Tag Archives | Coding

Looking at new ICD-10-CM Codes for Blindness

ICD-10 codes for blindness and low vision are effective Oct. 1, 2017 and reflect parameters from the World Health Organization (WHO). A new set of codes was released for use beginning on Oct. 1, 2017. The category, H54, includes codes for blindness and low vision and with that brings many changes for documentation and coding. […]

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ICD-10 New Codes: Pressure Mounts as Deadline Approaches When New Codes Become Effective

Now it’s just a little less than three weeks until the beginning of October and when the fiscal year (FY) 2018 changes for ICD-10-CM take effect. Here is a summary of the new changes for ICD-10-CM: 360 new code additions 142 deletions 250+ revisions The Centers for Medicare and Medicaid Services (CMS) published a variety […]

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ICD-10 QUICK TIPS: Back to School Bugs Part I

It’s the most wonderful time of the year! That’s right, it’s back to school for the kiddos. As the hustle and bustle of the new school year starts and the morning drive (flashing red, school bus ahead) slows to the pace of a horse and carriage ride, our children will soon be sharing more than […]

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How to Take Advantage of New Coding Opportunities in 2017

A new year means new codes and new revenue opportunities for medical practices—but also new challenges to ensure the codes are used correctly. Below is a brief summary of new current procedural terminology (CPT) codes, modifiers and place of service codes that went into effect January 1, 2017. Add-on prolonged E/M services You’ll find a […]

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Everything Doctors Should Know About ICD-10 Glitch

CMS has announced a glitch in the quality reporting measures brought upon by the changes in the ICD-CM (Clinical Modification) and ICD-PCS (Procedural Coding System) updates that went into affect Oct. 1. While CMS is a bit unclear as to exactly what the problem is, there are a few things we know: This glitch only […]

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What’s the Key to Better ICD-10 Coding?

Nearly a quarter of all U.S. hospitals now outsource some or all coding functions. Ninety percent of hospitals over 150 beds currently outsourcing their CDI processes reported in Q3 to have realized significant (over $1.5M minimally) in appropriate revenue and proper reimbursements following the implementation of clinical documentation improvement programs in this past year following […]

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Live Long and Prosper Under ICD-10-CM

If you are unfamiliar with the Star Trek brand, it began with a TV series in 1966 with William Shatner as Captain Kirk and Leonard Nimoy as Mr. Spock. They traveled the universe with the crew of the starship Enterprise and boldly went where no man has gone before! This beloved series is celebrating its […]

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How To Bill And Code Transitional Care Management The Right Way

Q: Our office is having a difficult time reaching patients within the required two business days from discharge for transitional care management (TCM) codes. Will this preclude us from billing the codes when all of the other criteria are met?

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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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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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Build An ICD-10 Rapid Response Team for Revenue Emergencies

Now that ICD-10 is a reality in U.S. healthcare, providers are finding that Oct. 1, 2015 didn’t bring with it the doomsday scenario they thought it might – but they also know that ICD-10-related challenges that aren’t apparent now may manifest themselves in the coming months.

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Payers Take Forgiving Stance in Accepting ICD-10 Claims

How lenient are major health insurers willing to be when it comes to accepting providers’ ICD-10 claims? Humana and UnitedHealthcare are giving latitude in the specificity of the new codes, at least for now.

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Hiring crunch for coders leaves many providers unprepared as ICD-10 takes hold

Hiring Crunch For Coders Leaves Many Providers Unprepared As ICD-10 Takes Hold

After a number of delays, and much anticipation, the implementation of ICD-10 is finally underway as of Oct. 1. But with all the competition in the job market this year for skilled coding professionals, some hospitals and healthcare organizations may have yet to start the journey.

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An Early Warning System for Reducing ICD-10 Claim Denials

In the recent ICD10 monitor article ICD-10 is Risky Business, Holly Louie states that “the best way to fix claim errors is to not make them in the first place.” Since the Oct. 1 implementation of ICD-10 has passed, how will your organization know when and where errors are likely to occur so you can […]

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Physicians React To Early Days Of ICD-10

Here are some quotes from physicians after the first few days of the ICD-10 coding transition taken from Medical Economics’ ICD-10 Diary project.

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ICD-10 go-live: Nightmare or non-event?

ICD-10 Go-Live: Nightmare or Non-Event?

The ultimate irony of a long standing ICD-10 to Y2K comparison is that – after all the years of debate, disdain and doomsday predictions – it now appears that the go-live will likely pass after the same fashion that Y2K did:

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