726 results.
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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....
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....
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.
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
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.
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....
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: 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....
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, ....
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,....
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....
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
....
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....
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....
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....
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....
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
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....
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....
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....
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....
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....
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....
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....
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....
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....
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....
Standards for Electronic Transactions...Final Rule and Notice
Author: U.S. Centers for Medicare & Medicaid Services
Source: Federal Register
Publication Date: August 17, 2000
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....
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....
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....
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....
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....
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-....
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....
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....
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....
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....
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....
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....
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....
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....
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....
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 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 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-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....
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....
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....
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....
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....
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....
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
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....
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<....
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....
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
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....
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....
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....
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....
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....
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....
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