Tag Archives | ICD-10

Final ICD-10-CM Codes for 2018 Contain Some Surprises

Revisions include 322 more changes than CMS proposed in April The final updated ICD-10-CM codes for 2018, posted on the Centers for Medicare and Medicaid Services’ (CMS) website, contain 360 new, 142 deleted, and 226 revised diagnosis codes, according to a report from HealthLeaders Media. The revisions include 322 more changes than what was proposed […]

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Succeeding in an ICD-10 World: A Peek Inside the New Issue of the AHIMA Journal

In the ICD-9 era, there were universally accepted benchmarks to measure coding professionals’ productivity. Now, more than 18 months after the ICD-10 implementation date, the challenge is to do the same for the new coding system. The article, “Coding Checkup,” in the June issue of the Journal of AHIMA, addresses this issue and provides direct […]

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ICD-10 Coding Questions Answered

Q: One of our physicians is getting conflicting information regarding the ICD-10 codes E66.01 and E66.9. We have been coding E66.9 for Body Mass Indexes (BMIs) between 30-34 and E66.01 for BMIs > 35. She has a laminated cheat sheet card that says E66.9 is for BMIs 30-39 and E66.01 is for BMIs >40. Can […]

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Humana Refines Diabetes Risk Stratification Tool Using ICD-10

The ICD-10 transition provided Humana with the “perfect opportunity” to develop a more detailed diabetes risk stratification tool. In an effort to improve the delivery of targeted chronic disease management services to diabetes patients, Humana has revamped its Diabetes Complications Severity Index (DCSI) risk stratification tool to use ICD-10 codes, the payer detailed in a […]

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14 Things To Know About Medical Coding

Medical coders play a crucial role in the revenue cycle process, as they help ensure health systems, hospitals and physicians are properly reimbursed for the services they provide. Here are 14 things to know about medical coding. 1. AAPC describes medical coding as “the transformation of healthcare diagnosis, procedures, medical services and equipment into universal […]

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Key ICD-10 Changes That Impact Pathology/Lab Coding in 2017

Have you updated your reporting of malignant carcinoid tumors, viral hepatitis, GIST or ovarian cyst coding? You haven’t had to deal with annual ICD-10-CM updates until Oct. 1, 2016. Now that the changes are effective, ensure your lab is on top of the latest changes. Take a look at how the first annual update in […]

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ICD-10 Codes Aren’t Oppressive After All

Alexander Miller, M.D., a dermatologist in Yorba Linda, Calif., has a simple message for colleagues grappling with the new ICD-10 codes: Don’t panic! “It’s just a matter of restructuring one’s thinking,” Dr. Miller tells Dermatology Times. “It was no problem for us to handle these codes,” he says, even in his office that continues to […]

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Contact with Nonvenomous Frog, Subsequent Encounter

EDITOR’S NOTE: This article focuses on physician engagement and ICD-10 education. However, the term “physician” includes everyone licensed and credentialed to record a patient diagnosis, such as wound care and other clinical staff. St. Joseph’s Healthcare System (SJHS)in Paterson and Wayne, N.J. is truly an ICD-10 success story. Under a new administration and clinical documentation […]

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Reimbursement, Billing in Radiology: Updates and Issues

Radiology, as a business, has become increasingly complex as regulatory demands grow and revenues, both on the hospital and physician side decrease. Doing more with less has become a common theme and both the commoditization of billing as well as the implementation of ICD-10 codes have played an important role over the past year, according […]

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Healthcare Reform Can Create Confusion Over Compliance for Providers

In 2016, the federal government recovered more than $3.3 billion in healthcare fraud judgments and settlements. On Monday, TeamHealth agreed to pay $60 million to settle allegations that a company it acquired, IPC Healthcare “knowingly and systematically encouraged false billings by its hospitalists.” The settlement is the latest in a string of False Claims Act […]

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Navigating ICD-10: Tips For Hospitals and Coders

More than one year after the ICD-10 go-live on Oct. 1, 2015, CMS has ended the ICD-10 claims auditing and quality reporting leniency period. Guidelines now require providers to code to reflect clinical documentation in as much specificity as possible. Therefore, hospital and health system leaders must ensure both new and experienced coders are prepared […]

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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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Top 5 Tips for Combating 2017 Coding Concerns

The calendar may say the ICD-10 transition is long gone, but practices still will likely feel its repercussions in 2017 in terms of payer requests, denials and the new code set’s influence on value-based care. Looking to next year, practices should start being proactive with these coding opportunities now to consider how the following five […]

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Experts Say ICD-10 Codes Don’t Go Far Enough

When CMS switched from ICD-9 to ICD-10 last year, the new diagnosis classification list allowed coders to translate additional elements of doctors’ language to billers’ language. In a sense, ICD-10 added “adjectives” to coders’ vocabularies: oncology coders now have the ability to describe additional aspects of a tumor, such as whether it resides in the […]

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Computer Assisted Coding Can’t Replace Competent Coders

Are you familiar with IBM’s supercomputer Watson? IBM’s stated aspiration is to make it “the world’s best diagnostician,” because it can store way more medical information than a human doctor and makes decisions based on evidence, free of cognitive biases. It is consistent, and, according to the company, “given the same inputs, Dr. Watson will […]

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5 Findings From Nationwide ICD-10 Coding Contest

Central Learning’s national 2016 ICD-10 coding contest highlighted the converse relationship between coding accuracy and productivity across inpatient, ambulatory and emergency settings. Central Learning is a web-based coding assessment application, belonging to AVIANCE’s suite of health information and revenue cycle management solutions. More than 550 coders registered with Central Learning to code 1,859 cases in […]

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