726 results.
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AHIMA's Statement Regarding Replacement of ICD-9-CM Procedural Coding System
Author: Kloss, Linda L
Source: AHIMA testimony and comments
Publication Date: May 17, 2001
Thursday, May 17, 2001
Good morning, I am Linda Kloss, chief executive officer of the American Health Information Management Association (AHIMA). On behalf of the Association, I thank you for this opportunity to provide input on replacing the ICD-9-CM procedural coding system with ICD-10-....
HCFA Guidelines on Consultations
Author:
Source: Brief Encounter
Publication Date: April 02, 2001
reprinted from Medicare Intermediary Manual
CPT-5 Supports Performance Measurement, Technology
Author: Beebe, Michael
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2001
Among the needs the CPT-5 Project addresses are changes to enhance the use of CPT by practicing physicians, managed care and other payer organizations, and researchers. The project has made recommendations for improvements in the structure and processes of the CPT codes with deliberate emphasi....
Committee Considers ICD-9-CM Changes for 2002
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2001
by Sue Prophet, RHIA, CCS
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 November 17, 2000, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patri....
CPT Changes for 2001
Author: O'Hara, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2001
CPT 2001 Professional Edition (CPT® 2001) is complete and should be landing on your desk soon. As an introduction to the new book, this article provides a brief summary of the changes in 2001. A complete listing of the code and guideline changes can be found in CPT Changes 2001:....
How the DSM-IV-TR and Current ICD-9-CM Revisions Affect Behavioral Health Documentation and Coding
Author: Albaum-Feinstein, Andrea L.
Source: Behavioral Health
Publication Date: January 02, 2001
Introduction
The textbook DSM-IV-TR (Diagnostic Statistical Manual-Text Revision, 4th Edition) by the American Psychiatric Association was published in July 2000. The 2000 ICD-9-CM Addendum (effective October 1, 2000) was published again after a one-year absence. Both these publications....
Next Generation of E/M Guidelines
Author: Hill, Emily
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2000
Few non-clinical issues have inspired as much discussion, revision, and anxiety as the evaluation and management (E/M) services and their accompanying documentation guidelines. E/M services have produced a cottage industry focused on ensuring that medical records contain necessary docu....
Building a Better CPT
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 2000
The Health Insurance Portability and Accountability Act (HIPAA) presents numerous challenges to HIM processes and systems. Not least among these areas is coding. Among the concerns is whether the CPT system will be sufficient to meet the demands of HIPAA. The American Med....
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....
Can Natural Language Processing Aid Outpatient Coders?
Author: Warner, Homer R. Jr.
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2000
As HIM vendors strive to perfect automated coding, one supporting technology has reached an exciting stage of development. Natural language processing (NLP) is a major challenge for the computer industry because of the complexity and variability of human speech. NLP differs from simple word s....
Standards for Electronic Transactions...Final Rule and Notice
Author: U.S. Centers for Medicare & Medicaid Services
Source: Federal Register
Publication Date: August 17, 2000
Making a Proactive Transition to APCs
Author: Willett, Lyn
Source: Journal of AHIMA
Publication Date: July 2000
There's no doubt APCs are going to change the way your facility operates, but do you know how? By taking a look at your existing systems, you'll get a better idea of how to prepare for changes. This article spotlights specific functions to consider and optimize for the new outpatient prospect....
Outpatient Prospective Payment Becomes A Reality
Author: Scichilone, Rita A
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2000
Do you know your APCs? July 1, 2000, is the start date for the Ambulatory Payment Classification (APC) prospective payment system for Medicare reimbursement. CPT coding skills will directly affect revenue as the current Ambulatory Surgery Center (ASC) methodology is abandoned and mor....
Understanding the Complexities of Coding for Mental Disorders
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....
Mental Disorders Pose Coding Challenges
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2000
Because coding for professional services in mental health settings requires an understanding of numerous and complex treatment options and settings, a periodic review of Physicians Current Procedural Terminology (CPT) is essential. For many mental healthcare patients, a psychiatrist pr....
Reviewing Diagnostic Coding for Mental Disorders
Author: Albaum-Feinstein, Andrea L.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2000
Editor's note: This is the first part in a two-part series on diagnostic coding for mental healthcare. Part II will discuss the differences between DSM-IV and ICD-9-CM coding systems.
Coding and documentation and the development and implementation of an effective HIM compliance pro....
