1544 results.
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Medicare Program; Hospital Outpatient Prospective Payment System; Payment Reform for Calendar Year 2004; Interim Final Rule
Author: U.S. Centers for Medicare & Medicaid Services
Source: Federal Register
Publication Date: January 06, 2004
Apples to Apples: Using Autobenchmarking to Measure Productivity
Author: Miller, P. J.; Waterstraat, F. L.
Source: Journal of AHIMA
Publication Date: January 2004
Autobenchmarking allows HIM managers to develop individualized internal productivity standards. Here’s how it works.
HIM managers and supervisors are continually faced with pressure to improve work quality and productivity. Developing ways to measure quality and productivity, howeve....
Endoscopic Surgery Brings Relief to Sinus Patients
Author: Huff-Allen, Angela; Wills-Dubose, Sarah
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2004
Millions of people are afflicted with chronic sinusitis annually. Most patients can be effectively treated with antibiotics, but for those who cannot, surgery is often recommended.
Endoscopic sinus surgery (ESS) is one of the fastest growing procedures performed in the field of otolaryng....
Taking the Next Step Forward for ICD-10
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: January 2004
In November 2003 the National Committee on Vital and Health Statistics (NCVHS) agreed to recommend that the secretary of Health and Human Services (HHS) adopt the ICD-10-CM and the ICD-10-PCS classification standards as replacement for the ICD-9-CM classification currently used in the US.
Changes Abundant for CPT 2004
Author: Hull, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2004
Changes for CPT 2004 affect all chapters, and it’s important to stay up to speed. This article presents a summary of CPT changes for 2004. Because a number of the procedures may be unfamiliar to some coding professionals, AHIMA has provided online links to descriptive articles on these s....
CodeWrite Community News December 2003
Author:
Source: AHIMA newsletter
Publication Date: December 2003
Variation in Coding of Evaluation and Management (E&M) Services by Hospital Emergency Departments
Author: American Hospital Directory Inc.
Source: External web site
Publication Date: December 03, 2003
Analysis of Final Rule for 2004 Revisions to the Medicare Hospital Outpatient Prospective Payment System
Author: AHIMA Policy and Government Relations Team
Source: AHIMA regulation analysis
Publication Date: December 02, 2003
The final rule regarding calendar year 2004 revisions to the Medicare hospital outpatient prospective payment system (PPS) was published in the November 7, 2003 issue of the Federal Register (the proposed rule was published in the August 12, 2003 issue). This rule becomes effective on January....
Medicare Program; Prospective Payment System for Inpatient Psychiatric Facilities; Proposed Rule
Author: U.S. Centers for Medicare & Medicaid Services
Source: Federal Register
Publication Date: November 28, 2003
CodeWrite Community News November 2003
Author:
Source: AHIMA newsletter
Publication Date: November 2003
ABNs--Always Been Neglected
Author: Dunn, Rose T
Source: AHIMA community resource
Publication Date: November 14, 2003
For something that has been around for nearly 2 decades and supported by regulation since 1965, Advance Beneficiary Notices (ABNs) continue to cause headaches today. The use of written notices has been available since the enactment of PL 92-603 in 1972. The specific format called an Advance B....
Team Efforts Key to Advocacy Success: HIM Colleagues Can Aid Drive to Consistency of Coding
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: November 2003
Consistency of coding is an issue that will only advance through a team effort. This article will discuss consistency of coding, its importance as an advocacy effort for the Association, and how you can make a difference.
Coding: Two Main Issues
There are essentially two t....
Understanding Diabetes Mellitus
Author: Huff, Garry L.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2003
Diabetes mellitus represents a group of disorders that are characterized by hyperglycemia. The clinical and ICD-9-CM classification of diabetes mellitus have evolved as understanding of insulin physiology has expanded. This article will explain diabetes mellitus and its ICD-9-CM classification....
Much in Store for ICD-9, DRGs in FY 2004: 104 Diagnosis, 10 Procedure Codes, 13 DRGs Introduced
Author: Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2003
New ICD-9-CM codes and DRG changes for fiscal year 2004 were released in the August 1, 2003, Federal Register. These changes went into effect October 1, 2003, with discharges occurring on or after that date. There were 104 new diagnosis codes and 10 new procedure codes. Due to code expansions,....
