Ask The Payment Expert: Why is ICD-10 a hot topic?

Why is ICD-10 a hot topic again? ICD-10 coding should be high-priority on everyone’s list this year as we await the rollout of the Patient-Driven Payment Model. I do not…

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ICD-10-CM used to document diagnoses but also affects payment

Although International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) took effect on Oct. 1, 2015, there still are many gaps in the understanding and use of the code set.…

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The challenges of developing healthcare quality measures based on ICD-10-CM Codes

Inappropriate outpatient antibiotic prescribing is a primary driver of antimicrobial resistance. Designing and evaluating antibiotic stewardship initiatives requires common measures of inappropriate prescribing that can be applied at the level…

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20 Wacky ICD-10 Codes for Thanksgiving

Medscape compiled a list of relevant ICD-10 codes to prepare physicians for holiday-related medical episodes. Here are 20 codes physicians may have to use: 1. W61.43: Pecked by a turkey…

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Beware of These 3 Common ICD-10 Mistakes

Oct. 1 marks the beginning of the fiscal year for the Centers for Medicare & Medicaid Services. This milestone does not include the changes in Medicare payments that occur with…

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Learn How to Use Hurricane ‘External Cause’ Codes

Residents along the Eastern Seaboard are still dealing with the aftermath of Hurricane Florence, a powerful storm that made landfall Sept. 14 near Wrightsville Beach, N.C. And given that two…

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Ready for PDPM?

It's been an open secret that the federal government has, for years, wanted to change long-term care's payment system from one rewarding volume of services to one that pays for…

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ICD-11: Fewer PTSD Diagnoses Under New, Stricter Criteria

The number of patients meeting criteria for post-traumatic stress disorder (PTSD) diagnosis may drop following the proposed revision of the International Classification of Diseases (ICD), researchers suggested. Geared towards creating…

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ICD-10: Abide By These Rules When Coding Foreign Bodies

Know when to apply these secondary codes. Foreign bodies (FBs) entering through one of the three ENT-specific pathways is a relatively common occurrence. While these situations are found primarily with…

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How To Reach ICD-10, Meaningful Use Compliance Incrementally

With the pressures being placed on healthcare organizations and providers — ranging from participation in the EHR Incentive Programs to compliance with ICD-10 — it’s easy for the former to…

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