726 results.
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FY 2004 New Diagnosis Codes
Author:
Source: Journal of AHIMA
Publication Date: November 2003
ICD-9-CM codes with their DRG assignments
ICD-9 CM to ICD-10 CM: Implementation Issues and Challenges
Author: Hazelwood, Anita C.
Source: AHIMA Convention
Publication Date: October 25, 2003
Background
ICD-9-CM is the United States’ modification of the International Classification of Diseases, Ninth Revision, developed by the World Health Organization. It is the most universally applied classification system for coding diagnoses, reasons for hea....
Mapping from a Clinical Terminology to a Classification
Author: Imel, Margo; Campbell, James R.
Source: AHIMA Convention
Publication Date: October 21, 2003
The paper discusses mapping and the relationships of SNOMED CT® to a statistical and administrative classification system such as ICD-9-CM. It explores the purpose and differences encountered in creating a mapping and provides a brief overview of SNOMED® and its evolution. The Terminology- SN....
CPT Category III Codes Cover New, Emerging Technologies: New Codes Developed to Address Issues in Light of HIPAA
Author: Beebe, Michael
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2003
In 1998, the American Medical Association (AMA) initiated the CPT-5 Project. This project was a broad-based and comprehensive effort to make needed and practical enhancements to the CPT code set that would address challenges presented by emerging user needs and HIPAA. One of the initiatives tha....
ICD-10-CM Field Testing Project: Report on Findings: Perceptions, Ideas and Recommendations from Coding Professionals Across the Nation
Author: American Hospital Association; AHIMA
Source: AHIMA report
Publication Date: September 23, 2003
A study to assess the functionality and unity of applying ICD-10-CM to medical records in a variety of health care settings, and to assess the level of education and training required by professional credentialed coders to implement ICD-10-CM.
ICD-10-CM Field Testing Project
Author: Leon-Chisen, Nelly; Bowman, Sue E
Source: U.S. National Committee for Vital and Health Statistics
Publication Date: September 23, 2003
Internal Radiation Brings Hope to Prostate Cancer Patients: With Brachytherapy Treatment Come New HCPCS Codes
Author: Kostick, Karen M.
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2003
In 2003, the American Cancer Society estimates that 220, 900 men will be diagnosed with prostate cancer in the US, making it the second leading cause of cancer deaths in men.1 Today in the US, patients with prostate cancer have access to less invasive surgical cancer treatment plans. This arti....
AHIMA Letter to the Secretary of HHS on the Adoption of ICD-10
Author: Kloss, Linda L
Source: AHIMA testimony and comments
Publication Date: July 24, 2003
July 24, 2003
The Honorable Tommy Thompson
Secretary
Department of Health and Human Services
200 Independence Avenue SW
Washington, DC 20201
Dear Secretary Thompson:
I commend your leadership in making SNOMED-CT available through the National L....
Statement in Support of Prompt Adoption of ICD-10-CM and ICD-10-PCS Medical Code Set Standards in the United States
Author: AHIMA
Source: AHIMA position statement
Publication Date: July 10, 2003
Approved by Board of Directors, American Health Information Management Association, July 2003 Support of Prompt Adoption of ICD-10-CM and ICD-10-PCS Medical Code Set Standards in the United States
AHIMA's Position
AHIMA calls upon the Department of Health and Human Services (HHS) - the c....
AHIMA Comments on Proposed Changes to the Hospital Inpatient Prospective Payment System (PPS) for Fiscal Year 2004
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: July 07, 2003
July 7, 2003
Thomas A. Scully
Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-1470-P
PO Box 8010
Baltimore, Maryland 21244-1850
Dear Mr. Scully:
The purpose....
SARS Tops Healthcare Concerns
Author: Kennedy, James S.; Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2003
HIM professionals serve a vital public health role as they capture and report illnesses, including the newly discovered Severe Acute Respiratory Syndrome (SARS). Accurate reporting of SARS and its comorbid or complicating conditions facilitates optimal disease tracking, use of resources, and p....
