Time to Make the “Kind” Response Your Default Setting

Time to Make the “Kind” Response Your Default Setting

by Rebecca Harmon, MPM, RHIA, CCA Popular inspirational teachers often remind audiences that when they have the choice to be RIGHT or KIND, they should always choose kindness. This is not new counsel. Wisdom tales across time and cultures have highlighted the importance of kindness. Recently I came across a research study that showed a […]

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Q & A with Dr. Z: Catheter-Based Angiogram After a Prior Catheter-Based Angiogram, CTA or MRA

Q & A with Dr. Z: Catheter-Based Angiogram After a Prior Catheter-Based Angiogram, CTA or MRA

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: I read where even though no catheter used CT and MR angiograms are considered catheter based. If a patient has a CT angiogram at 800 and it shows Active contrast extravasation in the pyelocalyceal system in the midpole of the LEFT kidney. Later that […]

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ICD-10-PCS: 13 Words That Completely Change Vascular Procedure Coding

ICD-10-PCS: 13 Words That Completely Change Vascular Procedure Coding

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The FY 2022 changes to Guideline B4.1c make me extremely concerned about data collection for coding of vascular procedures. Since its addition to the Guidelines for FY 2018, Guideline B4.1c has read “If a procedure is performed on a continuous section of a tubular body part, code the […]

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Building the Coding Team You Need

Building the Coding Team You Need

by Angela Lima, BS, CCS, CDIP, COC, CIC, AAPC-Approved Instructor The formula for building a successful coding team is straightforward: hire qualified coders, provide them access to continuing education to keep their skills sharp and matched to your requirements, and build strong and trusting relationships between coders, auditors, educators, providers, and supportive leaders. The first […]

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New Course Announced to Prepare Coders to Sit for Certified Coding Specialist Exam October 2 – November 6, 2021

New Course Announced to Prepare Coders to Sit for Certified Coding Specialist Exam October 2 – November 6, 2021

Taught by experienced coding educator Cari A. Greenwood, RHIA, CCS, CPC, CICA BEDFORD, MASSACHUSETTS – September 9, 2021 – Libman Education has released the dates for its upcoming CCS Exam Review with Live Instruction. Taught by experienced coding educator Cari A. Greenwood, RHIA, CCS, CPC, CICA, CCS Exam Review with Live Instruction builds on the […]

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Taking the CCS Certification Exam. Is Now the Right Time?

Taking the CCS Certification Exam. Is Now the Right Time?

by Cari A. Greenwood, RHIA, CCS, CPC, CICA In the past year AHIMA revised their requirements for candidates to be eligible to sit for the CCS examination. While AHIMA still recommends that a candidate meet one or more qualifications from a robust list of academic preparation, coding experience, and/or other professional credentials, it is no […]

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Unsure About Terms of Uncertainty? Recommendations from Industry Leaders

Unsure About Terms of Uncertainty? Recommendations from Industry Leaders

By Kay Piper, RHIA, CDIP, CCS In the absence of official advice from either AHA Coding Clinic or Official Guidelines for Coding and Reporting, I am researching which terms organizations accept as reasonable phrases to document uncertain diagnoses. In Part 1 of this series we reviewed what we know for sure–the Inpatient and Outpatient ICD-10-CM […]

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New Technology Substances Abound in FY2022 ICD-10-PCS Update

New Technology Substances Abound in FY2022 ICD-10-PCS Update

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA The ICD-10-PCS code changes for FY 2022 include 15 “New Technology Substance” additions or changes reflecting the continued advancement in highly specific and tailored medicine to treat conditions. Understanding how these drugs work and are administered is essential for coders who wish to accurately and completely capture these […]

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Q & A with Dr. Z: Atrial Flut­ter

Q & A with Dr. Z: Atrial Flut­ter

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Patient has AF and atrial flut­ter. After completion of success­ful PVI, the physician performs a typical atrial flutter ablation. Three-dimensional mapping and conventional catheter mapping were performed using this abla­tion catheter and the left atrial coronary sinus decapolar cath­eter. Multiple radiofrequency lesions were administered, […]

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Unsure about Terms of Uncertainty? Time to Cast Your Vote!

Unsure about Terms of Uncertainty? Time to Cast Your Vote!

by Kay Piper, RHIA, CDIP, CCS As an Inpatient Coder or Clinical Documentation Specialist (CDS), do you, like me, feel relief that ICD-10-CM Guidelines direct to code an uncertain diagnosis documented at discharge as confirmed? You can probably recite the uncertain terms listed in Guideline II.H Selection of Principal Diagnosis and Guideline III.C Reporting Additional […]

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