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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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Health Plans: Tasks for 5010 & ICD-10-CM/PCS Compliance

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009


The transition to 5010 and ICD-10-CM/PCS will be a challenge for Health Plans. A key to success in this transition is thorough and advance preparation as well as coordination of concomitant efforts to comply with 5010 and ICD-10. Payers may be tempted to focus on the 5010 compliance project fir....

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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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

Author: AHIMA

Source: AHIMA

Publication Date: November 18, 2009

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FY 2010 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2009


The final rule for the FY 2010 Hospital Inpatient Prospective Payment System was released on July 31, 2009. Changes in the rule went into effect with inpatient discharges of October 1, 2009, and are reflected in Grouper Version 27.0.

The changes to MS-DRGs and the complication and co....

Coding in Critical Access Hospitals

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2009


National health policy has been increasingly responsive to the healthcare needs of rural residents and providers. Rural America has a large percentage of the nation’s Medicare population, and this percentage continues to grow as residents born in the Baby Boomer generation begin to retir....

ICD-10 Update

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

Source: AHIMA Convention

Publication Date: October 05, 2009

Introduction

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

Experts Suggest Beginning ICD-10 Implementation Today

Author: AHIMA

Source: AHIMA Today

Publication Date: October 05, 2009


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

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

Working Smarter with Computer-Assisted Coding

Author:

Source: AHIMA Today

Publication Date: October 05, 2009

Clinical Coding Community Sessions Explore Worklow Efficiencies and Quality Benefits

Today’s code assignment and workflow processes can be inefficient, error prone, and costly. Presenters at Saturday’s Clinical Coding Community Meeting described the latest in computer-assisted coding (CA....

Computer-Assisted Coding: A Year Later. Proof of Concept Pilot Results, The Department of Veterans Affairs

Author: Bebb, Jacki; Hanken, Mary Alice; Helbig, Susan; Longosky, Sean; Main, Renee; Wood, Shirley

Source: AHIMA Convention

Publication Date: October 05, 2009


Health Information Management, VHA Central Office and the VA Puget Sound Health Care System
Objective

Beginning in late 2008, the Veterans Health Administration (VHA) began a proof of concept project to determine if natural language processing (NLP) and computer assisted coding....

Implementation of Inpatient Computer Assisted Coding at the University of Pittsburgh Medical Center

Author: Towers, Adele L; Soso, Nancy; Needham, Tamara

Source: AHIMA Convention

Publication Date: October 05, 2009

Background

Coder productivity and accuracy has become even more important in this era of declining reimbursements, hybrid charts, increasing medical complexity, and continuous auditing. Computer Assisted Coding (CAC) for hospital inpatient charts is being proposed as a solution to improve....

ICD-10-CM/PCS Project Management Resources

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2009


This practice brief has been retired. It is made available for historical purposes only.



Transitioning to ICD-10-CM/PCS will be a major undertaking for healthcare organizations. Below are ICD-10-CM/PCS project management resources and templates that organizations can use to h....

Quality Clinical Documentation—A Costly Challenge

Author: Kloss, Linda L

Source: Journal of AHIMA

Publication Date: September 2009


The debate continues over how to reform healthcare while controlling costs and spending. The options are complex and controversial, and after decades of failed cost and spending control efforts, it’s not surprising that there is skepticism.

Reforming one of the world’s mo....

Preparing for ICD-10-CM in Physician Practices

Author: Kuehn, Lynn

Source: Journal of AHIMA

Publication Date: August 2009




What will change under ICD-10-CM, and what must be done to prepare? This is the year for physician practices to get their ducks in a row: become informed, assess their IT and training needs, and make a plan that leads to the October 1, 2013, deadline.



On September....

Preparing for ICD-10-CM: A Clinician's Perspective

Author: Rose, Eric

Source: Journal of AHIMA

Publication Date: July 2009


America’s physician practices are facing the biggest change in healthcare coding in decades: the replacement of ICD-9-CM by ICD-10-CM. This article discusses ICD-10-CM from a clinical perspective and reviews how electronic health record (EHR) systems will need to adapt to the transition.....

Present on Admission: Where We Are Now

Author: Garrett, Gail S.

Source: Journal of AHIMA

Publication Date: July 2009


Hospitals have nearly two years of POA reporting under their belts. With time, effort, and updates, assigning POA indicators is becoming routine business for coding professionals.

For the past several years, HIM professionals have served as a conduit for a rapidly evolving pay-for-pe....

New Guidance for Home Health Coding

Author: Blevins, Ida K.

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2009


Sweeping PPS changes for home health went into effect January 2008, making much of the prior coding guidance issued by the Centers for Medicare and Medicaid Services (CMS) incompatible with changes in the revised data collection set. Home health coding professionals anxiously awaited further i....

ICD-10-CM Official Coding Guidelines

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2009


One of the keys to a successful transition to ICD-10-CM/PCS is a thorough understanding of the ICD-10-CM Official Coding Guidelines, which were posted to the National Center for Health Statistics Web site in January 2009. Similar to the ICD-9-CM coding guidelines, the ICD-10-CM guidelines are....

Understanding National Coverage Policies: Navigating the Maze of HACs, Serious Reportable Events, and Wrong Surgical Sites

Author: Cook, Jane; D'Amato, Cheryl; Garrett, Gail S.; Ruhnau-Gee, Becky; Hyde, Linda A.; Novak, Natalie

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2009


Present on admission indicators, hospital-acquired conditions, serious reportable events, and “wrong” surgical events are each hot topics. However, they also can be a hot topic together, because a number of these reporting requirements are interrelated. HIM professionals must under....

ICD-10 Reimbursement Mappings: New Mappings from CMS Help Organizations in the Transition to ICD-10

Author: Butler, Rhonda R.; Mills, Ronald E

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2009


Starting October 1, 2013, healthcare claims will be submitted to payers using ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes. Some payers such as the Centers for Medicare and Medicaid Services (CMS) are converting their reimbursement systems to use ICD-10 codes directly. However, som....

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