377 results.
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Wound Care in the Outpatient Setting
Author: Hundal, Ripandeep K
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: April 2016
Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. Wounds are typically due to accidental injury but may also result from surgery, stitches, or chronic disease processes.1
Wound care involves evaluation,....
Calendar Year 2016 OPPS Rule Update
Author: Clack, Crystal
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2016
On October 30, 2015, the Centers for Medicare and Medicaid Services (CMS) finalized changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center (ASC) payment system for calendar year (CY) 2016. The OPPS payment rates and policies impact approximately 4,000....
ICD-10 Opens Documentation Gaps
Author: Diop, Karen
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2016
We studied. We practiced. We prepared. We had extensions—first a year, then two. More time to practice. Then, at long last, October 1, 2015 arrived, bringing with it the much-anticipated new code sets ICD-10-CM and ICD-10-PCS. Despite much hand wringing and nay saying, the implementation....
Exploring the FY 2016 ICD-10-CM/PCS Updates
Author: Land, Daniel
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2016
On October 1, 2015 the updates to the ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting went into effect. There were no changes to the ICD-10-CM Guidelines at that time. Fifty new ICD-10-PCS codes were added, which brings the total to 71,974 PCS codes for FY 2016. Thir....
FY 2016 CPT Updates
Author: Clack, Crystal
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: February 2016
When the first edition of the Current Procedural Terminology (CPT) was released in 1966, there were only 3,554 codes. In 2016, CPT, published by the American Medical Association (AMA), is celebrating its 50th birthday with 10,000 CPT codes. This year’s CPT updates include 140 codes added,....
Documenting Pharmacogenomic Testing with CPT Codes
Author: Hefti, Erik ; Blanco, Javier G
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: January 2016
The “personalized medicine” paradigm is at the forefront of discussions about the future of healthcare, and a wealth of new data concerning how human genetic variation contributes to drug response has the potential to change the practice of medicine. The promise of treating pat....
Don’t Let Preventable CPT Coding Mistakes Cause Heartburn
Author: Clack, Crystal
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2015
Every medical practice should have preventive measures in place to avoid costly coding and billing audits, errors, and subsequent delays in payment. Incorrectly coded claims, missing charges on a patient encounter, and other mistakes can take a substantial bite out of both practice and ph....
ICD-10 Moves Healthcare One Step Closer to Improved Documentation
Author: Diop, Karen
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2015
Change has become a constant in healthcare. With the introduction of electronic health record (EHR) systems, core measures, the “meaningful use” EHR Incentive Program, value-based purchasing, and the ICD-10-CM/PCS code sets, the healthcare industry has been bombarded by wave after wave in....
More Specific Physician Documentation Needed for ICD-10-CM
Author: Burgess, Sheila
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2015
The dawn of October also welcomes the official go-live date for ICD-10-CM/PCS—meaning there is absolutely no time left to waste in preparing for the additional documentation requirements necessary for successful ICD-10 implementation. Over the past several years, the healthcare industry h....
Building Clarity on the Two-Midnight Rule
Author: Harris, Shelly; Kelly, Jeannie
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2015
As the Centers for Medicare and Medicaid Services’ (CMS’) Probe and Educate Initiative draws to a close and the 2016 Outpatient Prospective Payment System (OPPS) proposed rules are released for comment, questions remain for the healthcare industry regarding expectations for selecting pati....
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