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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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 […]
read more »(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 […]
read more »(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 that […]
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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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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 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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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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by Gail I. Smith, MA, RHIA, CCS-P If you have watched an episode of the reality show “Botched,” you have seen how the surgeons reverse the damage of previous cosmetic surgery. It is not uncommon to have a patient with severe pain due to breast augmentation that requires surgical intervention. This show popped into my […]
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by Rose T. Dunn, MBA, RHIA, CPA, FACHE In case we need another reason to stand firm when documentation and/or coding become questionable, we are reminded that not only is it our duty, we may be subject to financial penalty if we do not. Earlier last year, Becker’s identified the failure of Medicare Part C […]
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By Gail I. Smith, MA, RHIA, CCS-P January 1, 2021 ushered in the biggest change in E/M coding since the 1990s. The new Office/Outpatient code descriptions, definitions and time as a key component were added to the code set. On March 9, 2021, AMA published an additional set of definitions and clarifications to the guideline […]
read more »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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by Stacy Swartz, RHIA, CCS, CPC In healthcare, an industry of constant evolution, there is absolutely no way to succeed without ongoing, continuous education. Coders require yearly training to remain current with annual changes to the coding systems and coding advice, changes to what is captured by coders (data for quality measures, risk adjustment, etc.) […]
read more »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 […]
read more »by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Would Z45.2 – Encounter for adjustment and management of vascular access device be an appropriate ICD-10 code for the placement of central line – 36556 or arterial line – 36620? One source says that these are appropriate while another one does not define this […]
read more »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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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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by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA No one wants to make mistakes. We never want to find out later that we did something wrong. This is especially challenging when a coder feels there was no resource available for finding the answer when the question came up. They did their best under the circumstances. Libman […]
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by Richard D. Pinson, MD, FACP, CCS Q: We have been told we can select ASPEN malnutrition parameters across the clinical contexts for severe malnutrition such as <75% energy requirement for >1 month from the chronic context and moderate muscle and fat loss from the acute context. Is this a proper application of the ASPEN […]
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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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