Author: Barnhouse, Torrey; Rudman, William J.

Source: Journal of AHIMA

Publication Date: June 2013

Those who think their hospital is way behind in preparing for ICD-10-CM/PCS (ICD-10) should take note of the following. Several industry surveys reveal the same thing: most of the nation’s 4,000-plus hospitals have only just begun implementation efforts.


That concernin....

Author: Whittle, Kelly

Source: Journal of AHIMA

Publication Date: September 2016

It’s no surprise that the volume of clinical documentation has multiplied exponentially with the advent of electronic health records (EHRs). Templates, shortcuts, drop-down menus, and copy-and-paste functions make it easier than ever to document copious amounts of data with just a few cli....

Author: AHIMA

Source: ICD-TEN Top Emerging News | AHIMA newsletter article

Publication Date: June 02, 2011

Take a minute and think about where you will be six months from now. Maybe you see yourself getting ready for the holiday season, preparing to spend time with friends and family.  Professionally, what do you see? Are you envisioning completing the transition to the Version 5010 transactio....

Author: Powell, Sharon; Grant, Thelma M.

Source: AHIMA Convention

Publication Date: September 23, 2002

Author: Sims, Kimberly F

Source: CodeWrite

Publication Date: January 2016

Objective


The objective of this article is to look at how specific and detailed documentation written by the physician can assist with coding procedures with the root operation excision.



The introduction of ICD-10 has brought about an increased need to ensure th....

Author: Butler, Rhonda R.

Source: AHIMA Convention

Publication Date: October 17, 2008

Introduction

In previous seminars and publications, ICD-10-PCS (PCS) has been taught in its academic form: definitions, guidelines, and textbook examples. A theoretical understanding of PCS is essential, but coding in the real world is anything but academic. Coding is an art that goes bey....

Author: Butler, Rhonda R.

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction


The ICD-10 General Equivalence Mappings, now known simply as “the GEMs,” went virtually unnoticed when they were first released in 2005 and ICD-10 implementation faced an uncertain future. They have since been called everything from “totally awesome....

Author: Reed, Andretta

Source: CodeWrite

Publication Date: April 2016

The challenges of reporting Present on Admission (POA) indicators on inpatient accounts continue after ICD-10 implementation. With diagnoses that link to Hospital Acquired Conditions (HACs), coding professionals must ensure the correct code and POA indicator are chosen. The reporting not o....

Author: Easterling, Sharon

Source: CodeWrite | AHIMA newsletter article

Publication Date: August 2016

BACKGROUND


Much discussion among medical, coding, and clinical documentation professionals has followed the recent release of the Sepsis-3 (Sep-3) definition, "Life-threatening organ dysfunction caused by a dysregulated host response to infection," published in JAMA: The Jour....

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 10, 2014

When educating physicians about ICD-10-PCS, the most important factor to be pointed out is that ICD-10-PCS will NOT be replacing CPT. Physicians will still need to report their services using CPT/HCPCS codes. However, physicians need to be aware of the nuances associated with ICD-10-P....

Author: Prophet, Sue

Source: Journal of AHIMA

Publication Date: September 1998

Presidential Advisory Committee on Gulf War Veterans' Illnesses

President Clinton established the Presidential Advisory Committee on Gulf War Veterans' Illnesses in May 1995 to ensure an independent, open, and comprehensive examination of health concerns related to Gulf War service....

Author: Bielby, Judy A

Source: CodeWrite | AHIMA newsletter article

Publication Date: February 2014

Objective

Many strains of influenza exist. The coding of influenza is becoming increasingly more specific and special coding guidelines exist for the reporting of influenza due to certain identified influenza viruses. The objective of this article is to examine the classificatio....

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: July 2012

The annual AHIMA meeting took healthcare industry professionals to school on the ICD-10-CM/PCS code set.



The ICD-10-CM codes T39.016A (Underdosing of aspirin, initial encounter) and R42 (Dizziness and giddiness) would have come in handy at the 2012 ICD-10 Summi....

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Where Can I Find Coding Guidelines for Use in Long Term Care or for Skilled Nursing Facility Reporting?

The official coding guidelines (see earlier question regarding who has the official guidelines for code assignment) are applicable in long term care. These guidelines have been develope....

Author: AHIMA Coding Team

Source: AHIMA Q and A

Publication Date: October 2002

Who Has the Official Guidelines for Interpretation of Coding Guidelines or Appropriateness of Code Assignment?
For ICD-9-CM coding questions and guidelines we look to Cooperating Parties for ICD-9-CM. The National Center for Health Statistics and the Health Care Financing Administration receiv....

