67 results.
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Covering the Bases of Coding Compliance
Author: Hapner, Peggy
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2001
As HIM professionals already know, data quality-one of the basic tenets of compliance-depends on comprehensive documentation and accurate code assignments. Because coding plays a major role in payment, reporting data accurately, managing data flow and data collection, and training st....
ICD-9-CM Code Revision for 2001
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2000
Effective October 1, 2000, 100 new ICD-9-CM diagnosis codes and nine new ICD-9-CM procedure codes have been implemented. Because there were no ICD-9-CM revisions last year, these new codes are the result of two years’ worth of revisions. Coding professionals should familiarize themselves with....
Reviewing the Details of Coding Septicemia
Author: Limjoco, Cesar M.; Youmans, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2000
In March 1999, the Office of Inspector General (OIG) released an executive summary on "Medicare Payments for Septicemia." The Health Care Financing Administration (HCFA) contracted with two clinical data abstraction centers to validate a national random sample of claims from all Medicare inpat....
Coders Join Forces with Physicians to Improve Clinical Outcomes
Author: Noller, Janice R.
Source: Journal of AHIMA
Publication Date: January 2000
To investigate high complication rates, coders at this facility found themselves working to improve communication, physician understanding of coder issues, and data quality. (FORE Best Practice, AHIMA Foundation)
Compliance Efforts Get Some PEPP
Author: Bryant, Gloryanne H.
Source: Journal of AHIMA
Publication Date: September 1999
Earlier this year, the Office of the Inspector General (OIG) informed the Health Care Financing Administration (HCFA) that "the DRG system is vulnerable to abuse by providers who wish to increase reimbursement inappropriately through upcoding, particularly so within certain DRGs.&....
Physician Liaison Program Brings Improvement
Author: Wilson, Valerie; Hammer, Juanita; Washburn, Daniel
Source: Journal of AHIMA
Publication Date: February 1999
St. Mary's Mercy Hospital is a 277-bed acute care facility in northwestern Oklahoma. Serving as a regional referral center, the facility provides acute medical and surgical services, critical care, neurosurgical services, inpatient rehabilitation, a skilled nursing unit, ambulatory sur....
FY1999 Inpatient PPS Changes: ICD-9-CM Revisions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: October 1998
All of the inpatient DRG and other inpatient Prospective Payment System (PPS) changes described below became effective with discharges occurring on or after October 1, 1998. Complete details of these changes can be found in the Federal Register.1
Transfers to Postacute Settings
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