AHIMA Project Offers Insights into SNOMED, ICD-9-CM Mapping Process
Author: Brouch, Kathy L.
Source: Journal of AHIMA
Publication Date: July 2003
AHIMA’s Cinical Vocabulary and Terminology Expedition
In 1999, AHIMA appointed the Coding Futures Task Force to study the likely futures in the domain of coding practice. The group’s conclusions, summarized in the January 2000 (vol. 71, no. 1) Journal of AHIMA article “....
E/M Coding: Critical Care Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
E/M Coding: Emergency Department Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
Recommendation for Standardized Hospital Evaluation and Management Coding of Emergency Department and Clinic Services
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
Produced by the Hospital Evaluation and Management Coding Panel of the American Hospital Association and American Health Information Management Association
June 24, 2003
EXECUTIVE SUMMARY
Background
Since the inception of the Medicare hospital outpatient prospective....
E/M Coding: Hospital Clinic Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
Coders Can Benefit from Bare Bones Podiatry Lesson
Author: Jones, Lolita M.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2003
Podiatry is the specialty that manages diseases and problems of the feet. Many coding specialists find it difficult to assign CPT codes to podiatry cases. Because so many podiatry procedures are currently performed in the outpatient setting, it is common for coding specialists to be faced with....
Long-term Care Hospital PPS Creates Opportunities for Coders: Proposed Rule Addresses Related Coding Issues
Author: Hull, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2003
A prospective payment system has been in effect for Medicare reimbursement for various healthcare providers for almost 20 years. Most recently, long-term acute care hospital (LTCH) facilities have been added to the prospectively reimbursed providers. This is a significant change from the cost-....
Act Now on Crucial Healthcare Efforts: Government Action, Technology Changes, ICD-10 Create Dynamic Mix
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: June 2003
What’s happening in key areas of legislative and advocacy development? In this article, we’ll take a look at some areas that have seen significant changes and examine how developments will affect HIM professionals.
Privacy, Security: The Saga Continues
Many....
AHIMA Comments on ICD-9-CM Procedure Code Modifications Discussed at April 2003 C&M Meeting (effective date of 10/03 or 10/04)
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: May 12, 2003
May 12, 2003
Patricia Brooks, RHIA
HAPG, Division of Acute Care
Mail Stop C4-08-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Dear Pat:
The American Health Information Management Association (AHIMA) welcomes the opportunity to prov....
AHIMA Comments on ICD-9-CM Diagnosis Code Modifications Discussed at April 2003 C&M Meeting (effective date of 10/04)
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: May 09, 2003
May 9, 2003
Donna Pickett, MPH, RHIA
Medical Classification Administrator
National Center for Health Statistics
3311 Toledo Road
Room 2402
Hyattsville, Maryland 20782
Dear Donna:
The American Health Information Management Association (AHIM....
Understanding Pelvic Adhesions: How to Get Up to Date with Procedures, Codes
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....
Sepsis, Related Terms Cause Confusion for Coders: Set the Record Straight About Sepsis, SIRS, Septic Shock
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2003
Sepsis, severe sepsis, SIRS, and septic shock have long been a source of confusion for coders. New ICD-9-CM codes established recently for Systemic Inflammatory Response Syndrome (SIRS), and additional proposed code revisions have added to the confusion regarding the differentiation among these....
ICD-9-CM Coordination and Maintenance Committee Discusses Code Proposals for FY2005 (October 1, 2004)
Author:
Source: AHIMA Advocacy and Policy
Publication Date: April 30, 2003
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 April 3, 2003 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochaired t....
Medicare Program: Prospective Payment System for Long-Term Care Hospitals: Proposed Annual Payment Rate Updates and Policy Changes
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: April 30, 2003
April 30, 2003
Thomas A. Scully
Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1472-P
P.O. Box 8010
Baltimore, Maryland 21244-1850
RE: Medicare Program: Prospective Payment System for Long-....
