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An Auditor’s Observations on ICD-10 Audits and Compliance

We are nearly six months into ICD-10 and more coding reviews and audits are underway, which is a good thing. There are close to 30 times more procedure codes and five times more diagnosis codes in ICD-10-CM/PCS, compared to ICD-9-CM. Best Medical Coding Course!

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ICD-10 QUICK TIPS: OB/GYN Episodes of Care and Complications

As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10. We are sharing these insights with the broader HIM Community through our bi-weekly blog series “ICD-10 Quick Tips.”

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Payers Stepping Ahead of CMS by Demanding Greater Specificity

Some experts are predicting a large spike in denials beginning on Oct. 1, 2016 when the Centers for Medicare and Medicaid Services will require claims to be more specific. Forward-looking providers are assembling teams to prepare now.

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ICD-10 Coding Freeze Is Over

Just as the Ice Age eventually ended, so has the ICD-10 coding freeze.

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CMS, CDC Add More than 5,000 Codes to ICD-10 Coding System

The reason that there has been such a large rise in codes for the ICD-10 coding system is due to a partial freeze that occurred before the implementation deadline on October 1, 2015.

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Four ICD-10 Coding Mistakes To Avoid

Now that ICD-10 is almost six months old, coders are figuring out which mistakes are the most common.

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CDC Ends Freeze On New ICD-10 Codes

A total of 1,900 codes and 3,651 hospital inpatient procedure codes will be added for fiscal year 2017.

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Diagnosing, Documenting, and Coding for Radiculopathy

Radiculopathy can be an unpleasant condition, but diagnosing, documenting, and coding for it does not have to be. It just takes a little research. As you know, the brain communicates with the body via the spinal cord, which is protected by the bones of the spinal column, called vertebrae. Nerve roots exit in between each […]

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Zika: We Have a Code, and Other Updates

We have a code! The Zika virus has continued to generate national headlines. During this past week, it was announced that Zika can be transmitted through sexual contact as well as infected mosquitoes.

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Putting a Halt to ICD-10 AMI Documentation Obstacles

ICD-10 went into effect Oct. 1, 2015 and, so far, everything seems to be going pretty well. There are a few areas, however, that continue to give clinical documentation improvement (CDI) specialists and coders headaches. One of these problems is Acute Myocardial Infarction (AMI) documentation. In ICD-10 there is a demand for increased specificity – […]

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ICD-10 Impact On Reimbursement, Payers, And Providers

Z23. That’s the ICD-10 billing code for an immunization encounter. It’s also the only code that stumped the team at Arlington, Virginia-based Privia Health, a national medical group.

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Unspecified Codes Among Issues Being Monitored

At the four-month mark of ICD-10 implementation, practice management vendors are continuing to look for trends and potential issues for their clients.

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Take Advantage of Expanded External Cause Codes in ICD-10

During the transition to ICD-10, external cause codes – the codes that capture specific details about an injury or health event – received a bad reputation.

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What are “Other” Codes for in ICD-10?

In nearly every ICD-10-CM category there is an option for an “other specified” condition. What do these mean, and how are they properly used?

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How To Avoid ICD-10 Denials For Medical Necessity

In the wake of the Oct. 1 transition to ICD-10, very few issues have surfaced. However, providers and billers have experienced difficulty with coding for medical necessity, receiving denials due to outdated Local Coverage Determinations (LCDs) that do not include current diagnosis codes.

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ICD-10 Two Months In: Consultants Give an Inside Look at How the Transition Has Impacted the Industry

Poor documentation, decrease in productivity among main ICD-10 challenges thus far.

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