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Rheumatoid Arthritis

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: November 1998

..mation to help Coding professionals understand.. ..or of Classification and Coding . Articl.. .. developed the following Classification criteria to as.. .. is AHIMA's director of Classification and Coding. ..

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 ..

FY1999 Inpatient PPS Changes: ICD-9-CM Revisions

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: October 1998

..ional coder education in Coding of burns may b.. ..ssary to ensure accurate Coding of burn cases and .. ..nt. Coders should review Coding Clinic for ICD-9-CM3 .. ..l guidance on the proper Coding of burns. Tabl.. ..n Hospital Association's Coding Clinic for ICD..

Disorders of the Breast

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: May 1996

..or of classification and Coding Carci.. ..cal diagnosis. Coding note: In CPT, codes 1912.. .. Coding note: An excisional biop.. .. Coding note: Code 19100 is iden.. .. Coding note: Fibroadenoma is as..

Building a Better CPT

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 2000

.. among these areas is Coding . Among the concerns is w.. ..re of CPT to reflect the Coding demands of the mode.. ..f the current system for Coding the provision of health .. ..ility of adopting a Coding hierarchy; reviewed and .. ..luated official CPT Coding rules and guidelines and..

ICD-9-CM Code Revision for 2001

Author: Prophet, Sue

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2000

..ars’ worth of revisions. Coding professionals should fam.. ..gory instructs Coding professionals to code fi.. ..code 440.23, instructing Coding professionals .. .. the Coding and sequencing of Alport.. ..torial Advisory Board of Coding Clinic..

Analysis of Final Rule for 2005 Revisions to the Medicare Hospital Outpatient Prospective Payment System

Author: Prophet, Sue

Source: AHIMA regulation analysis

Publication Date: December 02, 2004

..ensive discussion of the Coding and APC assignment of st.. ..changes were made in the Coding or APC assignment of the.. ..ieves that inappropriate Coding still exists for CTA pro.. ..ter coordinate coverage, Coding and payment policy for n.. ..lic comment the proposed Coding guidelines that they are..

ICD-10 on the Horizon

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: July 2002

..using it. Why aren't we? Coding professionals a.. .. multiple burns) because Coding professionals will be ex.. ..odes unique to mortality Coding or those designed specif.. ..odes unique to mortality Coding include unattended .. ..(requests for changes to Coding structure that are ..

ICD-9-CM Revisions -- Effective October 1, 1996

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: October 1996

..or of classification and Coding The .. .. Hospital Association's Coding Clinic for ICD-9-CM . Th.. ..r 1996 issue of Coding Clinic for ICD-9-CM . .. ..In order to simplify the Coding of gallstones, combinati.. ..t, RRA, CCS, director of Classification and coding ..

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-PCS

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: April 09, 2002

..Sue Prophet, director of Coding policy and compliance of.. .. ICD-9-CM procedural Coding system with ICD-10-PCS. .. ..a variety of medical Coding functions. A survey of o.. ..arly 50 percent cite Coding as one of their primary .. .. whether they manage Coding functions, or are a codi..

Coding Compliance: Practical Strategies for Success

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: January 1998

.. "Fraud," "abuse," "up Coding ," "unbundling," and "com.. ..6.78% Incorrect Coding 8.53% Nonconv.. ..r you, the HIM director, Coding supervisor, or coder? .. ..investigation related to Coding , or if you do become a.. ..on has accurate, ethical Coding practices and medical re..

ICD-9-CM Revisions (effective 10/1/97)

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: November 1997

..or of classification and Coding The .. .. Hospital Association's Coding Clinic for ICD-9.. ..h Quarter 1997 issue of Coding Clinic for ICD-9-CM. .. .. See the September 1997 " Coding Notes" for information o.. ..r the official Coding guidelines regarding the..

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..

AHIMA's Comments Regarding APC Advisory Panel Discussion on Guideline for Medicare OPPS - Facility Coding of E/M Services

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: January 03, 2002

..care OPPS – Facility Coding of E/M Services Dear.. ..nes for the facility Coding of evaluation and manage.. ..formation, data, and Coding in our nation’s provider.. ..g goal of consistency in Coding .  As part of this effort.. .., overseeing correct Coding rules associated with th..

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-CM

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: May 29, 2002

..Sue Prophet, director of Coding policy and compliance of.. .. the ICD-9-CM diagnosis Coding system with ICD-10-CM.  .. ..ignificant importance of Coding and coding standards, a.. ..iagnostic and procedural Coding is one of our Associati.. ..ude a variety of medical Coding functions. The classifi..

Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on Medical Code Sets

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: February 06, 2002

..Prophet, director of Coding policy and compliance fo.. ..overage.  Consistency in Coding is an important issue fo.. ..ed in the use of medical Coding as managers and coding p.. ..lved in professional Coding . For more information, I.. ..org .  As we discuss Coding and classification here ..

What is Gulf War Syndrome (Part II)

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 1998

..ted manifestations (per Coding Clinic for ICD-9-CM, .. .. "Ask the Editor." Coding Clinic for ICD-9-CM 15,.. .. a two-part series. See " Coding Notes" in July.. ..or of classification and Coding . Articl.. .. is AHIMA's director of Classification and coding. ..

