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HCFA Addresses Inpatient Payments, SNFs

Author:

Source: Journal of AHIMA

Publication Date: October 2000


HCFA's recently published interim final rule concerning the "Provisions of the Balanced Budget Refinement Act of 1999; Hospital Inpatient Payments and Rates and Costs of Graduate Medical Education" will provide a 2.3 percent increase in payment rates for most acute care hospital....

New Home Care PPS Brings Major Changes

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: October 2000

.. according to official Coding guidelines. Instead, tho.. ..ularly "up Coding ," if the quality an.. ..ot improve. As Coding becomes more of an indus.. ..rce Group (HHRG) Classification system. The 80 different.. .. Resource Group Case-Mix Classification Decision Tree Logic"..

APC Checklist (2000)

Author: Scichilone, Rita A

Source: AHIMA practice brief

Publication Date: September 2000

..service, or assigned by Coding professionals following .. .. review of compliance to Coding guidelines, interpretati.. ..CCS, practice managers, Coding products and services, A.. ..nd Ambulatory Payment Classification s (APCs) were implemented.. ..on of code selection and Reimbursement data that affect APC gro..

Where in the World Is ICD-10?

Author: Brouch, Kathy L.

Source: Journal of AHIMA

Publication Date: September 2000

..e newest version of this Coding system and how coder.. .. few more years, the new Coding system has been in pl.. ..e transition to a new Coding system been like for cod.. ..member states for the Coding of national mortality an.. ..and many elements of the Coding landscape have change..

Where Are They Now? CPR Leaders Assess Their Progress

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: September 2000


Five years ago the first recipients of the Davies awards showed us successes of CPR systems across the country. Where are they now? This article catches up with these CPR leaders.
Is your job exactly the same as it was five years ago? For most HIM professionals, the answer....

Catching Up with PEPP

Author: Bryant, Gloryanne H.; Fletcher, Robin

Source: Journal of AHIMA

Publication Date: September 2000

..es prevalent DRGs ( Coding errors and DRG upcoding).. .. methodology used for Coding and classification has b.. ..ROs conducting PRO Coding conferences to address D.. ..RG and ICD-9-CM Coding issues develo.. ..e systemwide director of Coding /HIM compliance for Catho..

Dot-com Coder

Author: Zender, Anne

Source: Journal of AHIMA

Publication Date: July 2000

.. the job. Davis is Coding specialist and knowledge.. ..s's team is working on a Coding inference engine that.. ..ing to perform automated Coding . The company has been de.. ..s develops rules for the Coding product to use in applyi.. ..appropriately. The Coding product is still in its ..

Making a Proactive Transition to APCs

Author: Willett, Lyn

Source: Journal of AHIMA

Publication Date: July 2000

..ate and timely Coding of all outpatient encoun.. .. codes and CPT/HCPCS Coding , which are unfamiliar to.. ..ust know ICD-9 diagnosis Coding . Clinical personnel work.. ..th the chargemaster, CPT Coding , and E&M coding. .. ..ccuracy of all Coding , are all outpatient rec..

Coding for APCs: Case Studies

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2000

..ncreased complexity when Coding outpatient encounters. E.. .. to APC payment may help Coding professionals .. ..orting process. Although Coding guidelines wil.. .. the National Correct Coding Initiative (NCCI) Edits,.. ... Fracture Care Coding in the ER Codin..

Standards Organizations Plan Collaboration

Author:

Source: Journal of AHIMA

Publication Date: June 2000


In March, the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards and Security reached an agreement with six standard-setting organizations. The six organizations include the Accredited Standards Committee X12, Dental Content Committee, Health Level Seven,....

Who Answers the Medical Necessity Question?

Author: Gregg, Cheryl A.; Mallett, Sherri

Source: Journal of AHIMA

Publication Date: June 2000

..programs, documentation, Coding , and reimbursement analy.. ..dgeable about outpatient Coding guidelines (in particula.. ..ssity issues can lead to Reimbursement and billing difficulties.. ..tory tests. As a result, Reimbursement specialists must stay cu.. ..r anyone involved in the Reimbursement process, a thorough know..

Journal Q&A (4/00)

Author: AHIMA Professional Practice Team

Source: AHIMA Q and A

Publication Date: April 02, 2000

Q: I was under the impression that a new prospective payment system (PPS) was to be implemented on October 1, 2000, for Medicare patients in rehabilitation hospitals. Where can I locate the proposed rules?
A: The Balanced Budget Act of 1997 mandated that a PPS be implemented for rehab h....

Clarifying Selected CPT Modifiers

Author: Scichilone, Rita A

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2000

.. RHIA, CCS, CCS-P Coding for professional service.. .. complicated enough when Coding professionals are cha.. ..ifier usage will help Coding professionals understand.. .. Rita Scichilone is a Coding practice manager at AHIM.. .. the Ambulatory Patient Classification groups are used for Medi..

