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The Circulatory System and ICD-10-CM/PCS

Author: Barta, Ann

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011


Many coding professionals will need to learn new terminology and brush up on their anatomy and physiology (A&P) knowledge to prepare for the ICD-10-CM/PCS transition. Although it is still too early for intense training on the new code sets, now is the time for coding professionals to gain....

Staying Alert on Sleep Medicine Coding

Author: Kostick, Karen M.

Source: Journal of AHIMA - Coding Notes

Publication Date: May 2011


The field of sleep medicine is rapidly expanding, and its coding and reimbursement are attracting more attention from federal and state governments, public health organizations, scientists, payers, auditors, the transportation industry, and healthcare consumers. Emerging topics in the area of....

Top Documentation Issues for ICD-10

Author: Dimick, Chris

Source: Journal of AHIMA - website

Publication Date: April 2011



Apr 18, 2011

ICD-10-CM/PCS offers organizations better data about their patient populations and the services they provide them. The code set’s greater specificity allows coding professionals to more accurately reflect the details of physician documentation.

However, an....

CY 2011 Changes to the Hospital OPPS

Author: Karban, Karen M

Source: Journal of AHIMA - Coding Notes

Publication Date: April 2011


The final rule for the calendar year 2011 Hospital Outpatient Prospective Payment System (OPPS) was released November 24, 2010. Changes in the rule went into effect with January 1, 2011, outpatient hospital-based services.

The changes to OPPS continue to reflect packaging adjustments....

CPT Update 2011

Author: Smith, Gail I.; Endicott, Melanie

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2011


Each year CPT adds codes to reflect new procedures and surgical techniques. For example, new codes were added in the surgical section to identify procedures performed using balloon catheters.

In addition, CPT continues to make editorial changes and add coding guidelines within the t....

CCHIIM Releases New Details on ICD-10 Recertification for AHIMA Certified Professionals

Author: AHIMA

Source: ICD-TEN Top Emerging News | AHIMA newsletter article

Publication Date: January 06, 2011


Preparation has begun for the transition to ICD-10-CM/PCS. As transition quickly grows closer, it is critical that all AHIMA-certified Professionals are ready to adapt to the new changes. The Commission on Certification for Health Informatics and Information Management’s (CCHIIM) new recertific....

FY 2011 Changes to the Hospital IPPS

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2010


The final rule for the FY 2011 Hospital Inpatient Prospective Payment System was released July 30, 2010. Changes in the rule went into effect with October 1, 2010, inpatient discharges.

The changes to MS-DRGs and the complication and comorbidity (CC) and major complication and comorb....

Overview of the ESRD PPS

Author: Nelson, Tanai S

Source: Journal of AHIMA - Coding Notes

Publication Date: November 2010


In August the Centers for Medicare and Medicaid Services established a new prospective payment system (PPS) for end-stage renal disease (ESRD) facilities. The ESRD PPS will provide a single payment to ESRD facilities for renal dialysis services and other items and services related to home dial....

Strategies for Remote Coding Success: Remote Coding Program Helps Norman Regional Retain Quality Coders

Author: Miller, Amy; Ridpath, Debra

Source: Journal of AHIMA - Coding Notes

Publication Date: October 2010


Remote coding is helping organizations attract and retain experienced coding professionals at a time when highly skilled coding professionals are in short supply. Successfully implementing a remote coding program requires that facilities have their entire clinical documentation online and qual....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix B: Reporting and Sequencing Diagnoses on the Health Record and UB-04 Claim Form

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


The "ICD-9-CM Official Guidelines for Coding and Reporting" is updated annually, thought it may be changed more frequently. Coders should be familiar with the guidelines and use the most current version.

The guidelines provide the following guidance for principal/first-listed and con....

ICD-9-CM Coding Guidance for LTC Facilities. Appendix C: Regulatory Guidance for Reporting Diagnoses Related to Reimbursement

Author: AHIMA

Source: AHIMA practice brief attachment

Publication Date: October 2010


In August 2000, the HIPAA Transaction and Code Sets required the use of the ICD-9-CM code set. Subpart J, section §162.1002 Medical data code sets, states the adoption of the following code sets as standard medical data code sets:
ICD-9-CM, volumes 1 and 2 (including the "ICD-9-CM Official....

