Category Archives: Coders’ Corner

ICD-10 Coding Clinic Update (Q1 2021): Fractures due to CPR

Coding Clinic for Q1 2021 includes a discussion of fractures due to CPR.  Faye Kelly, RHIT, CCS, a broadly experienced HIM professional and trainer, provides insight and commentary in this free, brief presentation.     Coding Clinic Commentary keeps you informed with in-depth commentary on selected coding advice and clarifications from recent issues of AHA […]

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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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HIPAA and Information Blocking: Part 2: Patient Access to Their Information is Key

(posts in this series: part 1, part 2) The 21st Century Cures Act is being implemented and HIPAA modified in order to facilitate patient access to their own PHI and facilitate other supporting data exchanges. Join Kelly McLendon, RHIA, CHPS, Managing Director of CompliancePro Solutions, for this second in his series explaining what you need […]

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HIPAA and Information Blocking: Part 1: NPRM

 (posts in this series: part 1, part 2) The HIPAA Notice of Proposed Rule Making synchs with the 21st Century Cures Act which established the information blocking and interoperability rules. These rules take effect April 5, 2021. Are you ready? Join Kelly McLendon, RHIA, CHPS, Managing Director of CompliancePro Solutions, for this brief presentation […]

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The Lasting Impact of Coding Mentors

The Lasting Impact of Coding Mentors

by Angela Gerbert, 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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Q & A with Dr. Z: Facility Coding for Coronary IVL (Shockwave)

Q & A with Dr. Z: Facility Coding for Coronary IVL (Shockwave)

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: How would you recommend the facility coding for coronary intravascular lithotripsy (Shockwave) with a drug-eluting stent? We would bill C9600 for the stent, but how can we capture the intravascular lithotripsy (IL)? We are being told to add modifier 22 to C9600, but I […]

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ICD-10-CM: Maternal Scar from Previous Surgery

ICD-10-CM: Maternal Scar from Previous Surgery

  ICD-10-CM: Maternal Scar from Previous Surgery   This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses assigning a code for a maternal scar from a previous surgery on obstetrical cases.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and […]

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Inpatient Rehabilitation: Coding Z Codes

Inpatient Rehabilitation: Coding Z Codes

by Nirmala Sivakumar, CCS, CDIP Question: Should Z codes be recorded under comorbid conditions (item 24) on the IRF-PAI (Inpatient Rehabilitation Facility – Patient Assessment Instrument)? Answer: The IRF-PAI training manual defines a comorbid condition as a secondary condition a patient has in addition to the primary diagnosis for which the patient was admitted to […]

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HCCs: 7 Steps Medicare Advantage Organizations Should Take Now to Capture Members’ Risk Scores

HCCs: 7 Steps Medicare Advantage Organizations Should Take Now to Capture Members’ Risk Scores

by Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA The pandemic has affected every sector and population category across the US (and the world). Some business sectors thrived (Amazon, pizza delivery services, plexiglass manufacturers, and mask producers to name a few), but as we know, the healthcare industry took a big hit. When I say […]

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ICD-10-PCS: Endotracheal Intubation – Two Approaches

ICD-10-PCS: Endotracheal Intubation – Two Approaches

  ICD-10-PCS: Endotracheal Intubation – Two Approaches   This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses on ICD-10-PCS approaches for endotracheal tube insertion (intubation).     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning […]

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ICD-10-PCS: Hand-Assisted Surgery

ICD-10-PCS: Hand-Assisted Surgery

  ICD-10-PCS: Hand-Assisted Surgery   This LibmanLightbox, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, discusses how to code Hand-Assisted Laparoscopic and Open Surgery.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   ICD-10-PCS: Genitourinary Procedure Coding […]

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Anticipating Intensified RAC Scrutiny Targeting Hospital Upcoding: Three Steps to Ensure Your Organization is Prepared

Anticipating Intensified RAC Scrutiny Targeting Hospital Upcoding: Three Steps to Ensure Your Organization is Prepared

by Cari A. Greenwood, RHIA, CCS, CPC, CICA The Office of Inspector General (OIG) recently issued a report on the findings of a study they conducted on trends in billing for inpatient hospital stays for Medicare beneficiaries from FY 2014 through FY 2019. The report, “Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged […]

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Registration Now Open! ICD-10-CM/PCS Coordination and Maintenance Committee Meeting on March 9-10, 2021

Registration Now Open! ICD-10-CM/PCS Coordination and Maintenance Committee Meeting on March 9-10, 2021

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Baltimore is the place to be “in the know” this March! The Coordination and Maintenance (C&M) Committee for ICD-10-CM and ICD-10-PCS takes place on Tuesday and Wednesday, March 9 and 10, as a virtual meeting from the CMS offices in Baltimore, Maryland. And, you can attend virtually for […]

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Clinical Documentation: Elevated Troponin

Clinical Documentation: Elevated Troponin

by Richard D. Pinson, MD, FACP, CCS Q: A patient with a personal medical history of congestive heart failure (CHF), myocardial infarction (MI), coronary artery disease with three stents, ischemic cardiomyopathy, and chronic kidney disease (CKD) is admitted for acutely decompensated chronic systolic CHF. She had no chest pain or other ischemic symptoms. The initial […]

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