Code Sets

Author: Brooks, Patricia E.

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

..l support Proprietary Coding systems cost d.. ..e Proponents of other Coding systems MEDCIN .. ..umber (UPN) Coding Systems Not Proposed as .. .. ICD-10 and Other Future Coding Systems? No..

Code Sets: Improving the Quality of Coded Data

Author: Prophet, Sue

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

..ctor, Classification and Coding , AHIMA .. ..of adherence to official Coding rules/guidelines Paye.. ..r-specific Coding requirements Local co.. .. because of improper way Coding systems are being used .. ..oses question of bias in Coding toward reimbursement ..

HIPAA Electronic Transactions

Author: Miller, Susan A

Source: HIPAA Conference 2000

Publication Date: March 14, 2000

2000 HIPAA Conference Presentation
HIPAA Electronic Transactions
Presented by Susan A. Miller, Esquire, Corporate Regulatory & Compliance Manager, IDX Systems Company HIPAA Summary
Title II, Subtitle F—Administrative Simplification of the Health Insurance Portability and Accoun....

Standards of Ethical Coding

Author: AHIMA Board of Directors

Source: Journal of AHIMA

Publication Date: March 2000

..The Standards of Ethical Coding have been updated. You c.. ..iagnostic and procedural Coding , the professio.. ..cs of health information Coding professionals continue .. ..A conscientious goal for Coding and maintaining a qualit.. ..rds of ethical Coding , developed by AHIMA's Co..

Demystifying Nonphysician Practitioner Billing

Author: Lich, Denisha

Source: Journal of AHIMA

Publication Date: February 2000


To address today's financial challenges, healthcare facilities are increasing their use of nonphysician practitioners, such as nurse practitioners, clinical nurse specialists, and physician assistants, to provide patient care. As a result, providers need to pay close attention to the employmen....

Crystal Ball for Coding

Author: Johns, Merida L.

Source: Journal of AHIMA

Publication Date: January 2000

.. What will the future of Coding look like? A special AHI.. ..e time ago that Coding would become more and mo.. ..ally automatic. Coding specialists are still im.. ..t completed by the AHIMA Coding Futures Task Force. This.. ..ght affect the domain of Coding practice. Composed of na..

Off-Site Coding Success Story

Author: Kramer, Lynette; Meeks, Richard

Source: Journal of AHIMA

Publication Date: January 2000

..pact timely and accurate Coding , three of the most commo.. ..y reengineered its Coding functions. In doing so, .. ..it relocated its Coding staff to a separat.. .. available for timely Coding even more difficult. .. ..lly supporting the Coding function. Location was a..

CPT Changes for 2000

Author: Kirschner, Celeste G.; Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2000

..l Association's CPT 2000 Coding Symposium was held rece.. ..n revised to include the Coding of tissue adhesives in .. ..le electrode array, when Coding incision and subcutaneo.. ..to describe the correct Coding of neurostimulators in t.. ..heral nerves.  In Coding destruction by neurolyti..

Global Language for Pharmaceutical Regulation

Author: Rulon, Vera

Source: Journal of AHIMA

Publication Date: January 2000

..heir products. Coding systems used for this pu.. .. Terminology), COSTART ( Coding Symbols for a Thesaurus .. ..uating Computer-Assisted Coding of Adverse Events." Dru.. ..quires Clean Data in the Coding Process." Drug Informat.. ..habet soup" of Classification s: WHO-ART (World Health ..

Trend Watch: Coding for Nonphysician Services

Author: Hill, Emily

Source: Journal of AHIMA

Publication Date: January 2000

..ess of the similarity to Coding for physician services, .. .. there are challenges in Coding for care provided by PAs.. ..d with appropriate Coding . Third-party payers may .. ..his is a coverage, not a Coding or scope of practi.. ..ce, issue. Proper Coding is determined by the wor..

Coding Crosses into the Future

Author:

Source: AHIMA Advantage

Publication Date: December 1999

.. it seems, consider what Coding practice may l.. ..estion, one that AHIMA's Coding Futures Task Force .. .. to map the direction of Coding practice in the next dec.. ..try—to help prepare Coding professionals .. ..ll the world surrounding Coding look like in 2010? Here ..

Mobilizing to Do Adaptive Work

Author: Fletcher, Donna M.

Source: Journal of AHIMA

Publication Date: November 1999

..for overseeing Coding functions, assigning cod.. .. As new versions of Coding systems were adopted in .. ..nitive text on Coding for reimbursement, condu.. .. advocacy. 3 Coding is an excellent example .. ..In the case of Coding , the authority tradition..