Fracture Treatment Poses Coding Challenge: Multiple Treatment Options Require Special Attention
Author: Hutchinson, Mark R.; Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2003
There are 206 bones in the human body and each is susceptible to fracture. The choices in fracture management are complex and based on a number of issues including fracture type, fracture pattern, specific bone, age of fracture, age of patient, associated injuries, and physician preference. Co....
Observation Services Present Compliance Challenges
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: March 2003
Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....
ICD-9-CM Committee Discusses Code Proposals for 2004: Approved Changes Would be Effective October 1, 2003
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2003
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), met in December 2002, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochaire....
Major Changes for Heart Failure Codes in 2003: New Codes Put Sharper Focus on Diagnosing, Preventing Heart Failure
Author: Casey, Patricia E.; Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2003
Are you up to date with the latest revisions to the heart failure codes? A revision of the heart failure codes, effective October 1, 2002, was originally presented at the May 2001 ICD-9-CM Coordination and Maintenance Committee meeting. At that meeting, representatives from Kaiser Permanente e....
AHIMA's Comments re: the Proposed Procedure Code Modifications presented at the 12/02 ICD-9-CM Coordination & Maintenance Committee Meetings
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: January 09, 2003
January 9, 2003
Patricia Brooks, RHIA
HAPG, Division of Acute Care
Mail Stop C4-08-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Dear Pat:
These are AHIMA's comments regarding the proposed procedure code modifications presented at....
AHIMA's Comments re: the Proposed Diagnosis Code Modifications presented at the 4/02 and 12/02 ICD-9-CM Coordination & Maintenance Committee Meetings
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: January 09, 2003
January 9, 2003
Donna Pickett, MPH, RHIA
Medical Classification Administrator
National Center for Health Statistics
6525 Belcrest Road
Room 1100
Hyattsville, Maryland 20782
Dear Donna:
These are AHIMA's comments regarding the proposed diag....
Plenty of CPT Changes for 2003: Latest on Additions, Revisions, and Deletions
Author: O'Hara, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2003
The 2003 Current Procedural Terminology (CPT) includes approximately 428 code changes, so as always, it is important to stay current. To assist you in using the new edition, the following provides a brief summary of the changes for 2003. The complete list of changes can be found in Appendix B....
ICD-9-CM Coordination and Maintenance Committee Discusses Code Proposals for FY2004
Author: AHIMA Policy and Government Relations Team
Source: AHIMA Advocacy and Policy
Publication Date: December 13, 2002
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 December 5-6, 2002 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochair....
Analysis of Final Rule for 2003 Revisions to the Medicare Hospital Outpatient Prospective Payment System
Author: AHIMA Policy and Government Relations Team
Source: AHIMA regulation analysis
Publication Date: November 24, 2002
The final rule regarding calendar year 2003 revisions to the Medicare hospital outpatient prospective payment system (PPS) was published in the November 1, 2002 issue of the Federal Register. This rule becomes effective on January 1, 2003. This analysis will cover significant....
Taking a Closer Look at 2003 ICD-9-CM, DRG Changes
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....
ICD-9-CM Codes, DRG Assignments for 2003
Author:
Source: AHIMA web extra
Publication Date: November 02, 2002
New 2003 ICD-9-CM codes and DRG assignments
Web FAQ
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....
Web FAQ
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....
AHIMA Comments on FY03 Medicare OP-PPS
Author: Rode, Dan; Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: October 03, 2002
October 3, 2002
Thomas A. Scully
Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-1206-P
PO Box 8018
Baltimore, Maryland 21244-8018
Re: File Code CMS-1206-P<....
ICD-9-CM Committee Discusses New Diagnosis Proposals
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2002
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), met on April 18-19, 2002, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, co-....
