No search filters
377 results.
1 [2] 3 4 5 6 7 8 9 10 11 12 13 14 15 16 >>
ABCs of HHS-HCCs: Taking a Closer Look at the Commercial Risk Adjustment
Author: Franklin, Janet
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2014
There are three age-defined models under commercial risk adjustment. These are the Adult Model (ages 21 and up), the Child Model (ages 2–21), and the Infant Model (ages 0–1). The model applicable to a patient is dependent on their age at the end of the benefit year. If a 20-year-old patie....
ABCs of Medicare Advantage
Author: Hernandez, Jeannette
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2008
Although most Medicare beneficiaries receive their health coverage through the traditional Medicare Part A and B fee-for-service programs, more and more beneficiaries are enrolling in Medicare Part C, referred to as Medicare Advantage (MA), to manage their healthcare costs.
By June 2....
ACA Risk Adjustment Models Emerge in Commercial Care
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.
A Dive into Section I.A.19: Code Assignment and Clinical Criteria
Author: Combs, Tammy
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2018
By Tammy Combs, RN, MSN, CDIP, CCS, CCDS
Have you ever wondered what it means to be an effective communicator? In his article “Why Communication Is Today’s Most Important Skill,” Greg Satell discusses Michael Faraday, who helped tr....
Advances in Burn Reconstruction Complicate Coding: Get Familiar with Terminology, Techniques for Accurate Coding
Author: Erhardt, Walter L.; Medal, Diana
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2003
Recent advances in the science of wound healing are making an impact on the treatment of burns. This is particularly evident not only in the way burn wounds are being managed initially, but also in how these wounds are being reconstructed. While these scientific advances make this field an exc....
Analysis of POA and Hospital- Acquired Conditions Data, Part 1
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2008
On October 1, 2007, hospitals began reporting secondary diagnoses that were present on admission (POA). The POA indicator can be reported as Y, present on admission; N, not present on admission; U, unknown; or W, clinically undetermined.
Beginning October 1 of this year, N and U indi....
Analysis of POA and Hospital-Acquired Conditions Data: Part 2
Author: Schraffenberger, Lou Ann
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2008
Last October hospitals began reporting secondary diagnoses that were present on admission (POA). These indicators are reported as Y, present on admission; N, not present on admission; U, unknown; or W, clinically undetermined. Beginning October 1 of this year, N and U indicators will affect Me....
Another Look at Home Care PPS
Author: Youmans, Karen; Scichilone, Rita A; Dougherty, Michelle
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2001
In the October 2000 Journal of AHIMA, we outlined the new home health care prospective payment system (PPS).1 Coding professionals working with home health providers have learned new terms and additional guidelines for reporting. However, confusion remains concerning code assignments, because s....
Anthrax: What Every Coder Should Know
Author: Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2002
The inhalation anthrax identified by a Florida physician in October 2001, during the recent series of bioterrorist attacks, was the first case of reported inhalation anthrax in the United States in more than 25 years.1 With the threat of anthrax as a biological weapon, correct coding could be....
Applying Facility E/M Codes in the Hospital Emergency Department
Author: Peters, Robert; Wiedemann, Lou Ann
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: May 2007
Evaluation and management (E/M) codes were added to the CPT codebook in 1992 to classify physician services. Use of these codes increased when they became integral to physician practice reimbursement. E/M codes became a tool for practices to trend individual physician profiles and reimbursemen....
1 [2] 3 4 5 6 7 8 9 10 11 12 13 14 15 16 >>