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2008 CPT Coding Update

Author: Jorwic, Therese M

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2008


The new CPT codes took effect January 1, 2008. Changes include 244 additions, 314 revisions, and 50 deletions. A comprehensive list of changes can be found in appendix B of the CPT book. Highlights of the changes by section are outlined here.
Evaluation and Management

A revised....

Coding Debridement Procedures

Author: McCullough, Dan

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2008


Coding debridement procedures can be difficult-even for the most experienced coding professional. Recent studies have documented inappropriate coding of debridement procedures that have resulted in millions of dollars in overpayments.

This article offers guidance on the app....

Computers, Coding, and Change

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: January 2008


Computer-assisted coding won’t eliminate the profession, but it will change it dramatically.

Mythily Srinivasan thought she was out of a job. Out with human coders, in with computer-generated coding. At first that seemed to be her facility’s master plan.

Home Health PPS Update

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2008


The long-anticipated update to the Home Health Prospective Payment System (PPS), released in the August 29, 2007, Federal Register, goes into effect January 1, 2008. The final rule encompasses a wide range of changes for home health agencies.
An Overview of the Final Rule
....

Statement on Quality Healthcare Data and Information

Author: AHIMA

Source: AHIMA position statement

Publication Date: December 14, 2007


Reviewed and Approved December 2007
AHIMA’s Position

Healthcare data and its transformation into meaningful information should be a central concern for consumers, healthcare providers, the healthcare industry, and the government. Standards, technologies, education, and research a....

Final Rule for FY 2008 IPPS: MS-DRGs and POA Top List in a Year of Major Change

Author: D'Amato, Cheryl; Garrett, Gail S.; Johnson, Laurie M.

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

Publication Date: November 2007



The final rule for the fiscal year 2008 inpatient prospective payment system (IPPS) went into effect October 1, 2007. The rule includes ICD-9-CM code changes, implementation of the new Medicare severity-adjusted (MS) DRG system, and a number of quality-related changes that affect how Medic....

Ensuring Proper Wound Care Service Coding: OIG Highlights Need for Organizations to Assess Wound Care Coding Practices

Author: Bryant, Gloryanne H.

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

Publication Date: November 2007



This year the Office of Inspector General (OIG) issued two reports relating to wound care services and Medicare payments. As the OIG has included wound care services as part of its 2007 work plan, coding and HIM professionals should review each report and re-assess their organization̵....

Four-Year Experience with Severity-Based DRGs: Vanderbilt University Medical Center

Author: Reeves, Mary G; Scott, Freda; Hallock, Kathy; Hays, Stephanie A.

Source: AHIMA Convention

Publication Date: October 10, 2007

Background

We implemented concurrent usage of severity -based software and a Clinical Documentation Program to facilitate improvement in our Risk of Mortality (ROM) and Severity of Illness (SOI) scores. We wanted to stay ahead of the regulatory reforms and also understand the proposed ch....

Coding for Renal Failure

Author: Zarick, Andrew Jr.

Source: AHIMA Convention

Publication Date: October 10, 2007


Acute renal failure is present in one to five percent of all hospitalized patients and as many as 20 percent of ICU patients. The causes may be pre-renal, intra-renal or post renal. Pre-renal causes are the most common. Lab findings will help identify the specific cause of acute renal failure.....

Medicare APCs 2007: Where We Are Seven Years Later

Author: Russell, Jean C.

Source: AHIMA Convention

Publication Date: October 10, 2007

Background

When the Centers for Medicare and Medicaid Services’ (“CMS”) implemented the Outpatient Prospective Payment System (“OPPS”) on August 1, 2000, it fundamentally changed the way hospitals are reimbursed for outpatient services. Since the inception of the Medicare program in the 1....

Crossing the Rubicon: Developing a Strong Inpatient/Outpatient Coding Structure at Duke

Author: Stone, Fabian; Wooley, Barbara; Egan, Jeanne M.; Gallagher, Timothy

Source: AHIMA Convention

Publication Date: October 10, 2007

Overview

Duke University Health System (DUHS), based in Durham, NC, consists of Duke University Hospital, Duke Health Raleigh Hospital, Durham Regional Hospital, Duke University Affiliated Physicians (DUAP), Private Diagnostic Clinic (PDC), and the Patient Revenue Management Organization....

Getting Quality Clinical and Coded Data: How UMHS's CDIP Improved Clinical Coded Data and Clinical Staff Relationships

Author: Blackford, Gwendolyn; Whitehouse, Rosanne

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

Publication Date: October 2007


Obtaining codeable clinical documentation at the point of care in a large teaching facility can be challenging. However, the HIM department at the University of Michigan Health System (UMHS) in Ann Arbor, MI, took on the task, implementing a clinical documentation improvement program (CDI....

Coder Takes e-HIM to the People

Author: AHIMA

Source: AHIMA Advantage

Publication Date: October 2007

Interview with Bonnie Sher, RHIA, CCS, CCS-P, CPC, and one of the first AHIMA members to join the Action Community for e-HIM® Excellence (ACE) program.

Clinical Documentation Specialists

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2007


Clinical documentation improvement programs are growing, moving some HIM professionals to the clinic floor.
With sharp eyes, clinical documentation specialist Sharnetha White calmly combs through a patient’s chart. She isn’t fazed by the organized chaos that surround....

Accuracy Imperative: New Stakes for Coded Data

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: July 2007


The requirements for coding accuracy have always been high, even before coding became the basis for reimbursement. HIM professionals have championed improvements to medical record documentation and classification systems essential to accurate coding, and the profession has also led the wa....

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