As we hurtle toward the October 1, 2014, ICD-10 implementation date, it seems more and more focus is on the outlandish, rather than the key documentation issues for physicians and coders. My grave concern is that the current “insanity” is such an unfortunate distraction at such a critical time. In the past week alone, I have been contacted by upset physicians, listened to an informed Medicare beneficiary express concern on the related healthcare costs, heard stories of a group of professionals... Read more...
As we move toward the ICD-10 deadline of Oct. 1, 2014, educating physicians and non-physician practitioners regarding documentation requirements is an important step. Right now I and many of my colleagues in the industry have begun training physicians how to document with ICD-10. All physicians, non-physician practitioners, and other clinical staff will benefit from documentation training. Most practitioners... Read more...
What’s the view from the road, Chuck? What’s the view from the road? I’ll tell you the view from the road. It’s the same view as this time last month, and this time the month before that, and this time last year. I feel like Bill Murray in “Groundhog Day.” Every day I wake up and go to work and nothing, I mean nothing has changed. I’m tired of delivering the same tired old content that HAS absolutely NO IMPACT. (Convert your top codes, identify the new documentation... Read more...
October, 15 2013 / Kim Carr
Roseanne Barr once said that she likes facts and data because they help her think clearly. With dual coding, it is easy to rationalize the reasons and justify the means. But what really matters is the output. Dual-coding efforts must produce useful information to prepare your organizations for ICD-10. Measuring, monitoring, and tracking dual-coding data ensures that investments in time, money, and staff produce a solid return. Business intelligence gleaned from dual-coding data helps accurately measure ICD-10’s productivity, quality, and financial impacts. With dual coding already underway, now is the time to build your arsenal of ICD-10 data... Read more...
February 11, 2014 / Paul L. Weygandt, MD, JD, MPH, MBA, CCS, AHIMA-Approved ICD-10-CM/PCS Trainer and Angela Carmichael, MBA, RHIA, CDIP, CCS, CCS-P, AHIMA-Approved ICD-10-CM/PCS Trainer
Industry-wide, there is substantial interest in specialty-specific ICD-10 education for physicians. Recognizing that physicians will not, and reasonably cannot, take a broad approach to learning ICD-10 as do coders and clinical documentation specialists, education is increasingly being focused on those specific areas relevant to a given clinical practice. This is coming at a time when more and more hospital care is being coordinated by hospitalists, who typically act as the attending physician or “captain of the ship.”... Read more...
March 26, 2013 / Paul Weygandt, MD, JD, MPH, MBA, CPE
In a March 19 Talk Ten Tuesday poll, 466 participants responded to the following question: “How are physicians at your facility reacting to the ICD-10 transition and their role in CDI?” The responses, shown in Table 1, are unsettling. We know that the American Medical Association (AMA)-induced implementation delay from Oct. 1, 2013 to Oct. 1, 2014 created high degrees of ambivalence among physicians. Even into this year, the AMA was requesting that ICD-10 not be implemented at all. It isn’t surprising, then, that 45 percent of poll respondents felt that physicians at their facility had little or no enthusiasm for ICD-10, and another 13 percent felt that physicians have had no reaction at all... Read more...
January 21, 2013 / Janis Oppelt
Just a year ago, the idea of actually being ready for ICD-10 implementation by October 1, 2014, seemed a distant dream, full of confusion and panic. Since then, a lot of people have done a lot of work to get the ball rolling in the right direction, and the guests on the January 13 edition of the “Talk-Ten-Tuesday” broadcast, produced by ICD10monitor, shared the progress they’re making in two important areas: payer readiness and physician education... Read more...
March 12, 2013 / Patricia Trela, RHIA
The “ostrich” approach will not work in this case, because ICD-10 is not going away. There is much to be done prior to implementation. Two different sets of ICD codes are required, one set for the IRF PAI, and another set for the UB-04.
