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Impact of the Transition to ICD-10 on Medicare Inpatient Hospital Payments

Author: Mills, Ronald E; Butler, Rhonda R.; Averill, Richard F.; McCullough, Elizabeth C; Bao, Mona Z

Source: AHIMA Convention

Publication Date: October 02, 2011

Objectives

Distinguish between methods for converting a complex application from ICD-9 to ICD-10.
Identify the strategies employed in converting the MS-DRG grouper to ICD-10.
Identify the strategies employed in creating an 11-million record comprehensive test file of converted....

Certified I10-Ready

Author: Dimick, Chris

Source: Journal of AHIMA

Publication Date: October 2011




To build up competencies in the new code set, AHIMA-credentialed professionals must add ICD-10-CM/PCS continuing education to their credential maintenance through 2013.

The impending coding classification system change from ICD-9 to ICD-10 is the talk of health information....

Coding for Medicare Advantage Plans

Author: Truscott, Tricia

Source: AHIMA Convention

Publication Date: October 02, 2011


Background


The Centers for Medicare and Medicaid Services (CMS) use a reimbursement methodology similar to the DRG system for coverage of Medicare patients enrolled in Medicare Advantage plans through private insurance companies. Using ICD codes from hospital and physician visit....

Natural Language Processing – Is it the Silver Bullet for Health Information Management?

Author: Fritsch, Jürgen; Fallati, Donald T.; Kosegi, Lynn

Source: AHIMA Convention

Publication Date: October 02, 2011

M*Modal

The overarching goals driving the healthcare industry and the Health Information Profession and function have been clear for some time. Broad agreement exists that having clinical data readily available in an electronic environment, rather than paper-based, will improve patient ca....

Preparing for ICD-10 While in an ICD-9 World: The Importance of Clinical Documentation and Coding Integrity (CDCI™) Programs Being Early Adopters of ICD-10

Author: Doty, Laura; Kruse, Marion G.

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Unless you are living under a rock or plan on retiring (or plan on winning the lottery) you are probably aware of the United States adopting ICD-10 and beginning to worry about what this means for you and your organization. The focus of this paper is to explore the impact of....

Issues with Automating a SNOMED CT® to ICD-9-CM Map

Author: Wilson, Patricia S

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

An integral part of the interoperability of codified information within an electronic medical record is mapping of one terminology to another. Mapping is defined as the process of creating one-way links between concept and terms for specific purposes. Mapping is performed for....

Is Your Outpatient Documentation Ready for I10?

Author: Clark, Andrea

Source: AHIMA Convention

Publication Date: October 02, 2011

BACKGROUND:

Hospital inpatient medical documentation has its distinctive challenges as the movement of I-10-CM requirements march closer. With that said, outpatient encounters has its unique characteristics and supplementary challenges for ICD-10-CM assignments. The variety of outpatient....

Modifers – ‘Friend or Foe’

Author: Swindle, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

ABSTRACT:

Background: The need for modifiers to further and appropriate identify accurate coding information to all payers is critical for appropriate and accurate reimbursement. Failure to use modifiers can have a negative impact on a physician or an organizations’ revenue as witho....

The Cardiac Cath Coding/Charging Crossover

Author: Stanton, Kristi

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Many hospitals utilize the charge description master (CDM) to code and charge for cardiac catheterization procedures. While this practice may have been acceptable in the past, increasingly complex procedures within the cardiac cath lab, such as intricate percutaneous coronary....

Lessons Learned from the Bill Error Correction Process

Author: Davis, Nadinia A.

Source: AHIMA Convention

Publication Date: October 02, 2011

ABSTRACT

Front-end errors in registration and charge entry prevent billing problems that drive up the DNFB. These errors can lead to denials for incorrect billing or untimely filing. Bill error correction is typically housed in Patient Financial Services, in which case HIM staff are invol....

Coding Neoplasms in ICD-10-CM

Author: Bielby, Judy A

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2011


ICD-10-CM codes provide greater detail than ICD-9-CM codes for reporting neoplasms. In many instances, ICD-10-CM neoplasm codes can provide information on whether a neoplasm occurred in a right-sided or left-sided body part. ICD-10-CM also provides codes for reporting neoplasm sites with great....

