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Fiscal Year 2018 Updates to ICD-10-PCS
Author: Ward, Maria
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: November 2017
Every year as the summer months arrive, coding professionals, healthcare providers, documentation improvement specialists, and other healthcare professionals wait expectantly for the release of all the Centers for Medicare and Medicaid Services (CMS) coding updates. This year is no differe....
ICD-10 and Quality Measures: A Dynamic Relationship
Author: Land, Daniel
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2017
Coding professionals are the guardians of the patient’s story; they translate the language of medicine into coded data. The accuracy of this translation is essential for many reasons beyond today’s reimbursement. Coded data is used for clinical decision making, healthcare polic....
Coding Discussions about the Elephant in the Room
Author: Davies, Sharon
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2017
One thing is for certain, everyone’s life will end someday. But who wants to broach this uncomfortable subject in a healthcare setting? The patient? The patient’s family? The primary care provider? The hospitalists?
Medicare has recognized the value of this servi....
ICD-10-CM/PCS: Two Years and Counting
Author: Comfort, Angie
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: September 2017
The arrival of October 1, 2015 was met with anxiety, alarm, and even terror by many as the healthcare industry braced for what some called “another Y2K-like event”—the ICD-10-CM/PCS implementation. Fast-forward to September 2017, where we have been living in the post-ICD-....
Coding for Telemedicine is Now a Reality
Author: McNicholas, Faith C.
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: July 2017
The Centers for Medicare and Medicaid Services (CMS) created a new place of service (POS) code for use by physicians and other qualified healthcare practitioners (QHPs) who furnish telehealth services from a distant site, effective January 1, 2017.
According to Medicare, ser....
CDI in the Outpatient Setting: Finding the 'Hidden Gems' of Opportunity for Improvement
Author: Merriweather, Kay; Slater, Leslie; Bohley, Michele
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: July 2017
“If it’s not documented, it wasn’t done.” This is one of the first axioms health information management (HIM) professionals learn. HIM professionals have witnessed the evolution of quality documentation, with patient education becoming the center of healthcare in th....
Ins and Outs of HCCs
Author: Fernandez, Valerie
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: June 2017
A Hierarchical Condition Category (HCC) is defined as a risk adjustment model that is used to calculate risk scores to predict future healthcare costs. The Centers for Medicare and Medicaid Services’ (CMS) CMS-HCC model is used to predict healthcare spending for Medicare Advantage Pl....
Device or No Device? Coding Impella/IABP External Ventricular Support and the Impact on MS-DRG Assignment
Author: DeVoe, Megan
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: June 2017
The Impella® device (2.5 and 5.0) provides percutaneous external ventricular support for high-risk patients who cannot undergo traditional open cardiovascular procedures in the inpatient hospital setting. Like intra-aortic balloon pumps (IABPs) that have been used for decades, these de....
Building the Coding Career Ladder
Author: Leonard, Janis
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: May 2017
Prior to the implementation of ICD-10-CM/PCS, Albany Medical Center (Albany), based in Albany, NY, was struggling with attracting qualified coding candidates. Despite recruitment efforts including sign-on bonuses and incentive pay, Albany was unable to maintain staffing levels to meet the....
Understanding Respiratory Diagnoses
Author: Ward, Maria
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: May 2017
Coding respiratory cases can sometimes lead to coding professionals getting bogged down in the circle of sequencing instructions, inclusions, and exclusions. This article will help readers gain a better understanding of the differences in the diagnoses that all come with a majority of the....
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