FY 2004 New Diagnosis Codes
Author:
Source: Journal of AHIMA
Publication Date: November 2003
ICD-9-CM codes with their DRG assignments
Auto-Coding: HIM Professionals' Role in the Future
Author: Carus, Win; D'Amato, Cheryl
Source: AHIMA Convention
Publication Date: October 25, 2003
Are you ready for this next evolution in coding technology? There are a number of market drivers impacting the development of auto-coding technology. “Drivers” include the demand to improve the revenue cycle, the lack of coder resources, and the development of the electronic medical record (E....
ICD-9 CM to ICD-10 CM: Implementation Issues and Challenges
Author: Hazelwood, Anita C.
Source: AHIMA Convention
Publication Date: October 25, 2003
Background
ICD-9-CM is the United States’ modification of the International Classification of Diseases, Ninth Revision, developed by the World Health Organization. It is the most universally applied classification system for coding diagnoses, reasons for hea....
Mapping from a Clinical Terminology to a Classification
Author: Imel, Margo; Campbell, James R.
Source: AHIMA Convention
Publication Date: October 21, 2003
The paper discusses mapping and the relationships of SNOMED CT® to a statistical and administrative classification system such as ICD-9-CM. It explores the purpose and differences encountered in creating a mapping and provides a brief overview of SNOMED® and its evolution. The Terminology- SN....
CodeWrite Community News October 2003
Author:
Source: AHIMA newsletter
Publication Date: October 2003
AHIMA Comments on Proposed Changes to the Hospital Outpatient Prospective Payment System (PPS) for Calendar Year 2004
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: October 03, 2003
Letter to Thomas A. Scully, Aministrator, Centers for Medicare & Medicaid Services, Department of Health and Human Services
CPT Category III Codes Cover New, Emerging Technologies: New Codes Developed to Address Issues in Light of HIPAA
Author: Beebe, Michael
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2003
In 1998, the American Medical Association (AMA) initiated the CPT-5 Project. This project was a broad-based and comprehensive effort to make needed and practical enhancements to the CPT code set that would address challenges presented by emerging user needs and HIPAA. One of the initiatives tha....
Long-term Acute Care: the Effect of PPS
Author: Smith, Pam
Source: Journal of AHIMA
Publication Date: October 2003
Just when I thought I’d seen and done it all in the HIM world, a new opportunity for coders appeared in long-term acute care hospitals (LTCHs). HIM professionals have been employed in LTCHs since the inception of long-term acute care, but the change from cost-based reimbursement to inclus....
CodeWrite Community News September 2003
Author:
Source: AHIMA newsletter
Publication Date: September 2003
Hospital Inpatient PPS FY 2004 Final Rule (CMS-1470-F). Table 11: FY 2004 LTC-DRGs, Relative Weights, Geometric Average Length of Stay, and 5/6th of the Average Length of Stay
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: September 24, 2003
LTC-DRG Description Relative Weight Geometric Average Length of Stay 5/6th of the Average Length of Stay 1 5 CRANIOTOMY AGE>17 W CC 2.0841 40.0 33.3 2 <....
ICD-10-CM Field Testing Project: Report on Findings: Perceptions, Ideas and Recommendations from Coding Professionals Across the Nation
Author: American Hospital Association; AHIMA
Source: AHIMA report
Publication Date: September 23, 2003
A study to assess the functionality and unity of applying ICD-10-CM to medical records in a variety of health care settings, and to assess the level of education and training required by professional credentialed coders to implement ICD-10-CM.
ICD-10-CM Field Testing Project
Author: Leon-Chisen, Nelly; Bowman, Sue E
Source: U.S. National Committee for Vital and Health Statistics
Publication Date: September 23, 2003
Internal Radiation Brings Hope to Prostate Cancer Patients: With Brachytherapy Treatment Come New HCPCS Codes
Author: Kostick, Karen M.
Source: Journal of AHIMA - Coding Notes
Publication Date: September 2003
In 2003, the American Cancer Society estimates that 220, 900 men will be diagnosed with prostate cancer in the US, making it the second leading cause of cancer deaths in men.1 Today in the US, patients with prostate cancer have access to less invasive surgical cancer treatment plans. This arti....
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....
CodeWrite Community News August 2003
Author:
Source: AHIMA newsletter
Publication Date: August 2003
AHIMA Letter to the Secretary of HHS on the Adoption of ICD-10
Author: Kloss, Linda L
Source: AHIMA testimony and comments
Publication Date: July 24, 2003
July 24, 2003
The Honorable Tommy Thompson
Secretary
Department of Health and Human Services
200 Independence Avenue SW
Washington, DC 20201
Dear Secretary Thompson:
I commend your leadership in making SNOMED-CT available through the National L....