Spinal Surgery in CPT/HCPCS Unraveled

Author: Kuehn, Lynn

Source: AHIMA Convention

Publication Date: October 02, 2011

Introduction

Spinal surgery can involve a combination of nervous system and musculoskeletal system procedures. Understanding the definitions, anatomy and procedure concepts of these systems provides a foundation for use by the coder in correctly assigning codes in multiple classification....

New ICD-9-CM Diagnosis Codes for FY 2012

Author: Endicott, Melanie

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2011


The new ICD-9-CM diagnosis codes go into effect October 1, 2011. This date marks the last regular annual update to the ICD-9-CM code set before the partial code freeze. On October 1, 2012, there will be only limited code updates to ICD-9-CM to capture new technology and new diseases. There wil....

ICD-9-CM’s Final Bow

Author: AHIMA

Source: Journal of AHIMA

Publication Date: September 2011


On October 1, 2011, ICD-9-CM will get its last close- up. That date marks the final regular update for the veteran code set.

In 2012 ICD-9-CM will receive only limited updates to capture new technologies and diseases. Starting October 1, 2013, it will be relegated to bit parts. The....

Managing Physician Queries in the EHR

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: July 2011


Federal incentives provided for the meaningful use program under the American Recovery and Reinvestment Act are encouraging hospitals to adopt electronic health records (EHRs). Eighty percent of hospitals are planning to become meaningful users of EHR technologies in 2011, and the healthcare i....

ICD-10: the New Teacher's Pet

Author:

Source: Journal of AHIMA

Publication Date: July 2011


The healthcare industry’s transition to ICD-10-CM/PCS will ramp up in August as educators begin teaching ICD-10 as the primary classification system.
An AHIMA-developed timeline for transitioning academic institutions to ICD-10 recommends the new code set be taught as the current classific....

Preparing for the CAC Transition

Author: Bronnert, June

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2011


One of the biggest technology advancements to influence coding since encoding systems is computer-assisted coding. CAC is the "use of computer software that automatically generates a set of medical codes for review, validation, and use based upon clinical documentation provided by healthcare p....

Coding Knee and Hip Replacements in ICD-9-CM and ICD-10-PCS

Author:

Source: AHIMA online training

Publication Date: June 23, 2011


Seminar Date
June 23, 2011
Description

Increase clinical coding skills in reporting accurate ICD-9-CM and ICD-10-PCS hip and knee joint replacement codes. We'll identify the varying types of total or partial joint revision procedures and clinical documentation to sup....

ICD-10 Prep: Assessing Coders' A&P Proficiency

Author:

Source: AHIMA online training

Publication Date: June 09, 2011


Seminar Date
June 9, 2011

Description

Do you want to simplify the transition to ICD-10-PCS? ICD-10 Prep: Assessing Coders’ A&P Proficiency explains the benefits and importance of assessing coders’ strengths and weaknesses in the biomedical sciences prior to ICD-10-PCS....

Transcription and Data Capture in the EHR

Author: Dooling, Julie A

Source: Journal of AHIMA

Publication Date: June 2011


Transcription has always played an important role in HIM, but today it is taking on a new role in supporting the meaningful use program. Organizations are looking to leverage their transcription technology to capture structured data within their electronic health records (EHRs), a requirement....

Three-Day Window Updates

Author: Garrett, Gail S.

Source: Journal of AHIMA - Coding Notes

Publication Date: June 2011


The Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 was signed into law on June 25, 2010. One of its provisions revised the three-day payment policy, or the so-called "three-day DRG window."

This article highlights the changes to the three-da....

Changes Ahead in Data Standards

Author: Giannangelo, Kathy

Source: Journal of AHIMA

Publication Date: June 2011


HIM professionals are most familiar with the data standards mandated through HIPAA. However, the data standard adoption process is also now part of the requirements for EHR technology in the meaningful use program.

Understanding the data standards adoption process under HIPAA and th....

Getting the Best from Your ICD-10 Vendor

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: May 2011



May 10, 2011


Payers and providers must work their way through the transition to ICD-10-CM/PCS only once, and by the end, few will likely choose to do it again. System vendors and consultants, however, will have been through many, many implementations before it’s all over.

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