Laboratory Services Regulations Impact National Coverage Decisions, HIM
Author: Willard, Dianne
Source: Journal of AHIMA
Publication Date: October 2002
This is Part 2 of a two-part article on laboratory services regulations. Part 1, which appeared in the September Journal of AHIMA, dealt with the administrative policies contained in these regulations. Part 2 addresses the specific national coverage decisions that were developed as part of thi....
Will You Be Ready? Preparing Now for ICD-10-PCS Implementation
Author: Powell, Sharon; Grant, Thelma M.
Source: AHIMA Convention
Publication Date: September 23, 2002
New ICD-9-CM Committee Presents New Codes, Changes
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 2002
This is part 1 of a two-part summary of proposals from the April 2002 ICD-9-CM Coordination and Maintenance Committee meeting and includes procedure proposals. Part 2 will include diagnosis proposals and will be published in the October Journal of AHIMA.
The ICD-9-CM Coordination and Main....
Analysis of Final Rule for FY 2003 Revisions to the Medicare Hospital Inpatient Prospective Payment System
Author: AHIMA Policy and Government Relations Team
Source: AHIMA regulation analysis
Publication Date: August 02, 2002
The final rule regarding FY 2003 revisions to the Medicare hospital inpatient prospective payment system (PPS) was published in the August 1, 2002 issue of the Federal Register.
This rule becomes effective on October 1, 2002.This analysis will cover changes to DRG classificat....
ICD-10 on the Horizon
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 2002
ICD-10 has taken hold around the globe, so why is the US still using ICD-9-CM? This article reviews the history of ICD-10 in the US.
Other countries are using it. Why aren't we? Coding professionals across the country and around the world are wondering why ICD-10-CM hasn't been....
E/M Coding Problems Plague Physicians, Coders
Author: King, Mitchell S.; Lipsky, Martin S; Sharp, Lisa
Source: Journal of AHIMA
Publication Date: July 2002
As the government turns its high beams on fraudulent billing, physician E/M coding is raising questions. With several studies spotlighting the difficulty physicians have in applying CPT E/M codes, the authors wanted to know if credentialed coders had the same problem. Here’s what they fou....
AHIMA's Comments on CMS Proposed Changes to the Hospital Inpatient Prospective Payment Systems (PPS) and Fiscal Year 2003 Rates
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: July 01, 2002
AHIMA
233 N. Michigan Avenue, Suite 2150
Chicago, Illinois 60601-5519
Phone: 312.233.1115
Fax: 312.233.1090
E-mail: sue.prophet@ahima.org
July 1, 2002
Thomas A. Scully
Administrator
Centers for Medicare & Medicaid Services
Department of H....
Closer Look: the SNOMED Clinical Terms to ICD-9-CM Mapping
Author: Imel, Margo
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2002
In the July/August 2001 Journal of AHIMA, “SNOMED Takes the Next Step” describes the terminology’s structure, use in electronic patient records, the evolutions from SNOMED® RT and an overview of the mappings of SNOMED® CT. This article is an update on SNOMED, with a clo....
Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-CM
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....
ICD-9 Raises Concerns for Home Health Information Managers
Author: Abraham, Prinny
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2002
Home health information managers need to keep a keen eye on the prospective payment system (PPS) for home health to avoid coding conflicts and even financial loss. Many agencies did not pay attention to the quality of ICD-9-CM coding data prior to October 2000 when Medicare implemented the....
Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on ICD-10-PCS
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....
ICD-9-CM Committee Proposes New Codes, Changes
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2002
This is part one in a two-part summary of proposals from the November ICD-9-CM Coordination and Maintenance Committee meeting. Part 2 will be published in the April 2002 Journal of AHIMA.
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Hea....
HIM's Role in Monitoring Patient Safety
Author: Romano, Patrick S.; Elixhauser, Anne; McDonald, Kathryn M; Miller, Marlene R
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2002
Two years ago, the Institute of Medicine (IOM) published “To Err Is Human,” describing the enormous burden of medical errors in the United States.1 It was estimated that deaths due to medical errors exceeded deaths from motor vehicle accidents, breast cancer, or AIDS and that the cos....