HIPAA Transaction Standards Force OASIS Changes for Home Health
Author: Abraham, Prinny
Source: AHIMA community resource
Publication Date: July 24, 2003
Most Home Health Agencies bill Medicare electronically for skilled care provided to beneficiaries. OASIS (Outcome and Assessment Information Set) is the standard instrument used to determine correct case mix assignment under Medicare prospective payment system regulations. The diagnoses used on....
CodeWrite Community News July 2003
Author:
Source: AHIMA newsletter
Publication Date: July 2003
Statement in Support of Prompt Adoption of ICD-10-CM and ICD-10-PCS Medical Code Set Standards in the United States
Author: AHIMA
Source: AHIMA position statement
Publication Date: July 10, 2003
Approved by Board of Directors, American Health Information Management Association, July 2003 Support of Prompt Adoption of ICD-10-CM and ICD-10-PCS Medical Code Set Standards in the United States
AHIMA's Position
AHIMA calls upon the Department of Health and Human Services (HHS) - the c....
Observation Status or Inpatient Admission - Guidance for Physicians
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
"Observation Status or Inpatient Admission - Guidance for Physicians" has been modified so that physicians can download all, or portions, through HCE’s website.
Observation
The quality of care should be the same whether the Medicare patient is placed in observation or admitted as an....
Gastrointestinal (GI) Bleeding [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., dizziness, orthostatic hypotension, fatigue, pallor, etc.).
Document work-up (e.g., colonoscopy, CBC, esophagogastroscopy, etc.).
Note source of bleed, if known (e.g., erosive gastritis, angiodysplasia, stomach ulcer, diverticular disease, colo....
Congestive Heart Failure (CHF) [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., exertional dyspnea, orthopnea, peripheral edema, pulmonary rales or crackles, or jugular vein distention, etc.).
Document work-up (e.g., chest x-ray, EKG, Swan-Ganz, echocardiogram, etc.).
Document treatment (e.g., diuretics, ACE inhibitors....
AHIMA Comments on Proposed Changes to the Hospital Inpatient Prospective Payment System (PPS) for Fiscal Year 2004
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: July 07, 2003
July 7, 2003
Thomas A. Scully
Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-1470-P
PO Box 8010
Baltimore, Maryland 21244-1850
Dear Mr. Scully:
The purpose....
Intestinal Obstruction [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., abdominal distention, hyperactive bowel sounds, vomiting, etc.).
Document work-up (e.g., abdominal x-ray, barium enema, etc.).
Describe treatment (e.g., nasogastric suction, NPO, surgery, etc.).
Describe etiology, if known (e.g., hernia, fe....
Renal Failure [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., skin darkening, itching, muscle cramps, progressive rise in BUN, elevated urine protein, etc.).
Document work-up (e.g., kidney CT scan, kidney venogram or arteriogram, etc.).
Document treatment (e.g., IV erythropoietin, dialysis, etc.).
No....
Angina and Chest Pain [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
List history of conditions that might have caused pain (e.g., coronary artery disease, respiratory illness, trauma, ulcer disease, etc.).
Describe clinical signs and symptoms (e.g., substernal chest pain, pericardial pressure, heartburn, stabbing pain, localized tenderness, etc.).
Do....
Dehydration [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
List any history of inadequate fluid intake, diuretic therapy, or nausea and/or vomiting.
Describe clinical signs and symptoms (e.g., orthostatic tachycardia, postural hypotension, poor skin turgor, elevated urine osmolality, etc.).
If known, list dehydration’s underlying cause and w....
Acute Myocardial Infarction (AMI) [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Health Care Excel is a Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services
Pneumonia [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., fever, chills, cough, dyspnea, tachypnea, crackles or rales, etc.).
Note radiological and laboratory findings - include rationale for disagreement with any findings (e.g., negative chest xray, culture, etc.).
Describe preadmission treatment tha....
Cerebrovascular Accident (CVA) and Transient Ischemic Attack (TIA) [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., weakness, dysphasia, severe headache, etc.). All signs and symptoms disappearing within 24 hours may be indicative of TIA rather than CVA.
Note time of first symptom onset.
Document work-up (e.g., head CT scan, brain MRI, carotid ultrasound....
