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Scoliosis (Issues in Pediatric Procedure Coding)

Scoliosis (Issues in Pediatric Procedure Coding)

Hear nationally recognized ICD-10 expert and Libman Education course author Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discuss Scoliosis (Issues in Pediatric Procedure Coding) in this free, brief presentation. Need comprehensive and complete pediatrics coding guidance?  ICD-10-PCS for Pediatrics: Procedures in the Musculoskeletal Systems provides detailed instruction on coding of procedures performed in the Musculoskeletal Systems. Complete package […]

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Attn CDI Specialists: Coding as a “Second Language”

Attn CDI Specialists: Coding as a “Second Language”

by Mary Beth York, CCS, CCS-P, CIC It is helpful sometimes to think of coding as a language. The language consists of the ICD-10-CM, ICD-10-PCS, and CPT code sets primarily. This language of coding has rules, similar to grammar, that govern how it is used and applied. It also has inconsistencies and internal conflicts, much […]

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Why is Pediatric ICD-10-PCS Coding Different from Adult?

Why is Pediatric ICD-10-PCS Coding Different from Adult?

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA If you are a coder in a pediatric setting, you know that pediatrics is just different from adult medicine. This is especially true in surgical procedures. Adult surgery frequently deals with fixing degeneration or trauma; things that happen to a person. Pediatric surgery often deals with complex reconstructions […]

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FY 2020 IPPS Proposed Rule: Brief Summary of Coding-related Changes

FY 2020 IPPS Proposed Rule: Brief Summary of Coding-related Changes

The FY 2020 IPPS Proposed Rule, published May 3, 2019, includes significant additions and deletions to the MCC and CC lists. Join Barry Libman, MS, RHIA, CDIP, CCS, a nationally-recognized authority on coding and reimbursement issues, for a brief (!) summary of  the IPPS Proposed Rule and a heads-up on coding-related changes that may affect […]

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Using Your Grey Matter: Four Steps to Add Clarity to the Grey Areas of ICD-10 Coding

Using Your Grey Matter: Four Steps to Add Clarity to the Grey Areas of ICD-10 Coding

by Angela Lehoux, CCS

I’ve been a coder for a long time and one thing is for sure: ICD-10’s promise of clarity has not yet been entirely realized. Please do not misunderstand me – there are a lot of good things to love about ICD-10, like laterality, more specificity within the code set for diagnoses, etc. But, there are … Read more

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Coding of Palliative Care in the Home Health Setting

Coding of Palliative Care in the Home Health Setting

by Joan L. Usher, BS, RHIA, HCS-D, ACE, AHIMA Approved ICD-10-CM Trainer JLU Health Record Systems I recently heard from a client regarding coding of palliative care in the home health setting. He asked: My organization is seeking clarity on the use of Comfort care/Palliative care code Z51.5. I did some research yesterday and found […]

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Remote Work Environments: A Manager’s Perspective

Remote Work Environments: A Manager’s Perspective

by Ann Barnaby, CPC, CRC, CASCC, Founder and Managing Director of Project Resume Remote Work Environments. These three words mean many things to many different people. A medical coder may have a completely different vision of remote work than a manager does. Over time, the very definition of a remote work environment has changed. What […]

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Q & A with Dr. Z – Lower Extremity AV Fistula Peripheral Segments

Q & A with Dr. Z – Lower Extremity AV Fistula Peripheral Segments

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Lower Extremity AV Fistula Peripheral Segments For lower extremity AV fistula peripheral segments – what is the adjacent segment of native artery, peri-anastomotic region/arterial anastomosis? Does this mean only the common femoral artery or also the iliac arteries? Please clarify. Answer: The iliac veins are […]

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IPPS FY20: Diagnosis Severity Designation Shifts – CC or MCC or Nothing

IPPS FY20: Diagnosis Severity Designation Shifts – CC or MCC or Nothing

by Laurie M. Johnson, MS, RHIA, FAHIMA; Senior Consultant; Revenue Cycle Solutions With three years of ICD-10-CM/PCS coded data, CMS took the opportunity to complete a comprehensive study of the severity status designation with associated charge information. The result: The Inpatient Prospective Payment System FY20 Proposed Rule has many shifts between CC and MCC status. […]

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One Step to Success: The Lasting Impact of Coding Mentorship

One Step to Success: The Lasting Impact of Coding Mentorship

by Angela Lehoux, BS, CCS, CIC

Although we have not stayed in touch, I will never forget my mentor. In fact, writing about her now is the first time in a while I have thought about her. She was contracted to mentor the coders at the small community hospital where I worked twenty-five years ago. There were … Read more

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