Testimony of the American Health Information Management Association to the National Committee on Vital and Health Statistics on Medical Code Sets
Author: Prophet, Sue
Source: AHIMA testimony and comments
Publication Date: February 06, 2002
February 6, 2002
Opening Comments
Good morning Mr. Chairman, members and staff of the National Committee on Vital and Health Statistics (NCVHS) Standards and Security subcommittee, ladies and gentlemen. I am Sue Prophet, director of coding policy and compliance for the American Heal....
Closer Look at Cardiac Function and Resynchronization
Author: Bryant, Gloryanne H.; Gold, Robert S.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2002
by Gloryanne Bryant, RHIT, CCS, and Robert Gold, MD
Coding cardiac conditions and treatments can be difficult for coders, due both to the intricacies of the muscle and its workings and the lack of specificity and documentation in the medical record. This article reviews common cardiac....
AHIMA's Comments Regarding Proposed Diagnosis Code Modifications for ICD-9-CM
Author: Prophet, Sue
Source: AHIMA testimony and comments
Publication Date: January 03, 2002
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION
233 North Michigan Avenue, Suite 2150
Chicago, Illinois 60601-1090
January 3, 2002
Donna Pickett, MPH, RHIA
Medical Classification Administrator
National Center for Health Statistics
Office o....
AHIMA's Comments Regarding APC Advisory Panel Discussion on Guideline for Medicare OPPS - Facility Coding of E/M Services
Author: Prophet, Sue
Source: AHIMA testimony and comments
Publication Date: January 03, 2002
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION
233 North Michigan Avenue, Suite 2150
Chicago, Illinois 60601-1090
January 3, 2002
Paul M. Rudolf, MD, JD
Chairman
Medicare Advisory Panel on APCs
c/o Centers for Medicare & Medicai....
AHIMA's Comments Regarding Proposed Procedure Code Modifications for ICD-9-CM
Author: Prophet, Sue
Source: AHIMA testimony and comments
Publication Date: January 03, 2002
AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION
233 North Michigan Avenue, Suite 2150
Chicago, Illinois 60601-1090
January 3, 2002
Patricia Brooks, RHIA
Technical Assistant, Office of Hospital Policy
Division of Prospective Payment System
Centers fo....
Anthrax: What Every Coder Should Know
Author: Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2002
The inhalation anthrax identified by a Florida physician in October 2001, during the recent series of bioterrorist attacks, was the first case of reported inhalation anthrax in the United States in more than 25 years.1 With the threat of anthrax as a biological weapon, correct coding could be....
CPT Changes for 2002
Author: O'Hara, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2002
Coders need to keep their resources current—including updating the Current Procedural Terminology (CPT) codes every year with the annual CPT book. This article provides a brief summary of the changes made to the CPT 2002 code set. The complete list of changes can be found in Appendix B of....
ICD-9-CM Codes Ready for 2002
Author: Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2001
For those reporting ICD-9-CM codes for all diagnoses coding, and hospitals reporting ICD-9-CM volume III for procedures, fall is the time to review and implement the changes and revisions for fiscal year 2002.
The ICD-9-CM coding changes for fiscal year 2002 were released in the Augus....
CPT "Monopoly" To Be Examined
Author:
Source: Journal of AHIMA
Publication Date: October 2001
Senate Minority Leader Trent Lott (R-MS) has forwarded a letter to HHS Secretary Tommy Thompson criticizing the American Medical Association's "statutory monopoly" on current procedural terminology (CPT) codes. Lott said that Congress will look at the CPT issue when it considers....
Committee Debates ICD-10-PCS Implementation
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2001
Proposed changes, if approved, would not become effective until October 1, 2002.
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, formerly the Health Care Fina....