Respiratory Failure [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Health Care Excel is a Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services
Thrombophlebitis [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Health Care Excel is a Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services
Asthma, Bronchitis, and COPD [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Health Care Excel is a Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services.
Septicemia [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 07, 2003
Describe clinical signs and symptoms (e.g., hypoxemia, tachycardia, leukopenia, bradypnea, leukocytosis, etc.).
Identify causative organism, if known (e.g., pneumococcal, E. coli, aerobacter aerogenes, etc.).
List infection source, if known (e.g., UTI, pneumonia, postoperative wound, etc.....
Acute Confusion [Documentation Suggestions]
Author: Health Care Excel
Source: External - used with permission
Publication Date: July 06, 2003
Health Care Excel is a Medicare Quality Improvement Organization, and contractor of the Centers for Medicare & Medicaid Services
International Refined DRGs Globalize Coding
Author: Mullin, Robert L.
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2003
For accurate profiling and utilization assessment, a single patient classification system compatible with a wide variety of coding systems and clinical practices is needed. It also provides a reliable basis for healthcare funding and budgeting. However, many of the patient classification syste....
From Coder to Knowledge Engineer
Author: Zender, Anne
Source: Journal of AHIMA
Publication Date: July 2003
“Find a job that really holds your interest and one that will challenge you. If you’re not challenged daily, there’s something wrong.” —Judy Sample, RHIT, CCS, knowledge engineer
at Inference Systems International, Inc.
Combining her interests in coding and tec....
SARS Tops Healthcare Concerns
Author: Kennedy, James S.; Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: July 2003
HIM professionals serve a vital public health role as they capture and report illnesses, including the newly discovered Severe Acute Respiratory Syndrome (SARS). Accurate reporting of SARS and its comorbid or complicating conditions facilitates optimal disease tracking, use of resources, and p....
Managing and Improving Data Quality (2003 update)
Author: AHIMA Coding Products and Services Team
Source: AHIMA practice brief | Journal of AHIMA
Publication Date: July 2003
This practice brief has been retired. It is made available for historical purposes only.
What Happened to PEPP?: QIOs Plan for Hospital Payment Monitoring Program
Author: Estrella, Renato
Source: Journal of AHIMA
Publication Date: July 2003
Efforts to boost the quality of care provided to Medicare patients aren’t new, but CMS’ latest plan will require additional efforts from hospitals. Learn more about the Hospital Payment Monitoring Program and how Quality Improvement Organizations are here to help.
Wondering wh....
OIG Ambulance Guidance Applies to All Healthcare Sectors
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: July 2003
The Office of Inspector General (OIG) of the Department of Health and Human Services published two more compliance program guidances in its industry-specific series this year. The guidances are aimed at ambulance suppliers and pharmaceutical manufacturers. This article will address key compone....
AHIMA Project Offers Insights into SNOMED, ICD-9-CM Mapping Process
Author: Brouch, Kathy L.
Source: Journal of AHIMA
Publication Date: July 2003
AHIMA’s Cinical Vocabulary and Terminology Expedition
In 1999, AHIMA appointed the Coding Futures Task Force to study the likely futures in the domain of coding practice. The group’s conclusions, summarized in the January 2000 (vol. 71, no. 1) Journal of AHIMA article “....
Power of Persuasion: Proven Strategies Inspire Physicians to Improve Documentation
Author: Russo, Ruthann
Source: Journal of AHIMA
Publication Date: July 2003
Tired of haranguing physicians about the importance of clinical documentation? Our expert’s strategies will improve documentation and make physicians happy, too.
Clinical documentation is the foundation for the codes that serve as links between patient care and payment, individu....
E/M Coding: Critical Care Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
E/M Coding: Emergency Department Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
Recommendation for Standardized Hospital Evaluation and Management Coding of Emergency Department and Clinic Services
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
Produced by the Hospital Evaluation and Management Coding Panel of the American Hospital Association and American Health Information Management Association
June 24, 2003
EXECUTIVE SUMMARY
Background
Since the inception of the Medicare hospital outpatient prospective....
E/M Coding: Hospital Clinic Model
Author: American Hospital Association; AHIMA
Source: AHIMA
Publication Date: June 24, 2003
CodeWrite Community News June 2003
Author:
Source: AHIMA newsletter
Publication Date: June 2003
Coders Can Benefit from Bare Bones Podiatry Lesson
Author: Jones, Lolita M.
