Author: Bielby, Judy A

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

Publication Date: October 2014

A poorly managed coding process can thwart the effective use of coded diagnosis and procedure data. Take for example Hospital A, a fictitious hospital that does not effectively manage their coding processes. At this hospital, the coding professionals are concerned primarily with the impact....

Author: AHIMA Staff

Source: Journal of AHIMA - website

Publication Date: September 28, 2014

The United States is one of the last countries to switch from the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) to the International Classification of Diseases, 10th Revision, Clinical Modification, Procedure Coding System (ICD-10-CM/PCS). The com....

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: September 10, 2014

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

Author: Goswami, Chaitali

Source: CodeWrite | AHIMA newsletter article

Publication Date: September 2014

OBJECTIVE

The purpose of this article is to enable you to understand and correctly implement the coding principles, concepts, and guidelines associated with various mastectomy procedure codes.


SURGICAL INFORMATION

Mastectomy is the surgical procedure in....

Author: Kostick, Karen M.; Sanvik, Gina

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

Publication Date: September 2014

Editor’s note: This is the second in a two-part series of articles discussing the six Ancillary sections of ICD-10-PCS.


This article continues the Journal of AHIMA’s exploration of the different sections of ICD-10-PCS, focusing on the last three Ancillary sections. The side....

Author: Franklin, Janet

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

Publication Date: September 2014

Known as the “Three Rs,” three mechanisms were included with the implementation of the Affordable Care Act (ACA) to reduce incentives insurers may have for avoiding the enrollment of high-cost members. The “Three Rs” are risk corridors, reinsurance, and risk adjustment.

Author: AHIMA

Source: AHIMA newsletter

Publication Date: September 2014

Monthly newsletter containing practical news for coding, reimbursement, and healthcare compliance

Author: Butler, Mary

Source: Journal of AHIMA - website

Publication Date: August 2014

The HIM Problem: Medicare Auditor Scrutiny of Inpatient Claims


This spring, the Centers for Medicare and Medicaid Services (CMS) issued its “two midnight rule” which was intended to define and clarify what Medicare considers to be criteria justifying an inpatient st....

Author: Endicott, Melanie

Source: AHIMA blog post | Journal of AHIMA - website

Publication Date: August 13, 2014

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

Author: Endicott, Melanie

Source: Journal of AHIMA - website

Publication Date: August 06, 2014

The role of the clinical documentation improvement (CDI) professional is ever-changing. When CDI programs first started rolling out in the late 1990s and early 2000s, the focus was exclusively on acute care Medicare inpatients. The focus was merely on capturin....