Clarifying Selected CPT Modifiers
Author: Scichilone, Rita A
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2000
Coding for professional services is complicated enough when coding professionals are charged with assisting the physician to select the best five-digit number for the services rendered. It becomes even more complex when circumstances of the case require the CPT code to be modified. Add....
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)
Using CPT Modifier -25 for Professional Billing
Author: Yoder, Lois M.
Source: Journal of AHIMA
Publication Date: January 2000
You may want to consider a focused review of how your practice assigns CPT modifier -25, "a significant, separately identifiable Evaluation & Management (E&M) service by the same physician on the same day of the procedure or other service."1 The Health Care Financing Admini....
Ten Down Under: Implementing ICD-10 in Australia
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....
CPT Changes for 2000
Author: Kirschner, Celeste G.; Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2000
The American Medical Association's CPT 2000 Coding Symposium was held recently in Chicago to discuss the more than 300 revisions in the 2000 Current Procedural Terminology (CPT). Here is a brief summary of the changes.
A complete listing of the code and guideline changes can be foun....
Trend Watch: Coding for Nonphysician Services
Author: Hill, Emily
Source: Journal of AHIMA
Publication Date: January 2000
From physician assistants to nurse practitioners, the number of healthcare professionals offering patient care services has increased dramatically in recent years. With this increase comes a challenge to coders—accurately reporting the services provided by these prof....
Back to Basics: Coding for Physician Services
Author: Scichilone, Rita A; Zeisset, Ann M.
Source: Journal of AHIMA
Publication Date: November 1999
How many times have you asked the question "How do you code ___?" We never seem to have all of the answers involving new techniques or unusual cases. With accurate, correct data so critical, it is vital that we know the answers. Included in this article are several commonly asked questions wit....
Brief History of ICD-10-PCS
Author: Mullin, Robert L.
Source: Journal of AHIMA - Coding Notes
Publication Date: October 1999
The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed as a replacement for the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) volume 3, Procedures. This version of ICD, in use since J....
Diagnostic Services Coding Tips for Physician Offices
Author: Scichilone, Rita A
Source: Journal of AHIMA
Publication Date: July 1999
Coding for diagnostic services performed in physician offices and clinics requires an understanding of some special reporting guidelines. Here are some helpful tips.
The Question of Ownership
Reporting laboratory and radiology procedures depends on ownershi....
Group Builds Consensus on Laboratory Test Policies
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1999
The Balanced Budget Act of 1997 (BBA) mandated that the Health Care Financing Administration (HCFA) use a negotiated rulemaking process to develop national administrative and coverage policies for clinical diagnostic laboratory tests under Medicare Part B. The BBA stipulates that the p....
Coding Compliance Tips for Hospital Outpatient Observation Services
Author: Manning, Susan C.
Source: Journal of AHIMA
Publication Date: July 1999
The Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) continues in its efforts to promote voluntarily developed and implemented compliance programs for the healthcare industry. Fundamentally, compliance efforts must be designed to establish a culture th....
Sign of the Changing Times: CPT 1999
Author: Mallett, Sherri; Smith, Gail I.
Source: Journal of AHIMA
Publication Date: June 1999
This year brought with it 686 changes to CPT. While this is a moderate number in comparison to previous years, several of the changes have significant impact on code assignment. The purpose of this article is to highlight some of the areas of significant change. (See "1999 CPT Revisions" in t....
ICD-10 Procedure Coding System (ICD-10-PCS)
Author: U.S. Health Care Financing Administration
Source: U.S. Centers for Medicare & Medicaid Services
Publication Date: April 02, 1999
Benchmarking with National ICD-9-CM Coded Data
Author: Osborn, Carol E.
Source: Journal of AHIMA
Publication Date: March 1999
As HIM professionals, we want to be assured that we are providing the highest quality data for reimbursement and research purposes. We can review coded data internally, but this does not give us a clear picture of the total information that is being submitted to the Health Care Financing Admin....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: February 1999
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 November 2, 1998, in Baltimore, MD. Donna Pickett, RRA, from NCHS, and Patricia Brooks, RRA, from HCFA, cochaired the....
1999 CPT Revisions
Author: Willard, Dianne
Source: Journal of AHIMA
Publication Date: January 1999
This article will summarize some of the major additions and revisions in the 1999 Current Procedural Terminology (CPT). A complete review of all the code and guideline changes -- including the rationale for these changes -- can be found in the November 1998 issue of the CPT Assistant newslette....
