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A Few Thoughts on Documentation and Coding of Methadone Maintenance

A Few Thoughts on Documentation and Coding of Methadone Maintenance

by Barry Libman, MS, RHIA, CDIP, CCS As a coding professional and one responsible for education of coders and CDI, I care deeply about the accuracy and completeness of documentation. Our ultimate goal is clinical truth, not DRG optimization. Some clinical truths are easier to reflect than others. A client recently approached us with a problem. […]

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ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction

ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction

Hear Barry Libman, MS, RHIA, CDIP, CCS, President of Libman Education and a nationally-recognized authority on coding and reimbursement issues, discuss “ICD-10 Coding Clinic Update (Q3 2018): DIEP Flap Breast Reconstruction” in this free, brief presentation.   Listen to Barry’s Coding Clinic Update in its entirety for in-depth commentary on selected coding advice and clarifications from […]

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ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee

ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee

Hear Barry Libman, MS, RHIA, CDIP, CCS, President of Libman Education and a nationally-recognized authority on coding and reimbursement issues for long term acute care hospitals, discuss “ICD-10 Coding Clinic Update (Q3 2018): Pseudogout of Knee” in this free, brief presentation.   Want more?  Barry’s Coding Clinic Commentary provides in-depth commentary on selected coding advice and clarifications from AHA […]

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Inpatient Rehab Facility Coding – Picking the Etiologic Diagnosis on the IRF-PAI

Inpatient Rehab Facility Coding – Picking the Etiologic Diagnosis on the IRF-PAI

by Nirmala Sivakumar, CCS, CDIP Inpatient rehab coding has always presented a challenge for HIM coders, even the ones that have many years of coding experience. Coding in an Inpatient Rehab Facility (IRF) setting is not limited to choosing ICD-10-CM codes. It also involves selecting the appropriate impairment group code (IGC), pairing it with the […]

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Coordination and Maintenance Committee Meeting: Registration Now Open for September 11-12, 2018

Coordination and Maintenance Committee Meeting: Registration Now Open for September 11-12, 2018

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA Baltimore is the place to be “in the know” in September! The Coordination and Maintenance (C&M) Committee for ICD-10-CM and ICD-10-PCS takes place on Tuesday and Wednesday, September 11 and 12, at the CMS offices in Baltimore, Maryland. And you can attend for free! The C&M meeting is […]

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ICD-10-CM Coding of Infections Following a Procedure for FY2019

ICD-10-CM Coding of Infections Following a Procedure for FY2019

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The most challenging change for diagnosis coding in FY2019 is the large subject of infections following procedure. This change involves both obstetrical surgical wounds and all other surgical wounds; as well as sepsis, severe sepsis, and septic shock following procedures. In addition to new and updated codes in […]

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Hierarchical Condition Categories Driving Demand for Accurate Coding

Hierarchical Condition Categories Driving Demand for Accurate Coding

by Rose T. Dunn, MBA, RHIA, CPA, FACHE Even though the Hierarchical Condition Categories (HCCs) have been around since 2004, the interest in this categorization methodology by coding professionals is relatively recent. Used by Medicare Advantage, Medicaid, and risk sharing programs, HCCs serve as the basis of defining the complexity of the mix of patients […]

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“The King’s Evil” in the ICD-10-CM Index?

“The King’s Evil” in the ICD-10-CM Index?

by Andrea Houghton, MPH, RHIA, CCS, CCS-P, CDIP I recently had the privilege of attending an exhibition about the English monarch Charles II at the Queen’s Gallery in London, England. After a long Civil War in England from 1649-1660, when Charles II was restored to the throne in 1660, there were some interesting ideas about […]

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Get Off the Edit Merry-Go-Round

Get Off the Edit Merry-Go-Round

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA If working the edit list from your state reporting agency makes you feel like you’re on a merry-go-round, it may be time to offer them your help in refining their external cause code submission requirements. Chapter 19, Injury, Poisoning and Certain Other Consequences of External Causes is a […]

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