Brief History of ICD-10-PCS

Author: Mullin, Robert L.

Source: Journal of AHIMA - Coding Notes

Publication Date: October 1999

..h Revision, Procedure Coding System (ICD-10-PCS) was .. .. the entire procedure Coding system at the same time... ..enth Revision, Procedure Coding System (ICD-10-PCS), was.. .. develop a new procedure Coding system, improve accur.. ..acy and efficiency of Coding , reduce training efforts..

Compliance Efforts Get Some PEPP

Author: Bryant, Gloryanne H.

Source: Journal of AHIMA

Publication Date: September 1999

..nappropriately through up Coding , particularly so within .. ..nitor and oversee DRG Coding . In fact, the OIG recomm.. ..y aberrant patterns of up Coding ." In light of su.. ..to monitor hospitals for Coding accuracy. In addition.. ..hly vulnerable DRGs to up Coding , which the PROs will ..

Tools for Defining Data

Author: Shakir, Abdul-Malik

Source: Journal of AHIMA

Publication Date: September 1999


Similarly, data dictionaries, data sets, and data models have much in common, but many significant differences. Each can be used to define data, especially data that needs to get from point A to point B. This article describes each of these tools and the value they add to health information ma....

Getting Ready for APCs

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: September 1999

..tioners support accurate Coding , the challenge r.. ..ssionals: how to achieve Coding accuracy in a system .. .. Greater emphasis on Coding specificity and complete.. ..es that minimize Coding errors and omissions and.. ..53 percent for incorrect Coding , with insuffic..

After Automated Coding, What?

Author:

Source: Journal of AHIMA

Publication Date: July 1999

.. "After automated Coding , what?" Com.. ..e coder will evolve from Coding and abstracting health .. ..ccuracy of clinical Coding monitoring comp.. .. "After Automated Coding , What?" Journal of.. ..d expertise in using the Classification systems that are r..

Automated Coding: The Next Step?

Author: Beinborn, Julie

Source: Journal of AHIMA

Publication Date: July 1999

.. Automated Coding technology may be key to.. .. the evolution of the Coding and billing proc.. ..pects of healthcare, and Coding is no exception. .. ..y when a fully automated Coding process is in .. ..ent change the Coding profession? Would it ren..

Where We've Been, Where We're Going

Author: Scichilone, Rita A

Source: Journal of AHIMA

Publication Date: July 1999

... In more ways than one, Coding professionals are making.. ..y. And today, changes in Coding requirements are part .. ..he role of the Coding professional in the last.. ..unities from a Coding professional's perspecti.. ..s no easy task. Clinical Coding continues to be a proces..

Best Practices: What Works

Author: Carrier, Danielle

Source: Journal of AHIMA

Publication Date: July 1999

.. Coding process —Based on .. ..average time to complete Coding was less than five days .. .. contribute to timely Coding processes for these bett.. ..itization of records for Coding , based on dollar amount .. ..ds so they are ready for Coding as soon as they arr..

Group Builds Consensus on Laboratory Test Policies

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: July 1999

..osition because accurate Coding requires specialized .. ..cessary knowledge of the Coding rules and guidelines .. .. procedure codes. If the Coding is performed by an entit.. ..e claim, there is no way Coding accuracy can be assur.. ..t is to be coded by a Coding expert. The commit..

Imagine the Future of Coding

Author:

Source: AHIMA Advantage

Publication Date: June 1999

.. How will Coding be different in the year.. .. 2010? Pondering the Coding practices of t.. ..ow is the job of AHIMA's Coding Futures Task Force. .. ..intersects with evolving Coding systems, multiplied by a.. .. the resultant impact on Coding ? Looking at th..

Post-acute PPS: Changing the Way We Code

Author: Dougherty, Michelle

Source: Journal of AHIMA

Publication Date: June 1999

..modate the new Coding demands of a prospective.. ..creating new interest in Coding issues for post-acute .. ..e to accommodate the new Coding demands of a prospective.. .. this new era. Diagnosis Coding is a fundame.. .. directly linked to Coding , it has been difficult t..

Managed Care in the Age of Accountability

Author: Tercero, Wendy

Source: Journal of AHIMA

Publication Date: April 1999


Additionally, as managed care grows, quality and cost will reach equilibrium, and today's economically driven model will have stabilized, turning into one that truly balances cost and quality. Healthcare organizations of the future will need to implement information systems that support decisi....

Clear Focus on Coding

Author: Moses, Rhona

Source: Journal of AHIMA

Publication Date: April 1999

..s I have been manager of Coding education and billing.. ..es that ICD-9-CM and CPT Coding is complete and accurate.. .. work group in a plan of Coding training, auditing, and .. ..y based on diagnostic Coding . In addition, coded data.. ..rollee population. Coding is also important to app..

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