Teaching Physician Guidelines
Author: Graff, Jean Stevens
Source: Brief Encounter
Publication Date: September 02, 2001
Working in an orthopedic clinic, I understand the great need for my newly created position. I am employed at a teaching hospital as a medical record auditor charged with the task of educating physicians on the art of coding and documentation. My job is to ensure compliance with the Medicare ma....
Solving the E/M Conundrum: a Special Report
Author: Scichilone, Rita A
Source: Journal of AHIMA
Publication Date: July 2001
Evaluation and Management (E/M) codes, introduced in 1992 for reporting physician visit services, are linked to a number of perplexing questions for coders. In different settings, they are used differently and with varying sets of criteria. Given the numerous coding and compliance issues relate....
Developing a Coding Compliance Policy Document (2001)
Author: AHIMA Coding Team
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2001
This practice brief has been updated. See the latest version here. This version is made available for historical purposes only.
Documentation Requirements for Reporting Professional Services
Author: Clark, Margi
Source: Brief Encounter
Publication Date: July 02, 2001
Here are some specific suggestions for improving the clarity and usefulness of physician record entries to support Evaluation and Management code levels.
History
Chief complaint with adjectives (8)
Site, description, severity, duration, timing (when) context (what is patient do....
E/M Options in the Outpatient Arena
Author: Jones, Lolita M.
Source: Journal of AHIMA
Publication Date: July 2001
Under the Medicare ambulatory payment classification (APC) system, hospitals must establish criteria for mapping the medical care rendered in the emergency department and hospital-based outpatient settings to appropriate CPT medical visit codes. Do you know how to establish a sound rationale f....
Review of E/M Guidelines
Author:
Source: Brief Encounter
Publication Date: July 02, 2001
The Evaluation and Management guidelines are found in the Medicare Carriers Manual in the following sections. You may download the entire manual from the Center for Medicare and Medicaid Services or CMS (formerly HCFA) Web site by going to http://www.hcfa.gov/, click on Medicare, select laws an....
Look at Modifiers for Hospital Use
Author: Philippou, Karla E.
Source: Brief Encounter
Publication Date: July 02, 2001
Modifiers have been a continuing problem in the hospital setting. Although modifiers were mandated for hospital use in June 1998, many hospitals were unable to comply until the implementation of Ambulatory Payment Categories, (APCs), on August 1, 2000. The initial problems were related to info....
Common E/M Documentation Issues
Author: Udell, Curtis
Source: Brief Encounter
Publication Date: July 02, 2001
One of the constant challenges facing managers today is evaluating physician documentation and then helping their physicians to improve the content of their patient notes, particularly for evaluation and management (E/M) services.
While physicians may have unique style or flair to t....
Navigating the Physician Services Maze
Author: Skurka, Margaret A.
Source: Journal of AHIMA
Publication Date: July 2001
As HIM professionals know, accurate and complete documentation is critical for providing care and supporting reimbursement. This is particularly true-and yet particularly problematic-in the area of E/M coding. Medical practices report and are paid for their services using E/M coding, yet there....
AHIMA Testifies in Support of ICD-10
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: July 2001
The "replacement [of ICD-9-CM, Volume 3] with a new procedural coding system for inpatient services is absolutely necessary and ICD-10-PCS meets the criteria for such a replacement system," said Linda Kloss, MA, RHIA, AHIMA's executive vice president and CEO. Kloss also argued that &q....
New Anemia Codes Address Chronic Illness
Author: Bryant, Gloryanne H.; Gold, Robert S.
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2001
As of October 2000, there were three new codes for the assignment of Anemia of Chronic Disease. These codes are 285.21, Anemia in end-stage renal disease, 285.22, Anemia in neoplastic disease, and 285.29, Anemia of other chronic illness.
These three codes will help to better describe....
Coding Under the HIPAA Umbrella
Author: Russo, Ruthann
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2001
Although coding professionals are not ultimately responsible for ensuring appropriate release of patient-protected information, it is important that they understand that coded data is not only one of the most desired pieces of information in the patient’s record, it is also the....
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