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2003
Podiatry is the specialty that manages diseases and problems of the feet. Many coding specialists find it difficult to assign CPT codes to podiatry cases. Because so many podiatry procedures are currently performed in the outpatient setting, it is common for coding specialists to be faced with....
Remote Coding Solution Offers Ultimate in Privacy, Security Measures
Author: Brucker, Mary Ann
Source: In Confidence (newsletter)
Publication Date: June 02, 2003
What to Look For
With HIPAA requirements now in effect, HIM professionals should look for a remote coding solution that offers privacy and security measures to help cope with coding backlogs while meeting all HIPAA compliance regulations. The system should incorporate the advantag....
Long-term Care Hospital PPS Creates Opportunities for Coders: Proposed Rule Addresses Related Coding Issues
Author: Hull, Susan
Source: Journal of AHIMA - Coding Notes
Publication Date: June 2003
A prospective payment system has been in effect for Medicare reimbursement for various healthcare providers for almost 20 years. Most recently, long-term acute care hospital (LTCH) facilities have been added to the prospectively reimbursed providers. This is a significant change from the cost-....
Act Now on Crucial Healthcare Efforts: Government Action, Technology Changes, ICD-10 Create Dynamic Mix
Author: Rode, Dan
Source: Journal of AHIMA
Publication Date: June 2003
What’s happening in key areas of legislative and advocacy development? In this article, we’ll take a look at some areas that have seen significant changes and examine how developments will affect HIM professionals.
Privacy, Security: The Saga Continues
Many....
CodeWrite Community News May 2003
Author:
Source: AHIMA newsletter
Publication Date: May 2003
AHIMA Comments on ICD-9-CM Procedure Code Modifications Discussed at April 2003 C&M Meeting (effective date of 10/03 or 10/04)
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: May 12, 2003
May 12, 2003
Patricia Brooks, RHIA
HAPG, Division of Acute Care
Mail Stop C4-08-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Dear Pat:
The American Health Information Management Association (AHIMA) welcomes the opportunity to prov....
AHIMA Comments on ICD-9-CM Diagnosis Code Modifications Discussed at April 2003 C&M Meeting (effective date of 10/04)
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: May 09, 2003
May 9, 2003
Donna Pickett, MPH, RHIA
Medical Classification Administrator
National Center for Health Statistics
3311 Toledo Road
Room 2402
Hyattsville, Maryland 20782
Dear Donna:
The American Health Information Management Association (AHIM....
Monitoring Improper Medicare Payments: New CMS Programs Build on OIG Methods to Report Errors
Author: Scichilone, Rita A
Source: Journal of AHIMA
Publication Date: May 2003
The Office of Inspector General (OIG) issued its last improper Medicare fee-for-service payment error rate report in January. Does this mean that all claims problems have been fixed? Have healthcare providers finally become 100 percent compliant?
Unfortunately, the answer is n....
Understanding Pelvic Adhesions: How to Get Up to Date with Procedures, Codes
Author: Vlahos, Nikos F.; Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2003
Coding professionals routinely code abdominal or pelvic adhesions. Recent advances in treatment and a newly approved ICD-9-CM procedure code, however, bring the topic to the forefront. Is your knowledge current?
This article will explain what pelvic adhesions are, the surgical techn....
Sepsis, Related Terms Cause Confusion for Coders: Set the Record Straight About Sepsis, SIRS, Septic Shock
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: May 2003
Sepsis, severe sepsis, SIRS, and septic shock have long been a source of confusion for coders. New ICD-9-CM codes established recently for Systemic Inflammatory Response Syndrome (SIRS), and additional proposed code revisions have added to the confusion regarding the differentiation among these....
ICD-9-CM Coordination and Maintenance Committee Discusses Code Proposals for FY2005 (October 1, 2004)
Author:
Source: AHIMA Advocacy and Policy
Publication Date: April 30, 2003
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), met on April 3, 2003 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochaired t....
Medicare Program: Prospective Payment System for Long-Term Care Hospitals: Proposed Annual Payment Rate Updates and Policy Changes
Author: Rode, Dan
Source: AHIMA testimony and comments
Publication Date: April 30, 2003
April 30, 2003
Thomas A. Scully
Administrator
Centers for Medicare and Medicaid Services
Department of Health and Human Services
Attention: CMS-1472-P
P.O. Box 8010
Baltimore, Maryland 21244-1850
RE: Medicare Program: Prospective Payment System for Long-....