Author: American Hospital Association

Source: External - used with permission

Publication Date: October 02, 1996

Author: Stearns, Michael

Source: Journal of AHIMA - website

Publication Date: September 2015

The ICD-10-CM/PCS code set offers substantial clinical value to healthcare which includes new diagnoses and treatments. There has been a fair amount of emphasis on ICD-10’s value in clinical research and population health, but less on its value at the point of care—while a physician is car....

Author: Lojewski, Tedi

Source: CodeWrite

Publication Date: August 2015

According to the Centers for Medicare and Medicaid Services (CMS), value-based purchasing (VPB) has been "a long-standing effort to link Medicare's payment system to a value-based system to improve healthcare quality, including the quality of care provided in the inpatient hospital se....

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: March 2008

Transitioning to ICD-10-CM may seem like a distant problem. But SSM Integrated Health Technologies began its preparations about three years ago. Its reason is simple: “Something of this magnitude, you don’t want to be scurrying,” says Anne Stuckel, SSM’s manager of clini....

Author: AHIMA

Source: AHIMA position statement

Publication Date: July 21, 2005

Immediate Action to Upgrade Medical Code Set Standards Needed


AHIMA's Position


The Department of Health and Human Services (HHS) must immediately initiate the regulatory process for adoption and implementation of ICD-10-CM and ICD-10-PCS code sets (referred to as ICD-1....

Author: AHIMA

Source: AHIMA position statement

Publication Date: July 21, 2007

Approved July 2007 AHIMA’s Position

AHIMA calls upon the Department of Health and Human Services (HHS), Congress, and the healthcare industry to take immediate action to adopt and implement ICD-10-CM and ICD-10-PCSi classification code sets, rules and guidelines as replacements for I....

Author: Combs, Tammy

Source: AHIMA practice brief

Publication Date: January 2016

Editor's note: This brief replaces the 2001 practice brief "Documentation Requirements for the Acute Care Inpatient Record, and the 2013 and 2014 versions of the practice brief "Using CDI Programs to Improve Acute Care Clinical Documentation in Preparation for ICD-10-CM/PCS."

Author: Martin, Ginny

Source: CodeWrite

Publication Date: February 2016

ICD-10 has now been in effect for several months and coding professionals have become more familiar with the new codes and guidelines. The initial training and education is complete and ongoing quality reviews are being done to analyze coding accuracy. But what else can this data tell us?....

Author: Endicott, Melanie

Source: CodeWrite | AHIMA newsletter article

Publication Date: October 2012

Coding scenario



An 89-year-old female was taken to the emergency department after being found semi-conscious with markedly abnormal vital signs—a fever of over 101 degrees Fahrenheit, a heart rate of 100 beats per minute, and a respiratory rate of 22 breaths per minu....

Author: Ewing, Crystal

Source: Journal of AHIMA

Publication Date: June 2016

The reality of the ICD-10-CM/PCS implementation and the fact that it was, by all measures, a success, is the payoff of years of hard work. It’s the product of lessons learned from the implementation of 5010 and the outcome of diligence on the part of healthcare professionals, providers, a....

Author: Simmons, Cortnie R.

Source: ICD-TEN Top Emerging News | AHIMA newsletter article

Publication Date: September 02, 2010

As addressed in the last article, ICD-10-CM: A Coder's Coding System, in the June issue of ICD-Ten, there is no doubt that ICD-10-CM/PCS has undergone a major transformation from what coding professionals have been familiar with over the last 30 years with ICD-9-CM. Changes to the coding syste....

Author: Albaum-Feinstein, Andrea L.

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2000

Editor's note: This is the second part in a two-part series on diagnostic coding for mental healthcare.

Documentation differences between DSM-IV and ICD-9-CM continue to challenge coders in mental health settings. Efforts to minimize these differences are evident in curren....

Author: Ward, Maria

Source: Journal of AHIMA | Journal of AHIMA - Coding Notes

Publication Date: May 2017

Coding respiratory cases can sometimes lead to coding professionals getting bogged down in the circle of sequencing instructions, inclusions, and exclusions. This article will help readers gain a better understanding of the differences in the diagnoses that all come with a majority of the....

Author: Vlahos, Nikos F.; Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2003

Coding professionals routinely code abdominal or pelvic adhesions. Recent advances in treatment and a newly approved ICD-9-CM procedure code, however, bring the topic to the forefront. Is your knowledge current?

This article will explain what pelvic adhesions are, the surgical techn....

Author: Huff, Garry L.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2003

Diabetes mellitus represents a group of disorders that are characterized by hyperglycemia. The clinical and ICD-9-CM classification of diabetes mellitus have evolved as understanding of insulin physiology has expanded. This article will explain diabetes mellitus and its ICD-9-CM classification....

