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ICD-10-CM Official Coding Guidelines

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2009


One of the keys to a successful transition to ICD-10-CM/PCS is a thorough understanding of the ICD-10-CM Official Coding Guidelines, which were posted to the National Center for Health Statistics Web site in January 2009. Similar to the ICD-9-CM coding guidelines, the ICD-10-CM guidelines are....

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

Author: Barta, Ann

Source: AHIMA book

Publication Date: January 02, 2010


Description:   ICD-10-CM and ICD-10-PCS are on their way, and it is imperative that coding professionals be prepared for the transition to the new coding system. This workbook will prepare current coding professionals for the increased knowledge required by the implement....

ICD-10: All in the Family

Author: Bowman, Sue E

Source: Journal of AHIMA

Publication Date: November 2004


A classification is a system that groups together similar diseases and procedures and organizes related entities for easy retrieval.1 Since a single classification system cannot encompass all types of healthcare information or provide the level of detail desired for various uses of healthcare....

Hypertensive Disorders of Pregnancy

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 1997


Hypertension complicates at least 10 percent of all pregnancies. The hypertensive disorder of pregnancy most likely to result in significant adverse clinical outcomes is preeclampsia.

Preeclampsia
Preeclampsia is unique to pregnancy and is characterized by elevated blood press....

Hypertension Coding Review

Author: Endicott, Melanie

Source: CodeWrite | AHIMA newsletter article

Publication Date: May 2011



Does coding hypertension elevate your blood pressure? There are several terms related to hypertension that may cause confusion among coders and require some clarification. This article will define terminology related to hypertension and review the coding guidelines associated with combina....

Hypertension Coding - Crisis Averted

Author: Lojewski, Tedi

Source: CodeWrite | AHIMA newsletter article

Publication Date: December 2016



Thanks to the recent publication of the ICD-10-CM Official Guidelines for Coding and Reporting FY 2017, the past controversy over the interpretation of the term "With" has been resolved.1 The revision of Section I.A.15, "With," now incorporates what was previously clarified in AHA Coding C....

How Gaps in Data Quality Impact Reimbursement

Author: D'Amato, Cheryl

Source: AHIMA Convention

Publication Date: October 10, 2001




Introduction

Improving the quality and flow of data for outpatient services will impact how facilities fare financially under Medicare's outpatient prospective payment system (OPPS). This paper will provide practical advice on how to effectively evaluate and reengineer coding....

Hospital Authority Clinical Vocabulary Table: the Past, the Present, and the Future

Author: Fung, V.; Cheung, N T; Szeto, K; Ngai, L; Lau, M; Kong, J HB

Source: IFHRO Congress | AHIMA Convention

Publication Date: October 15, 2004

Abstract

The use of standard clinical vocabulary to support the development of clinical information systems is well established. The ICD-9-CM was adopted locally to form the basis of the Hospital Authority Master Disease Code Table (HAMDCT) and incorporated for use into the Clinical Mana....

Hospice Coding Left Out?

Author: Zastoupil, Shawna

Source: AHIMA newsletter article | CodeWrite

Publication Date: October 2016




Like many other healthcare settings, hospices are starting their journey into coding compliance. Before the first Federal Regulation (FY 2013), which addressed diagnosis coding clarification, hospices typically reported one code on their claims. Since that time, the Department of Heal....

Home Health Prospective Payment Systems (HH-PPSs)

Author: Abraham, Prinny

Source: AHIMA Convention

Publication Date: October 10, 2001



The National Association of Home Health reported that the number of Medicare certified home health agencies peaked in 1997 at 10,444 and declined to 8,080 in 1998, to 7,747 in 1999, and back up to 7,880 in 2000. Personal expenditures for home care were estimated at $36 billion in 1999, dow....

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
....

HIV/AIDS in ICD-10-CM

Author: Parman, Cindy C

Source: CodeWrite | AHIMA newsletter article

Publication Date: May 2014



Human immunodeficiency virus (HIV) attacks the immune system, the body's natural defense system. And of course, without a strong immune system the body has trouble fighting off disease. Both the virus itself and the resulting infection are called HIV. The final stage of HIV infection is a....

Hiring Tips for ICD-10 Help

Author: AHIMA

Source: Journal of AHIMA

Publication Date: July 2013


Staff up or suffer. That is one message HIM professionals are hearing regarding the upcoming ICD-10-CM/PCS transition. Clinical documentation specialists will be needed to ensure clinicians adequately document provided care that validates the new, more detailed ICD-10 codes. Coders with ICD-10....