Rheumatoid Arthritis
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: November 1998
Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, and other organs in the body. An autoimmune disease is one in which the body tissues are mistakenly attacked by the body's own immune system. Patients have antibodies in....
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
....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 1998
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 4, 1998, in Baltimore, MD. NCHS's Donna Pickett, RRA, and HCFA's Patricia Brooks, RRA, co-chaired the meeting. P....
What is Gulf War Syndrome (Part II)
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....
HCFA Requires Use of Modifiers for Hospital Outpatient Services
Author: Willard, Dianne
Source: Journal of AHIMA
Publication Date: June 1998
On January 7, 1998, the Health Care Financing Administration (HCFA) released the final instructions on hospital outpatient modifiers from Medicare Hospital Manual transmittal number 726 dated January 1998. These instructions were electronically released to the Medicare fiscal intermediaries,....
Development of the ICD-10 Procedure Coding System (ICD-10-PCS)
Author: Averill, Richard F.; Mullin, Robert L.; Steinbeck, Barbara A.; Goldfield, Norbert I; Grant, Thelma M.
Source: Journal of AHIMA
Publication Date: May 1998
The ICD-10 Procedure Coding System (ICD-10-PCS) has been developed as a replacement for Volume 3 of ICD-9-CM. This article will describe the development and structure of ICD-10-PCS‹as well as describe the modifications that have been made to the system as a result of extensive review and test....
Testing ICD-10-PCS
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....
CCS Coding Competencies--ICD-9-CM and CPT/HCPCS Procedural Coding
Author: AHIMA
Source: Journal of AHIMA
Publication Date: May 1998
For Further Reference
The Cooperating Parties (AHIMA, American Hospital Association, Health Care Financing Administration, National Center for Health Statistics) publish official guidelines in the Coding Clinic for ICD-9-CM, available from the American Hospital Association.....
No Uncertain Terms
Author: Zender, Anne
Source: Journal of AHIMA
Publication Date: May 1998
HIM professionals think of classification systems such as ICD-9-CM as tools for everyday use. But these familiar systems are evolving and changing rapidly—as Donna Pickett, RRA, is well aware.
Pickett is medical systems administrator for the Office of Data Standards, ....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 1998
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 December 4-5, 1997, in Baltimore, MD. Donna Pickett, RRA, from NCHS, and Patricia Brooks, RRA, from HCFA, cochai....
ICD-9-CM Revisions (effective 10/1/97)
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: November 1997
The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1997. Highlights of the changes are summarized below. Since every revision is not described in this article, it is important to review the Official Authorized Addendum. The complete addendum is publish....
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: September 1997
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 5, 1997, in Baltimore, MD. NCHS's Donna Pickett, RRA, and HCFA's Patricia Brooks, RRA, cochaired the meeting. <....
Hypertensive Disorders of Pregnancy
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: September 1997
Hypertension complicates at least 10 percent of all pregnancies. The hypertensive disorder of pregnancy most likely to result in significant adverse clinical outcomes is preeclampsia.
Preeclampsia
Preeclampsia is unique to pregnancy and is characterized by elevated blood press....
1997 Documentation Guidelines for E&M Services
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: January 02, 1997
This publication provides definitions and documentation guidelines for the three key components of E/M services and for visits which consist predominately of counseling or coordination of care.
ICD-9-CM Revisions -- Effective October 1, 1996
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: October 1996
The revisions to ICD-9-CM became effective with discharges occurring on or after October 1, 1996. Highlights of the changes are summarized below. Since not every revision is described in this article, it is important to review the official authorized addendum published in a special edition of....
V Codes
Author: American Hospital Association
Source: External - used with permission
Publication Date: October 02, 1996
Summary of ICD-9-CM Coordination and Maintenance Committee Meeting
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.
Myocardial Infarctions: Frequently Asked Questions
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: July 1996
Myocardial Infarctions
Many coders still have questions regarding the correct coding and sequencing of myocardial infarctions (MI), particularly in relation to the use of the fifth digits, transfers, underlying diagnosis, and performance of procedures. The following information is provide....
Disorders of the Breast
Author: Prophet, Sue
Source: Journal of AHIMA
Publication Date: May 1996
Carcinoma
Breast cancer is the most common form of cancer in women. Risk factors include a personal or family history of breast cancer, delayed childbearing, and personal history of benign breast disease.
A tumor may be identified by mammogram or self-examination. Many tumors are d....
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