Author: Bradley, Paul

Source: Journal of AHIMA

Publication Date: October 2016

A year in and ICD-10 is almost approaching the point of old news.


Of course—I’m kidding! Nothing could be further from the truth. From a data analytics perspective, the impact of ICD-10 is only beginning to be realized and understood.


For one, this first year....

Author: Rihanek, Theresa

Source: Journal of AHIMA | Journal of AHIMA - Coding Notes

Publication Date: June 2014

Traumatic brain injury (TBI) has received considerable attention by the media recently, especially bringing attention to the prevalence of TBI in sports-related activities. According to the Centers for Disease Control and Prevention (CDC), “A TBI is a bump, blow or jolt to the head o....

Author: AHIMA

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: June 2012

This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.

Author: AHIMA ICD-10-CM/PCS Academic Transition Workgroup

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: April 2009

The content in this practice brief has been retired. It is made available for historical purposes only. More recent information is available here.

Author: AHIMA e-HIM Work Group on the Transition to ICD-10-CM/PCS

Source: AHIMA practice brief | Journal of AHIMA

Publication Date: October 2009

This practice brief has been retired. It is made available for historical purposes only.

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: August 13, 2014

ICD-9-CM includes a supplemental section, E codes, to describe the external causes of injuries and poisonings. These codes are secondary codes for use in any health care setting, which are used to provide data for injury research and evaluation of injury prevention strategies. E codes....

Author: Rose, Angela Dinh

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2012

In August 2012, the Department of Health and Human Services (HHS) announced its much-anticipated final ruling on the implementation deadline for the ICD-10-CM/PCS classification system-October 1, 2014.1 The transition to this highly awaited coding system will require appropriate planning,....

Author: AHIMA

Source: AHIMA

Publication Date: September 21, 2011

Author: AHIMA

Source: AHIMA

Publication Date: July 2014

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 2011

Apr 18, 2011

ICD-10-CM/PCS offers organizations better data about their patient populations and the services they provide them. The code set’s greater specificity allows coding professionals to more accurately reflect the details of physician documentation.

However, an....

Author: Haugen, Mary Beth

Source: ICD-TEN Top Emerging News | AHIMA newsletter article

Publication Date: September 2015

Technically speaking, anything could happen once we flip the ICD-10 switch on October 1, 2015. That's why it's important to monitor key performance metrics closely in the first 30 days post-implementation. The days and weeks immediately following go-live will provide critical insigh....

Author: AHIMA

Source: AHIMA

Publication Date: July 05, 2011

Author: AHIMA

Source: AHIMA

Publication Date: March 17, 2011

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....

Author: Averill, Richard F.; Bowman, Sue E

Source: Journal of AHIMA

Publication Date: July 2012

Abstract: On April 17, 2012, the Department of Health and Human Services (HHS) published a rule proposing postponement of the implementation date for the International Classification of Diseases, 10th Edition diagnosis codes (ICD-10-CM) and procedure codes (ICD-10-PCS) by one year to October 1, 2014. An article in Health Affairs titled "There Are Important Reasons For Delaying the Implementation Of The New ICD-10 Coding System" asserts that the ICD-10-CM conversion will be "expensive, arduous, disruptive, and of limited direct clinical benefit." Contrary to the conclusions in this article, implementation of the ICD-10-CM and ICD-10-PCS code sets will provide major advantages over the existing ICD-9-CM code set. Implementation is long overdue and will provide significant cost benefits. Any further implementation delay will increase the cost of the transition as well as perpetuate the costs and negative consequences associated with continued reliance on imprecise diagnosis and procedure information.

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2011

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

Author: Dowling, Alan F.; Wisdom, Theresa A

Source: Journal of AHIMA

Publication Date: September 2010

As the ICD-10 conversion deadline approaches, its implementation is likely to become a healthcare facility's most significant objective. It presents HIM professionals with an opportunity to demonstrate their expertise and assume a leadership role within their institutions as they lead this....

Author: Bosanko-Cera, Roberta

Source: Journal of AHIMA

Publication Date: November 2011

The transition to ICD-10-CM has complex and far-reaching implications for a practice's workflow, technology, and reimbursement. Early assessment and planning will lead to success.

The transition to ICD-10-CM/PCS in 2013 will be a defining moment in healthcare, and the futur....

Author: Long, Peri L

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2012

Every generation has a few defining moments they can look back upon-big news events, clothing and fashion trends, hair styles, and maybe even a dance craze or two.

Today's healthcare industry is currently experiencing a defining moment of its own: preparations for the transition to the In....