HIPAA Marches On--Or Does It?

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: March 2005


HIPAA has taught us that standardization is hard. When the act was signed into law in 1996, the optimists among us believed that within four years the healthcare industry would be using a variety of uniform national administrative transactions, most associated with what we now call the revenue....

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....

HIPAA Electronic Data Interchange Transactions: The Impact on Healthcare Billing Processes with Special Emphasis on 837 Electronic Claims Transactions and 835 Electronic Remittance Transactions

Author: Kubas, Debbie; Buck, Shawna

Source: AHIMA Convention

Publication Date: October 21, 2005


Rules for HIPAA-compliant electronic transactions were finalized on October 16, 2000. The finalized HIPAA transaction standards required that claims filed electronically after October 16, 2002 (or after October 16, 2003, if you filed for an extension) had to be in the HIPAA-compliant electroni....

HIPAA Compliance Extension Postpones Simplification Benefits

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: February 2002



Under the terms of the Health Insurance Portability and Accountability Act of 1996, February 2002 would mark the second anniversary of administrative simplification for all but the smallest of health plans, and one year of rules related to claims attachments. Instead, Congress just approve....

HIM Spin on the Revenue Cycle

Author: Youmans, Karen

Source: Journal of AHIMA

Publication Date: March 2004



HIM plays an integral role in an organization’s revenue cycle. That means health information managers have a role to play in revenue cycle management.
Is the following scenario familiar? The CEO is complaining about accounts receivable (AR) climbing to $10 million. The coders a....

HIM & Ethical Decision Making: Complex Challenges

Author: Harman, Laurinda B.

Source: AHIMA Convention

Publication Date: October 10, 2001




The successful health information management (HIM) professional (RHIT and RHIA) must be simultaneously passionate about two things: (1) information management expertise and (2) ethical principles and professional values. Technical expertise without ethical principles and professional....

HIM Breakup: Changing Times Pull HIM and Coding Apart

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2009


Benefits can follow when coding packs its bags and moves to the revenue cycle. But all realignments have their opportunities and risks.

HIM and coding are breaking up.

Once a common couple, the two departments are beginning to split at some facilities, moving on to differen....

HHS Releases Final Rules for HIPAA Transactions, Code Sets

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2000


HIM professionals have new HIPAA challenges to prepare for: this summer, the Department of Health and Human Services (HHS) released the highly anticipated final rule for certain transaction sets and codes.1 The rule was effective on October 16, 2000, and under HIPAA legislation, most....

HFMA Tackles Hospital Billing Chaos

Author: Jeffries, Jane

Source: Journal of AHIMA

Publication Date: January 2001




Hospital bills are lengthy, often incorrect, and potentially confusing-to no one's surprise. A hospital bill is the result of a long process with numerous participants, beginning at pre-intake and ending with final collections.

Richard L. Clarke, FHFMA, president and CEO o....

Here Comes Rehab PPS!

Author: Grzybowski, Darice; Draper, Skeeter

Source: Journal of AHIMA

Publication Date: January 2002


Just when you thought it was safe to come up for air.


After Medicare’s introduction of the Outpatient Prospective Payment System (PPS, which brought us APCs), the Home Health PPS (with its HHRGs), and Skilled Nursing Facility PPS (with RUGS), another new reimbursement syst....

Help! I am Encoder-Dependent!

Author: Horn, Kelli

Source: CodeWrite | AHIMA newsletter article

Publication Date: March 2014



Many coders in the workforce preparing to take their CCS examination acknowledge that they are dependent on encoders. While this is beneficial in performing daily job duties, it can be a hindrance to successfully passing the examination. The four-hour examination requires that exam-takers....

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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009


The transition to 5010 and ICD-10-CM/PCS will be a challenge for Health Plans. A key to success in this transition is thorough and advance preparation as well as coordination of concomitant efforts to comply with 5010 and ICD-10. Payers may be tempted to focus on the 5010 compliance project fir....

Health Information Management Improving the Revenue Cycle: Practical Applications for Acute Care Facilities

Author: Curtis, Elizabeth; Osborn, Carol E.; Maxim, Dorothy

Source: AHIMA Convention

Publication Date: October 21, 2005

Introduction

The broad ownership of the revenue cycle within a healthcare organization complicates management. In any healthcare setting, the revenue cycle consists of a complex set of processes that involve multiple departments coordinating reviews of multiple monitors to ensure a health....

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