CodeWrite Community News April 2003
Author: AHIMA Coding Team
Source: AHIMA newsletter
Publication Date: April 2003
Fracture Treatment Poses Coding Challenge: Multiple Treatment Options Require Special Attention
Author: Hutchinson, Mark R.; Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes
Publication Date: April 2003
There are 206 bones in the human body and each is susceptible to fracture. The choices in fracture management are complex and based on a number of issues including fracture type, fracture pattern, specific bone, age of fracture, age of patient, associated injuries, and physician preference. Co....
CodeWrite Community News March 2003
Author:
Source: AHIMA newsletter
Publication Date: March 2003
Observation Services Present Compliance Challenges
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: March 2003
Observation services have been a top fraud and abuse target of the Office of Inspector General (OIG) of the Department of Health and Human Services, primarily due to the complexity of the Medicare billing regulations and the potential for abuse. New regulations regarding reimbursement for thes....
ICD-9-CM Committee Discusses Code Proposals for 2004: Approved Changes Would be Effective October 1, 2003
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: March 2003
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), met in December 2002, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochaire....
CodeWrite Community News February 2003
Author:
Source: AHIMA newsletter
Publication Date: February 2003
Major Changes for Heart Failure Codes in 2003: New Codes Put Sharper Focus on Diagnosing, Preventing Heart Failure
Author: Casey, Patricia E.; Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: February 2003
Are you up to date with the latest revisions to the heart failure codes? A revision of the heart failure codes, effective October 1, 2002, was originally presented at the May 2001 ICD-9-CM Coordination and Maintenance Committee meeting. At that meeting, representatives from Kaiser Permanente e....
Codewrite Community News (January 2003)
Author:
Source: AHIMA newsletter
Publication Date: January 2003
AHIMA's Comments re: the Proposed Procedure Code Modifications presented at the 12/02 ICD-9-CM Coordination & Maintenance Committee Meetings
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: January 09, 2003
January 9, 2003
Patricia Brooks, RHIA
HAPG, Division of Acute Care
Mail Stop C4-08-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Dear Pat:
These are AHIMA's comments regarding the proposed procedure code modifications presented at....
AHIMA's Comments re: the Proposed Diagnosis Code Modifications presented at the 4/02 and 12/02 ICD-9-CM Coordination & Maintenance Committee Meetings
Author: Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: January 09, 2003
January 9, 2003
Donna Pickett, MPH, RHIA
Medical Classification Administrator
National Center for Health Statistics
6525 Belcrest Road
Room 1100
Hyattsville, Maryland 20782
Dear Donna:
These are AHIMA's comments regarding the proposed diag....
2003 OIG Work Plan Highlights Aberrant Coding Patterns: Plan Puts New Spin on 2002 Work Plans, Introduces New Projects
Author: Prophet-Bowman, Sue
Source: Journal of AHIMA
Publication Date: January 2003
This article includes highlights of the OIG’s 2003 Work Plan. The plan can be found in its entirety on the OIG Web site at http://oig.hhs.gov/ publications/workplan.html.
Many of the projects described in the 2003 Work Plan of the Office of Inspector General (OIG) of the Department of Hea....
Where to Find Answers to Your Coding Questions
Author: Brouch, Kathy L.
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2003
For more information on physician queries, see the "Developing a Physician Query Process" practice brief in the October 2001 Journal of AHIMA and in the FORE Library: HIM Body of Knowledge in the Communities of Practice at www.ahima.org.
Is obtaining an answer to a coding question a daunting t....
Plenty of CPT Changes for 2003: Latest on Additions, Revisions, and Deletions
Author: O'Hara, Karen
Source: Journal of AHIMA - Coding Notes
Publication Date: January 2003
The 2003 Current Procedural Terminology (CPT) includes approximately 428 code changes, so as always, it is important to stay current. To assist you in using the new edition, the following provides a brief summary of the changes for 2003. The complete list of changes can be found in Appendix B....
ICD-9-CM Coordination and Maintenance Committee Discusses Code Proposals for FY2004
Author: AHIMA Policy and Government Relations Team
Source: AHIMA Advocacy and Policy
Publication Date: December 13, 2002
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare and Medicaid Services (CMS), met on December 5-6, 2002 in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, cochair....