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011

Many coding professionals will need to learn new terminology and brush up on their anatomy and physiology (A&P) knowledge to prepare for the ICD-10-CM/PCS transition. Although it is still too early for intense training on the new code sets, now is the time for coding professionals to gain....

Author: Brooks, Patricia E.

Source: Journal of AHIMA

Publication Date: May 1998

HCFA conducted a formal test of ICD-10-PCS (procedure coding system) in order to determine if it would be a practical replacement for the current ICD-9-CM, Procedures. This coding system was developed after an open competition contract was awarded to 3M/HIS. In order to avoid any con....

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: April 09, 2002

April 9, 2002

Opening Comments

Chairman Cohen, members of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security Subcommittee, ladies and gentlemen, good afternoon. I am Sue Prophet, director of coding policy and compliance of the American Hea....

Author: Prophet, Sue

Source: AHIMA testimony and comments

Publication Date: May 29, 2002

May 29, 2002
Opening Comments

Chairman Cohn, members of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security Subcommittee, ladies and gentlemen, good afternoon. I am Sue Prophet, director of coding policy and compliance of the American Health Informati....

Author: Stanfill, Mary H

Source: AHIMA testimony and comments | U.S. National Committee for Vital and Health Statistics

Publication Date: December 09, 2009

Author: Bryant, Gloryanne H.

Source: AHIMA testimony and comments

Publication Date: April 06, 2006

April 6, 2006

Chairman Johnson, Congressman Stark, members of the Health Subcommittee, ladies and gentlemen, good afternoon. I am Gloryanne Bryant, corporate director for coding and Health Information Management (HIM) compliance with Catholic Healthcare West (CHW). I speak to you tod....

Author: Innes, Kerry; Peasley, Karen; Roberts, Rosemary

Source: Journal of AHIMA

Publication Date: January 2000

Coders in Australia have already made the change to coding an Australian modification of ICD-10. What was the process of conversion like, and what lessons can we learn from it? Here's a step-by-step account of the change process.
While no definite date for making the change....

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: November 2003

Consistency of coding is an issue that will only advance through a team effort. This article will discuss consistency of coding, its importance as an advocacy effort for the Association, and how you can make a difference.

Coding: Two Main Issues

There are essentially two t....

Author: Rode, Dan

Source: Journal of AHIMA

Publication Date: January 2004

In November 2003 the National Committee on Vital and Health Statistics (NCVHS) agreed to recommend that the secretary of Health and Human Services (HHS) adopt the ICD-10-CM and the ICD-10-PCS classification standards as replacement for the ICD-9-CM classification currently used in the US.

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2002

The ICD-9-CM coding changes and DRG changes for fiscal year 2003 include 106 new diagnosis codes, 41 new V codes, 16 new E codes, 25 new procedure codes, and 19 invalid diagnosis codes. Released in the August 1, 2002, Federal Register, these changes went into effect October 1, 2002, with disch....

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: May 13, 2015

There are only seven approach values in ICD-10-PCS, so one would think that selecting the correct approach value would be simple, but it’s not! Let’s take a closer look at these seven approaches and then walk through some challenging cases.


Open (0)


....

Author: Mitchell, Glenn

Source: Journal of AHIMA

Publication Date: March 2013

With ICD-10-CM/PCS, there is good news and there is bad news. First, the bad news-the implementation of ICD-10 in any healthcare facility will take ample staff time, financial resources, and strategic planning. But the good news-whether you are a C-suite leader, clinician, or worker bee, t....

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: December 02, 2010

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: October 12, 2008

Author: Bowman, Sue E

Source: AHIMA regulation analysis

Publication Date: October 12, 2007

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: October 12, 2006

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: November 02, 2005

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: November 15, 2004

The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), met on October 7-8, 2004 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochair....

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: April 15, 2005

Author: Bowman, Sue E

Source: AHIMA regulation analysis

Publication Date: April 10, 2013

Notes from the ICD-9-CM Coordination and Maintenance Committee meeting, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), held on March 5, 2013 in Baltimore, MD.

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: May 12, 2010

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: April 12, 2009

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: April 12, 2008

Author: Bowman, Sue E

Source: AHIMA regulation analysis

Publication Date: April 12, 2007

Author: Bowman, Sue E

Source: AHIMA Advocacy and Policy

Publication Date: April 12, 2006

The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), met on March 23-24, 2006 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochaire....

Author: AHIMA Coding Policy and Strategy Committee

Source: Journal of AHIMA - Coding Notes

Publication Date: September 1996

The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Health Care Financing Administration (HCFA), met on June 6, 1996, in Washington, DC. NCHS’s Donna Pickett, RRA, and HCFA’s Patricia Brooks, RRA, cochaired the meeting.