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Coding Diabetes Mellitus in ICD-10-CM: Improved Coding for Diabetes Mellitus Complements Present Medical Science

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2012


Results of a recent coding and clinical documentation pilot study indicate that the ICD-10-CM coding classification changes made for diabetes mellitus have significantly improved coding for this disease. The results of the study noted that although a few ICD-10-CM "unspecified" diabetes codes....

Ensuring Remote Coding Compliance

Author: Comfort, Angie

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2012


More and more HIM department managers are turning to remote coding. However, before implementing this staffing model, managers must answer several questions regarding the privacy and security of patient information, including:
What are the compliance risks?
How will privacy and secu....

FY 2012 ICD-10-PCS Updates

Author: Rihanek, Theresa

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2012


Limited updates were made to ICD-10-PCS for fiscal year 2012 as set forth under the partial code freeze established by the ICD-9-CM Coordination and Maintenance Committee.1 The freeze is intended to aid the transition to the new code set by limiting updates for 2012 and 2013 to essential chan....

Busy Year for the RACs

Author: Easterling, Sharon

Source: Journal of AHIMA

Publication Date: March 2012



Learning from last year's denials and preparing for what's ahead will help providers avoid being stung in 2012.


When the Recovery Audit Contractor (RAC) permanent program began in 2009, providers were hopeful that the process for identifying underpayments and overpayments w....

ICD-10 Critical Pathway for Getting Started : 2012 and Beyond

Author: AHIMA; HIMSS

Source: AHIMA

Publication Date: February 20, 2012


February 17, 2012

Background

The transition from ICD-9-CM to ICD-10-CM/PCS comes with various unknowns such as quality of coded data, reimbursement rates, and interoperability. Published in January 2009, the HIPAA regulation that required this transition to occur must be i....

CY 2012 OPPS Update

Author: Rihanek, Theresa

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2012


The final rule for calendar year 2012 Hospital Outpatient Prospective Payment System (OPPS) was released on November 30, 2011. The rule went into effect for outpatient hospital-based services January 1, 2012.

This article outlines the updates in the final rule.
Financial Impact....

CPT Code Updates for 2012

Author: O’Hara, Karen

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2012


The 2012 updates to the CPT code set include 278 new codes, 139 code revisions, and 98 code deletions. This brings the total number of CPT codes to 9,641.

All major sections of the CPT code set, as well as the introduction and appendix A, have undergone changes. Beginning with the i....

2012 CPT® Coding Changes

Author: Endicott, Melanie

Source: CodeWrite | AHIMA newsletter article

Publication Date: February 2012



January 1 marked a new year as well as several additions, deletions, and revisions to the CPT® code set. All six sections, the introduction, and Appendix A, underwent changes in 2012. Coding professionals should review Appendix B of the CPT codebook for a complete listing of all change....

The Respiratory System and ICD-10-CM/PCS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2012


The transition to ICD-10-CM/PCS will provide coding professionals with the opportunity to enhance and improve their coding skills. However, it will also require coders brush up on their anatomy and physiology knowledge. This is the perfect time to gain a better understanding of the differences....

Progress on ICD-10: Survey Shows Advances with Two Years to Go

Author: AHIMA

Source: Journal of AHIMA

Publication Date: November 2011


With the ICD-10-CM/PCS deadline less than two years away, results of a recent AHIMA survey show that more organizations are getting their transitions in motion. In total, 85 percent of respondents to the August 2011 survey said that their organizations had begun work on ICD-10 planning and imp....

FY 2012 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2011


The final rule for the FY 2012 Hospital Inpatient Prospective Payment System was released August 1, 2011. Changes in the rule went into effect with October 1, 2011, inpatient discharges.
MS-DRG Documentation and Coding Adjustment

The Centers for Medicare and Medicaid Services....

Affordable Care Act and POAs

Author: AHIMA Staff

Source: CodeWrite | AHIMA newsletter article

Publication Date: November 2011


Present on admission (POA) indicators were developed to meet requirements of the Deficit Reduction Act of 2005 (DRA). Section 5001(c) of the Deficit Reduction Act of 2005 requires hospitals to report the secondary diagnoses that are present on admission of patients effective for discharges on o....

Reflections on Coding Compliance Program Effectiveness

Author: Johnson, Kathy M

Source: AHIMA Convention

Publication Date: October 02, 2011


Efficiency is about doing things right while effectiveness is about doing the right things. Effectiveness assesses whether the actual outcomes reflect the desired outcomes. Effectiveness begins upfront in the planning process - there is a need to clearly articulate the intent, desired outcomes....

Outpatient Wound Care – Keys to Getting Paid

Author: Hapner, Peggy

Source: AHIMA Convention

Publication Date: October 02, 2011


Ever since the Ambulatory Payment Classification (APC) system was launched, hospitals have struggled to receive the full appropriate reimbursement for outpatient wound care. Why? In many cases, the facility lacks adequate documentation to support coding and billing. And increasingly, medical n....

Certified I10-Ready

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011




To build up competencies in the new code set, AHIMA-credentialed professionals must add ICD-10-CM/PCS continuing education to their credential maintenance through 2013.

The impending coding classification system change from ICD-9 to ICD-10 is the talk of health information....

Coding for Medicare Advantage Plans

Author: Truscott, Tricia

Source: AHIMA Convention

Publication Date: October 02, 2011


Background


The Centers for Medicare and Medicaid Services (CMS) use a reimbursement methodology similar to the DRG system for coverage of Medicare patients enrolled in Medicare Advantage plans through private insurance companies. Using ICD codes from hospital and physician visit....

Modifers – ‘Friend or Foe’

Author: Swindle, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

ABSTRACT:

Background: The need for modifiers to further and appropriate identify accurate coding information to all payers is critical for appropriate and accurate reimbursement. Failure to use modifiers can have a negative impact on a physician or an organizations’ revenue as witho....

The Cardiac Cath Coding/Charging Crossover

Author: Stanton, Kristi

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Many hospitals utilize the charge description master (CDM) to code and charge for cardiac catheterization procedures. While this practice may have been acceptable in the past, increasingly complex procedures within the cardiac cath lab, such as intricate percutaneous coronary....

Lessons Learned from the Bill Error Correction Process

Author: Davis, Nadinia A.

Source: AHIMA Convention

Publication Date: October 02, 2011

ABSTRACT

Front-end errors in registration and charge entry prevent billing problems that drive up the DNFB. These errors can lead to denials for incorrect billing or untimely filing. Bill error correction is typically housed in Patient Financial Services, in which case HIM staff are invol....

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