-10 Implementation: Inpatient Coders

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

.. training presumes that Coding professionals already po.. ..its implications to your Coding position. Learn a.. .. (1) Read " Coding Injuries in ICD-10-CM&qu.. ..ations: Key to Procedure Coding in ICD-10-PCS (1, 2) .. ..minars: "ICD-10-CM Coding Guidelines: An Overview&..

Role-based Model for ICD-10 Implementation: Health Plans

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

..entation. Provide ICD-10 Coding training. Staff wh.. ..ted effort with internal Coding , billing and techn.. ..appings (GEMs) and Reimbursement crosswalks. Mapping is a.. .. understand the GEMs and Reimbursement crosswalks? Inves.. ..rage policies or overall Reimbursement s might be impacted. Gath..

Role-based Model for ICD-10 Implementation: Outpatient Coders

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

..pproximately 16 hours of Coding training are likely need.. ..its implications to your Coding position. Learn ab.. ..depth training, AHIMA's Coding Basics A&P course o.. ..Reviewcode structure and Coding conventions for ICD-10-C.. ..e applying the ICD-10-CM Coding guidelines. Continu..

Role-based Model for ICD-10 Implementation: Academic Timeline for Educators

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

.. needed in ICD-10-CM/PCS Coding courses. .. ..rriculum. In addition to Coding courses, consider enhanc.. ..culty training—the Coding faculty will need time t.. .. refreshers and longer, Coding Basics course available.. ..labi to incorporate both Coding systems into the academi..

Health Plans: Tasks for 5010 & ICD-10-CM/PCS Compliance

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

.. of 2010. Provide ICD-10 Coding training. Staff who tra.. ..ed effort with internal Coding , billing and technical r.. ..ence mappings (GEMs) and Reimbursement crosswalks. Mapping is .. .. understand the GEMs and Reimbursement crosswalks .. ..age policies or overall Reimbursement s might be impacted. Gath..

FY 2010 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2009

..MS-DRG Documentation and Coding Adjustment In the pr.. ..cts of documentation and Coding changes unrelated to cha.. ..opting documentation and Coding adjustments until a full.. ..ls and trauma to reflect Coding updates for fractures. T.. .. Official Guidelines for Coding and Reporting were updat..

Coding in Critical Access Hospitals

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2009

..alth policy initiatives, Coding , reimbursement methodolo.. ..ing compliant laboratory Coding and billing policies. .. ..ators; however, many CAH Coding professionals are involv.. ..ices continue to expand, Coding professionals are in the.. ..lopment of CAH-compliant Coding , documentation, and repo..

CodeWrite Community News (November 2009)

Author:

Source: AHIMA newsletter

Publication Date: November 2009

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

Implementation of Inpatient Computer Assisted Coding at the University of Pittsburgh Medical Center

Author: Towers, Adele L; Soso, Nancy; Needham, Tamara

Source: AHIMA Convention

Publication Date: October 05, 2009

..iting. Computer Assisted Coding (CAC) for hospital inpat.. ..ents. Upon completion of Coding , the ACTUS product store.. .. Management, Operations, Coding and our hospital adminis.. ..prior manual process for Coding . The ACTUS product ha.. ..S product to assist with Coding decisions. ACTUS provide..

Computer-Assisted Coding: A Year Later. Proof of Concept Pilot Results, The Department of Veterans Affairs

Author: Bebb, Jacki; Hanken, Mary Alice; Helbig, Susan; Longosky, Sean; Main, Renee; Wood, Shirley

Source: AHIMA Convention

Publication Date: October 05, 2009

..P) and computer assisted Coding (CAC) software was a via.. ..umentation, abstracting, Coding , and entering coded data.. ..lthcare Common Procedure Coding System (HCPCS) coding, .. ..valuation and management Coding of outpatient encounters.. ..ing the same codes as VA Coding specialists Allow fo..

Working Smarter with Computer-Assisted Coding

Author:

Source: AHIMA Today

Publication Date: October 05, 2009

.. Clinical Coding Community Sessions Explo.. ..s at Saturday’s Clinical Coding Community Meeting descri.. ..est in computer-assisted Coding (CAC) and smart methods .. ..n, thus streamlining the Coding process.” The cons.. ..cilities normalize their Coding , benefiting inexperience..

Experts Suggest Beginning ICD-10 Implementation Today

Author: AHIMA

Source: AHIMA Today

Publication Date: October 05, 2009

..lanning for the national Coding switch to ICD-10-CM/PCS,.. ..ere at convention. Coding staff don’t need to star.. ..plementation is merely a Coding issue need to be dispell.. ..onception that this is a Coding thing,” Piselli said. “B.. ..y, MED, RHIA, manager of Coding , health data services at..

Operational Improvements in Chargemaster Management through Performance Mapping

Author: Hathorn, Patsy B.; Trusten, John T.; Grzybowski, Darice

Source: AHIMA Convention

Publication Date: October 05, 2009

..chargemaster management, Coding and auditing. The Charge.. ..ately. Those can include Coding mistakes, under-pricing .. .. IT liaison, and the HIM Coding manager. Other team memb.. ... We use our Billing and Coding Compliance (committee na.. .. the revenue held due to Coding edits, lack of medical n..

ICD-10-CM/PCS Project Management Resources

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2009


This practice brief has been retired. It is made available for historical purposes only.



Transitioning to ICD-10-CM/PCS will be a major undertaking for healthcare organizations. Below are ICD-10-CM/PCS project management resources and templates that organizations can use to h....

ICD-9-CM Official Guidelines for Coding and Reporting

Author: U.S. Centers for Medicare & Medicaid Services; National Center for Health Statistics

Source: Government (U.S.)

Publication Date: October 01, 2009

.. Official Guidelines for Coding and Reporting ;Section I.. ... Conventions, general Coding guidelines and chapter s.. ..nd “See Also”;B. General Coding Guidelines;1. Use of Bot.. ..ex;3. Level of Detail in Coding ;4. Code or codes from 00.. ..ease process;9. Multiple Coding for a single condition;1..

CodeWrite Community News (October 2009)

Author:

Source: AHIMA newsletter

Publication Date: October 2009

.. Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..ack to table of contents; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal.. ..thcare Compliance; Coding It Right—Practical News .. ..for Coding , Reimbursement, and Heal..

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