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ICD-9-CM Coding Guidance for LTC Facilities - Retired

Author: AHIMA

Source: AHIMA practice brief

Publication Date: October 2010


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. LTC facilities assign ICD-9-CM codes to capture a resident's clinical conditions.


ICD-9-CM facilitates the collection and organization of healthcare stat....

ICD-10: The Payer's Perspective

Author: Boynton, Angela

Source: AHIMA Convention

Publication Date: September 27, 2010


When the final rule was released in 2009 mandating the United States' migration to ICD-10, too many in the healthcare field were hesitant to make the matter a top priority. However, as the October 1, 2013 compliance deadline approaches the payer industry is beginning to feel the full weight th....

ICD-10-PCS Coding in the Real World

Author: Smith, Donna

Source: AHIMA Convention

Publication Date: September 26, 2010

Introduction

ICD-10-Procedure Coding System (PCS) is a completely different method of assigning codes to surgical procedures, but it has many advantages over its counterpart ICD-9-CM. First of all it is a straightforward system allowing for expansion as new procedures are developed; whil....

Add Another "C" to Your CDI Program: Why "CDCITM (Clinical Documentation and Coding Integrity) is a Best Practice Model

Author: Kruse, Marion G.; Newell, Shannon K

Source: AHIMA Convention

Publication Date: September 25, 2010

Introduction

Inpatient clinical documentation improvement (CDI) programs, once found only in a small number of hospitals, have evolved into an essential part of the revenue cycle and quality programs. Reduced reimbursement, expanded compliance initiatives, and increased public and payer....

Observation Services

Author: Hapner, Peggy

Source: AHIMA Convention

Publication Date: September 25, 2010



Observation is a necessary, though cumbersome, service provided in hospitals today. Many facilities would like to see observation eliminated because it is a logistical nightmare, particularly when it comes to charges and reimbursement.

The most stringent rules about observation....

Optimizing Anatomy and Physiology Review for ICD-10

Author: Henderson, Kellie

Source: AHIMA Convention

Publication Date: September 25, 2010

Overview

As we move into the ICD-10 landscape an increased knowledge of anatomy and physiology is a critical requirement for success. Every coder has a different level of knowledge they draw from today. Identifying knowledge gaps and shoring up our defenses will provide us with informati....

The ICD-10 2011 To-Do List

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....

ICD-TEN: Top Emerging News August 2010

Author: AHIMA

Source: AHIMA newsletter

Publication Date: August 02, 2010


August 2010

Welcome to ICD-TEN

Welcome to AHIMA's ICD-TEN, created to better prepare you for the transition to ICD-10-CM and ICD-10-PCS. Each monthly issue contains top emerging news, educational opportunities, practical information on coding with the new ICD-10-CM/PCS, pr....

Leading the Transition to ICD-10

Author: AHIMA House of Delegates

Source: AHIMA HoD Resolution

Publication Date: June 18, 2010

Preamble

Whereas, October 1, 2013, has been set by the United States Department of Health and Human Services as the date for adopting the ICD-10-CM and ICD-10-PCS (ICD-10-CM/PCS);
Whereas, ICD-10-CM/PCS provides significant improvements in reporting diagnostic and procedural data an....

Coding Hip Fractures

Author: Endicott, Melanie

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2010


Hip fractures are most commonly seen in elderly patients. They are a serious concern for this population because they can lead to a decreased quality of life, extended hospitalizations, or admission to nursing facilities.

Two of the most common causes for fractures are falls and ost....

Obstetric Coding in ICD-10-CM/PCS

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2010


ICD-10-CM/PCS will capture a greater level of specificity for obstetric coding. This article highlights some of the new features in coding obstetric cases with ICD-10-CM/PCS.
OB Diagnoses Coding with ICD-10-CM

Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM,....

ICD-10-PCS Root Operation Groups, Part 2

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2010


Root Operations that Take Out Solids, Fluids, Gases from a Body Part, Involve Cutting or Separation Only, and Put In OR put Back or Move Some OR All of a Body Part

The medical and surgical procedure section of ICD-10-PCS contains most, but not all, procedures typically coded and repor....

ICD-10-PCS Root Operation Groups

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2010

Root Operations that Take Out Some or All of a Body Part

The medical and surgical procedure section of ICD-10-PCS contains most, but not all, procedures typically reported in the hospital inpatient setting. As with all codes in ICD-10-PCS, the medical and surgical procedure codes contain....

2010 CPT Coding Update

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010


Changes to CPT codes for 2010 include 219 additions, 141 revisions, and 63 deletions. This article highlights some of the more notable changes; a comprehensive list can be found in appendix B of the 2010 CPT coding book. The changes took effect January 1.
Resequencing

The most n....

ICD-10-PCS Root Operation Guidelines

Author: Zeisset, Ann M.

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010


ICD-10-PCS has a completely different structure than ICD-9-CM. Each ICD-10-PCS code consists of individual values rather than lists of fixed codes and text descriptions, with each value containing a unique definition. The objective of the procedure is identified in the third character, the roo....

Pain-free Wound Care Coding

Author: Endicott, Melanie

Source: Journal of AHIMA

Publication Date: January 2010


Wound care diagnoses and procedures can be challenging to code. In order for coders to code them correctly, clinicians must document diagnoses and procedures appropriately and thoroughly. Open communication between coders and clinicians can help facilitate better documentation.

Inpa....

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....

CMS Eliminates Reimbursement for Consultations

Author: Nelson, Tanai S

Source: AHIMA newsletter

Publication Date: December 02, 2009


As proposed, the Centers for Medicare and Medicaid Services (CMS) finalized their decision to eliminate the use of all consultation codes (inpatient and office/outpatient codes for various places of service except for telehealth consultation G-codes). What does that mean? That means that CMS w....

Role-based Model for ICD-10 Implementation: Long Term Care

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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Role-based Model for ICD-10 Implementation: Inpatient Coders

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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Role-based Model for ICD-10 Implementation: Health Plans

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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Role-based Model for ICD-10 Implementation: Outpatient Coders

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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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....

Role-based Model for ICD-10 Implementation: Data Managers

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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ICD-10 Update

Author: Bowman, Sue E; Butler, Rhonda R.

Source: AHIMA Convention

Publication Date: October 05, 2009

Introduction

On January 16, 2009, the Department of Health and Human Services (HHS) published a Final Rule for the adoption of the ICD-10-CM and ICD-10-PCS code sets to replace the currently used ICD-9-CM code sets under rules 45 CFR Parts 160 and 162 of the Health Insurance Portability a....

Experts Suggest Beginning ICD-10 Implementation Today

Author: AHIMA

Source: AHIMA Today

Publication Date: October 05, 2009


There is no time like the present to begin planning for the national coding switch to ICD-10-CM/PCS, according to several HIM professionals presenting here at convention.

Coding staff don’t need to start poring over new code books yet. But other preparations must be made for a facili....

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