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Are You Ready for POA Reporting?
Author: Bowman, Sue E
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: January 2007
Reporting option āUā should not be routinely assigned and should be used in very limited circumstances. Coding professionals should query the provider when the documentation is unclear.
Medical record documentation from any provider involved in the care and treatment of the patient may be u....
Assigning E Codes: Two New Sections Go into Effect October 1
Author: Bronnert, June
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2009
Two new E code sections go into effect October 1—E000, External Cause Status, and E001–E030, Activity. The sections will facilitate prevention strategies developed by epidemiologists and injury prevention specialists and bring ICD-9-CM E codes more in line with ICD-10-CM external c....
Assigning Secondary Codes from the History and Physical
Author: Bronnert, June
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2006
To code or not to code can be one of the toughest questions a coder faces on a day-to-day basis. Assigning the appropriate secondary diagnoses can be a challenge. This article describes appropriate coding of secondary diagnoses by reviewing documentation of a history and physical.
Un....
Auditing ICD-10 Through the Lens of Education
Author: Land, Daniel
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: October 2016
The complex and sophisticated nature of ICD-10-CM/PCS has increased both the intellectual demands on coding professionals and the importance of an educational approach to the audit process. On October 1, 2016 regular updates to ICD-10 will begin, marked by the introduction of over 5,500 n....
Back to the Basics of Spine Surgery: Anatomy, Terminology Knowledge Can Improve Coding
Author: Kuehn, Lynn
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2012
The human spine is a complex unit that combines the structures of both the nervous and musculoskeletal systems. Understanding the anatomy, terms and definitions, and procedure concepts associated with spinal surgery can make for a considerably smoother coding process.
Anatomy of the Spine....
Back to the Basics on ICD-10-PCS Spinal Fusion Coding - Retired
Author: Barta, Ann
Source: Journal of AHIMA | Journal of AHIMA - Coding Notes
Publication Date: October 2016
The implementation of ICD-10-PCS has enhanced the skills of coding professionals as it contains many unique features that provide an opportunity to accurately reflect the complexity of the procedures being performed. The assignment of ICD-9-CM procedure codes for spinal fusions often chal....
Best Practices for Coding Productivity: Assessing Productivity in ICD-9 to Prepare for ICD-10
Author: DeVault, Kathryn
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2012
As organizations begin to prepare for ICD-10 implementation, the question of coder productivity is usually close to the top of everyone's list. Addressing productivity in ICD-9-CM will provide a baseline of information crucial for the transition to ICD-10-CM/PCS.
The AHIMA e-HIM Cod....
Beyond Coding to Content Analysis
Author: Richmond, Rosalind; Chapman, Claudia; Cook, Jane; Levy, Brian
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2005
The health information technology (HIT) field can provide HIM professionals with many career opportunities at software and content companies. HIT roles require highly developed content analysis skills, including abstracting, coding, documentation compliance, and utilization review. The availab....
Brief History of ICD-10-PCS
Author: Mullin, Robert L.
Source: Journal of AHIMA - Coding Notes
Publication Date: October 1999
The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed as a replacement for the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) volume 3, Procedures. This version of ICD, in use since J....
Brushing Up On ICD-10-PCS
Author: Bowman, Sue E
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: October 2007
Although the US continues to wait for an implementation date for ICD-10-CM and ICD-10-PCS, HIM professionals should maintain a basic familiarity with these new coding systems. This article provides an overview of ICD-10-PCS.
The Structure of ICD-10-PCS
ICD-10-PCS....
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