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

..llaborative effort among Coding and clinical documentat.. ..res were a reflection of Coding practices, documentatio.. .. of both. Since external Coding compliance audits by th.. ..urce) indicated that the Coding and ICD-9 assignments a.. ..re was purchased for the Coding specialists’ use. This i..

Using Intrinsic and Extrinsic Metrics to Evaluate Accuracy and Facilitation in Computer-Assisted Coding

Author: Resnik, Philip; Niv, Michael; Nossal, Michael; Schnitzer, Gregory L.; Stoner, Jean; Kapit, Andrew; Toren, Richard

Source: AHIMA Computer-Assisted Coding Meeting

Publication Date: September 06, 2006

..ion in Computer-assisted Coding ;Abstract ;Introduction .. ..ion in Computer-assisted Coding 1 .. ..Computer-assisted Coding .. ..Computer-assisted Coding (CAC) evaluation can be .. ..ing the process of human Coding and information .. .. about evaluation in the Coding industry comes primarily..

Communication of Clinically Relevant Information in Electronic Health Records: a Comparison Between Structured Data and Unrestricted Physician Language

Author: Resnik, Philip; Toren, Richard; Nossal, Michael; Niv, Michael

Source: AHIMA Computer-Assisted Coding Meeting

Publication Date: October 05, 2007

..provision for en Coding hypothesized conditions .. ..nor for en Coding vague temporal specifica.. ..andardized, structured en Coding s of .. .. Coding 19 already contains many .. ..ion in Computer-assisted Coding .‖ .. ..ement, Computer-assisted Coding Conference ..

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....

FY 2012 ICD-10-PCS Updates

Author: Rihanek, Theresa

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2012

..n revision of ICD-10-PCS Coding Guideline B3.10c. The gu.. ..ol that will help ensure Coding consistency and interpre.. ..e consistency within the Classification . A return to regular cod.. .. As with every code Classification revision, it is vital fo.. ..s. Two new device Classification maintenance standards we..

Avoiding a War of Words (and Numbers): the Uncertain Future of Terminologies and Classifications

Author: Roberts, Rosemary; Innes, Kerry; Walker, Sue; Scott, Peter

Source: Journal of AHIMA

Publication Date: October 2004

..ting and epidemiological Coding systems such as IC.. ..pplication of rules. The Coding process is carried .. ..D-10-AM to assist in the Coding process that takes these.. ..les and relationships of Classification s and terminologies are u.. ..competition. Classification s and clinical terminolog..

Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Proposed Rule (70 Federal Register 42674)

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: September 16, 2005

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. ..ctate health information Coding . Requiring that an .. .. VIII-B: Proposed Coding and Payment for Drug Adm..

AHIMA Comments on Proposed Changes to the Hospital Inpatient Prospective Payment System (PPS) for Fiscal Year 2004

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: July 07, 2003

.. Consistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. .. would be a violation of Coding advice published in the .. ..n Hospital Association's Coding Clinic for ICD-9-CM, whi..

Why ICD-10 Can’t Wait

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: October 2008

.. US will upgrade its ICD Classification s and the HIPAA transacti.. ..itutions. While both Classification s have been available for.. .. reimbursement code set. Classification data has value for publi.. ..The relationship between Classification s and terminologies ..

First Annual Hospital OPPS Update Published

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001

..nd HCFA Common Procedure Coding System (HCPCS) codes wil.. ..evisions will not affect Coding , but they could affect r.. ..anding about appropriate Coding . Less invasive versions .. ..ncludes rules covering en Coding and specific rules relat.. ..r late assessments and en Coding . In addition, to receive..

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000

..ired to do so. Two Coding Changes Initially,.. ..ot; including medical Coding , presently occurring. Ho.. ..need to be contacted for Coding information. AHIMA and .. ..ration. Common Procedure Coding System. US Government.. ..stration. International Classification of Diseases: Ninth Ed..

Understanding HIPAA Transactions and Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2001

..ectronic transaction and Coding standards as e.. ..transactions and medical Coding sets included in the reg.. .. Are the Transaction and Coding Standards? The.. ..tration Common Procedure Coding System (HCPC.. .. there will be the usual Coding updates before..

AHIMA Comments on Proposed Changes to the Hospital Outpatient Prospective Payment System (PPS) for Calendar Year 2004

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: October 04, 2004

..nsistency in medical Coding and the use of medical c.. .. Parties oversee correct Coding rules associated with th.. ..icipates in a variety of Coding usage and standardizatio.. ..ly and can result in Coding confusion and errors, co.. ..costly and can result in Coding confusion and errors, co..

AHIMA Statement for the Record, House Ways and Means Health Subcommittee Hearing on Options to Improve Quality and Efficiency Among Medicare Physicians

Author: Rode, Dan

Source: AHIMA testimony and comments

Publication Date: May 10, 2007

..ICD-9-CM Classification system to ICD-10-CM and .. ..(inpatient procedures) Classification systems. These systems w.. ..ntation and use of these Classification systems. Yet, in the cas.. .. Classification s either as a stand alone.. ..conversion to ICD-10 Classification s by October 1, 2011. Mov..

Take Another Look: Proposed Changes to Privacy Rule

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: May 2002


In late March, the Department of Health and Human Services (HHS) released proposed changes related to the HIPAA privacy standards. By the time you read this column, the 30-day comment period for these regulations will have already passed, although debate on these changes will still be in full....

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