Analysis of Final Rule for 2003 Revisions to the Medicare Hospital Outpatient Prospective Payment System
Author: AHIMA Policy and Government Relations Team
Source: AHIMA regulation analysis
Publication Date: November 24, 2002
The final rule regarding calendar year 2003 revisions to the Medicare hospital outpatient prospective payment system (PPS) was published in the November 1, 2002 issue of the Federal Register. This rule becomes effective on January 1, 2003. This analysis will cover significant....
Taking a Closer Look at 2003 ICD-9-CM, DRG Changes
Author: Zeisset, Ann M.
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2002
The ICD-9-CM coding changes and DRG changes for fiscal year 2003 include 106 new diagnosis codes, 41 new V codes, 16 new E codes, 25 new procedure codes, and 19 invalid diagnosis codes. Released in the August 1, 2002, Federal Register, these changes went into effect October 1, 2002, with disch....
ICD-9-CM Codes, DRG Assignments for 2003
Author:
Source: AHIMA web extra
Publication Date: November 02, 2002
New 2003 ICD-9-CM codes and DRG assignments
In-house Coding Education Program Pays off for Faculty, Staff
Author: Choate, Dana M.; Rudd, Jessica
Source: Journal of AHIMA - Coding Notes
Publication Date: November 2002
Faced with a severe coder shortage, Baylor University Medical Center of Dallas, TX, decided to do something radically different. With the support of administration and financial backing of the center, we developed the Coding Education Program (CEP).
The program targets existing empl....
Web FAQ
Author: AHIMA Coding Team
Source: AHIMA Q and A
Publication Date: October 2002
What Documentation Source Is Used to Assign Diagnosis Codes for Outpatient Testing?
A completed medical record is the best source of diagnosis coding, without regard to setting. However, recently there was confusion concerning whether the reason for testing found on a requisition for the test....
Web FAQ
Author: AHIMA Coding Team
Source: AHIMA Q and A
Publication Date: October 2002
Where Can I Find Coding Guidelines for Use in Long Term Care or for Skilled Nursing Facility Reporting?
The official coding guidelines (see earlier question regarding who has the official guidelines for code assignment) are applicable in long term care. These guidelines have been develope....
Web FAQ
Author: AHIMA Coding Team
Source: AHIMA Q and A
Publication Date: October 2002
Where Can I Find a Sample Job Description and the Standard Productivity Rate for a Coder?
Because of the wide variety of duties included in the tasks for a coding professional, AHIMA does not publish a standard job description and has found it impossible to create meaningful coding produ....
Web FAQ
Author: AHIMA Coding Team
Source: AHIMA Q and A
Publication Date: October 2002
Who Has the Official Guidelines for Interpretation of Coding Guidelines or Appropriateness of Code Assignment?
For ICD-9-CM coding questions and guidelines we look to Cooperating Parties for ICD-9-CM. The National Center for Health Statistics and the Health Care Financing Administration receiv....
Web FAQ
Author: AHIMA Coding Team
Source: AHIMA Q and A
Publication Date: October 2002
Where can I find the APC regulations?
The HCFA regulations are found in the November 13, 2000 Federal Register, Vol. 65. No.219 pp.67798-68005. Go to http://www.access.gpo.gov/su_docs/fedreg/a001113c.html, and scroll down to Health Care Financing Administration.
HCFA has impleme....
AHIMA Comments on FY03 Medicare OP-PPS
Author: Rode, Dan; Prophet-Bowman, Sue
Source: AHIMA testimony and comments
Publication Date: October 03, 2002
October 3, 2002
Thomas A. Scully
Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-1206-P
PO Box 8018
Baltimore, Maryland 21244-8018
Re: File Code CMS-1206-P<....
ICD-9-CM Committee Discusses New Diagnosis Proposals
Author: Prophet, Sue
Source: Journal of AHIMA - Coding Notes
Publication Date: October 2002
The ICD-9-CM Coordination and Maintenance Committee, cosponsored by the National Center for Health Statistics (NCHS) and the Centers for Medicare & Medicaid Services (CMS), met on April 18-19, 2002, in Baltimore, MD. Donna Pickett, RHIA, from NCHS, and Patricia Brooks, RHIA, from CMS, co-....
Tackling Tough Management Issues: Advice From the Top
Author: Squazzo, Jessica
Source: Journal of AHIMA
Publication Date: October 2002
Wondering how your peers across the country are managing the myriad challenges that confront HIM professionals? We assembled a panel of experts to address common problems and concerns.
With changing technology on the horizon, HIPAA deadlines fast approaching, and staff shortages at....
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