ICD-9-CM Coding Guidance for LTC Facilities - Retired

Author: AHIMA

Source: AHIMA practice brief

Publication Date: October 2010


Diagnostic coding plays several important roles in every healthcare setting, including long-term care (LTC) nursing facilities. LTC facilities assign ICD-9-CM codes to capture a resident's clinical conditions.


ICD-9-CM facilitates the collection and organization of healthcare stat....

Computer-Assisted Coding and Beyond

Author: Eminger, Heather

Source: AHIMA Convention

Publication Date: September 28, 2010


Introduction to CAC

Whether you're a facility reviewing the Computer-Assisted Coding (CAC) technologies because of coding challenges such as the ever evolving CMS requirements and backlogs, or preparing for ICD-10 CM. You will learn there is much more that Computer-Assisted Coding....

ICD-10: The Payer's Perspective

Author: Boynton, Angela

Source: AHIMA Convention

Publication Date: September 27, 2010


When the final rule was released in 2009 mandating the United States' migration to ICD-10, too many in the healthcare field were hesitant to make the matter a top priority. However, as the October 1, 2013 compliance deadline approaches the payer industry is beginning to feel the full weight th....

Role of Data Analysis in Revenue Cycle Improvement

Author: White, Susan E

Source: AHIMA Convention

Publication Date: September 27, 2010

Introduction

Data analysis techniques are becoming increasingly important for HIM professionals. The application of relatively simple and straightforward data analytics can identify significant opportunities for improvement in the revenue cycle. Traditional chart audits can be enhanced b....

ICD-10-PCS Coding in the Real World

Author: Smith, Donna

Source: AHIMA Convention

Publication Date: September 26, 2010

Introduction

ICD-10-Procedure Coding System (PCS) is a completely different method of assigning codes to surgical procedures, but it has many advantages over its counterpart ICD-9-CM. First of all it is a straightforward system allowing for expansion as new procedures are developed; whil....

Mastering Pediatric Codes

Author: Walk, Gerri

Source: AHIMA Convention

Publication Date: September 26, 2010

Introduction

As we all know, children and adult healthcare issues are very different. This is why there are pediatric specialty hospitals; as well as, pediatric departments within acute care or outpatient facilities. The same goes for coding. General coding and pediatric coding are not t....

Clinical/Procedural Respiratory Issues: "The Final Gasp"

Author: Haik, William E

Source: AHIMA Convention

Publication Date: September 26, 2010

Introduction:

Understanding the clinical elements of respiratory conditions and procedures (such as aspiration and Gram-negative bacterial pneumonias, acute respiratory failure, and bronchoscopy) will aid in formulating clinically succinct physician queries when physician documentation i....

Add Another "C" to Your CDI Program: Why "CDCITM (Clinical Documentation and Coding Integrity) is a Best Practice Model

Author: Kruse, Marion G.; Newell, Shannon K

Source: AHIMA Convention

Publication Date: September 25, 2010

Introduction

Inpatient clinical documentation improvement (CDI) programs, once found only in a small number of hospitals, have evolved into an essential part of the revenue cycle and quality programs. Reduced reimbursement, expanded compliance initiatives, and increased public and payer....

Observation Services

Author: Hapner, Peggy

Source: AHIMA Convention

Publication Date: September 25, 2010



Observation is a necessary, though cumbersome, service provided in hospitals today. Many facilities would like to see observation eliminated because it is a logistical nightmare, particularly when it comes to charges and reimbursement.

The most stringent rules about observation....

Impact of Implementing an EMR on Coding Professionals. A Case Study of Kaiser Permanente Colorado: Implementing an EMR for 1,000 Providers at 18 medical office buildings

Author: Taylor, James M

Source: AHIMA Convention

Publication Date: September 25, 2010


(If you are in a smaller practice and perform many of these functions yourself, the unintended consequences of EMR implementation discussed below still apply. You will need to alter your approach to coding in the new EMR environment and the strategies for successful post-implementation coder s....

Optimizing Anatomy and Physiology Review for ICD-10

Author: Henderson, Kellie

Source: AHIMA Convention

Publication Date: September 25, 2010

Overview

As we move into the ICD-10 landscape an increased knowledge of anatomy and physiology is a critical requirement for success. Every coder has a different level of knowledge they draw from today. Identifying knowledge gaps and shoring up our defenses will provide us with informati....

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