Big Changes for E/M Codes in 2023

Big Changes for E/M Codes in 2023

By Gail I. Smith, MA, RHIA, CCS-P In 2021, Evaluation and Management (E/M) office-visit codes changed significantly. The American Medical Association (AMA) listened to physicians’ concerns about the administrative burden associated with documentation requirements for the E/M codes and made changes to the methodology for code selection. The 2021 changes allowed the E/M services to […]

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From Outpatient to Inpatient Coder: Start With What is Most Important

From Outpatient to Inpatient Coder: Start With What is Most Important

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA In the television series, The Crown, King George VI tells the Princess Elizabeth his approach to reviewing the documents received in the red box, that daily package of papers sent from the government to the sovereign. It could be an overwhelming task. His solution: he would flip the […]

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CCS Certification: Eligibility vs. Preparation

CCS Certification: Eligibility vs. Preparation

By Cari A. Greenwood, RHIA, CCS, CPC, CICA The CCS certification is a mastery level medical coding credential that tells employers, right off the bat, that you have the knowledge and skill to tackle complex coding scenarios. AHIMA’s description of the CCS says: “Coding specialists are skilled in classifying medical data from patient records, often […]

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Q & A with Dr. Z: Embolization of Access Site

Q & A with Dr. Z: Embolization of Access Site

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: “After cardiac ablation procedure had been completed, attention was then turned access closure. Given large size of the transhepatic sheath required for ablation, with direct communication with the systemic vasculature, access site embolization was necessary to prevent hemorrhage on sheath withdrawal. Then after diagnostic […]

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ICD-10-PCS: Epidermal Autografting

ICD-10-PCS: Epidermal Autografting

  ICD-10-PCS: Epidermal Autografting This LibmanLightbox™, by nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, focuses on ICD-10-PCS coding of epidermal autografting using various methods.     Short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   eLearning Library: Inpatient Coding […]

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Coding Clinic Commentary Q1 2022: Postsurgical Hematoma of Gallbladder Fossa

Hematoma vs. Hemoperitoneum? Coding Clinic for Q1 2022 provides guidance on ICD-10-CM diagnosis coding of postsurgical hematoma of gallbladder fossa. Join Libman Education’s Faye Kelly, RHIT, CCS for this brief presentation.   Coding Clinic Commentary What changed, what it means, and how to apply advice with confidence! Coding Clinic Commentary provides in-depth commentary on selected […]

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Internal Audits: Managing to Get the Most From the Process

Internal Audits: Managing to Get the Most From the Process

By Cari A. Greenwood, RHIA, CCS, CPC, CICA, Education Specialist When you manage a team of coders, maintaining coding accuracy is one of your responsibilities.  Coding audits come with the job. Regular quarterly or targeted internal audits can give you a realistic picture of your staff’s skill levels and competence and are a valuable tool […]

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Coding Clinic Commentary: Septic Arthritis/Osteomyletis of Pubic Symphysis and Aspiration Biopsy

Coding Clinic for Q1 2022 provides guidance on ICD-10-CM diagnosis coding of septic arthritis/osteomyletis of pubic symphysis and ICD-10-PCS procedure coding of a diagnostic aspiration biopsy of the pubic symphysis joint. Join Libman Education’s Faye Kelly, RHIT, CCS for this brief presentation.   Coding Clinic Commentary What changed, what it means, and how to apply […]

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Why Coder Workforce Development Is Essential During COVID-19 And Beyond

Why Coder Workforce Development Is Essential During COVID-19 And Beyond

Developing the Coders You Need – Part 1 of 4 By Lisa A. Eramo, MA MaineHealth was facing a shortage of coders. By combining a hands-on apprenticeship program with online learning, the multi-level, multi-hospital organization is now filling those positions with coders both sufficiently skilled to do the work and appreciative of the opportunity. This […]

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CMS Releases Inpatient Rehabilitation Facility PPS Proposed Rule for FY 2023

CMS Releases Inpatient Rehabilitation Facility PPS Proposed Rule for FY 2023

By Nirmala Sivakumar, CCS, CDIP The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service (FFS) prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) for fiscal year (FY) 2023, which begins Oct. 1, 2022. Similar to the FY 2022 rule, CMS is proposing minimal changes. 1. […]

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ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

ICD-10-PCS: Let’s Solve the Coronary Artery Bifurcation Issue

by Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA First things first. A bifurcation is like a fork in the road. Webster says that a bifurcation is “the point or area at which something divides into two branches or parts or the point at which bifurcating occurs.” Here are two examples as shown in the drawings. Bifurcated […]

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Coding Clinic Commentary Q1 2022: Coding of Alcohol Abuse in Remission and Alcoholic Dementia

Coding Clinic for Q1 2022 provides guidance on ICD-10-CM diagnosis coding of alcohol abuse in remission and alcoholic dementia. Join Libman Education’s Faye Kelly, RHIT, CCS for this brief presentation.   Coding Clinic Commentary What changed, what it means, and how to apply advice with confidence! Coding Clinic Commentary provides in-depth commentary on selected coding […]

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