The ICD-9-CM guidelines for assignment of codes for inpatient discharges by facilities paid under the Inpatient... Read more...
April 30, 2013 / Elizabeth Stewart, RHIA, CCS, CRCA
Between providers and payers, it appears that everyone is ready for end-to-end testing of ICD-10 transactions. But where is health information management (HIM)? A quick tour of the American Health Information Management Association’s (AHIMA’s) ICD-10 website reveals little mention of this massive undertaking. And most of the HIM professionals we meet are barely aware of the national pilot program for ICD-10 testing... Read more...
February 18, 2013 / Billy Richburg, M.S., FHFMA
As we go through 2014, every month has a number of holidays, each of which applies to at least some of us. So it occurred to me that I could use holidays as inspiration for articles leading up to the greatest secular holiday of the year: Oct. 2, 2014! The way I see it, we all will be celebrating starting the day after ICD-10 goes into effect. I’m ignoring the fact that it probably won’t be right until sometime in 2015, but hey, the day after it’s official simply must provide some cause for celebration, don’t you think?... Read more...
Podcast Date: 8/27/2013 Are any payers saying they will require ICD-10-PCS for outpatient services? Response Ratio A. Outpt Surg/ED/GI 10% B. Observation 4% C. Ancillary Services 2% D. Combination of A, B and C 33% E. Not appliccable 51%...
June 20, 2013 / Mark Spivey
Much of the healthcare industry only discovered through announcements made during the HIMSS ICD-10 Leadership Forum this week that the Centers for Medicare & Medicaid Services (CMS) does not plan to engage in end-to-end testing – but Mark Lott, CEO of the Lott QA Group and testing director of the HIMSS WEDI ICD-10 National Pilot Program, said Wednesday that he first heard about it a couple of weeks ago... Read more...
July 9, 2013 / Lauri Gray, RHIT, CPC
Transient cerebral ischemia is defined as a temporary loss of blood flow to an area in the brain. In ICD-9-CM, codes for transient cerebral ischemia are classified under circulatory system diseases and are found in Chapter 7, Diseases of the Circulatory System. Conditions classified as transient cerebral ischemia are listed in category 435 and include basilar artery syndrome (435.0), vertebral artery syndrome (435.1), subclavian steal syndrome (435.2), and vertebro-basilar artery syndrome (435.3)... Read more
February 07, 2014 / Andy Tolep, CCS, CPC
With only eight months to go, now is the time to ensure that your hospital or practice maintains a positive cash flow after ICD-10 goes live. A critical initiative will be to understand payers’ expectations regarding the processing of ICD-10 claims. To start, create a spreadsheet that includes all the payers to which you billed accounts with dates of service in 2012 and 2013. For each payer, you will want to track the following items:... Read more
September 10, 2013 / Lynn Cleasby, RHIT
As many of us have started delving into ICD-10-CM diagnosis coding, we have realized there are many lessons to be learned from the coding of these same disorders currently used in ICD-9-CM. We soon realize the ICD-10-CM coding system has expanded significantly in the specificity of codes and changes made to include new combination codes. We also recognize how the coding of these disorders in ICD-10-CM may further impact the reimbursement... Read more
December 13, 2013 / Evan M. Gwilliam, DC, CPC, NCICS, CCPC, CCCPC
Depending on the publisher, there are about 30 pages of guidelines in the ICD-10-CM code set. The bulk of these guidelines, from section 1.C, are chapter-specific. Chiropractic physicians typically use codes from just four or five of the 21 chapters available in ICD-10-CM. These include, but are not necessarily limited to, the codes from Chapter 6 (Diseases of the Nervous System), Chapter 13 (Diseases of the Musculoskeletal System and Connective Tissue), Chapter 18... Read more
July 23, 2013 / Janis Oppelt
If leaders from the Centers for Medicare & Medicaid Services (CMS) have said it once, they’ve said it a hundred times: The October 1, 2014, implementation date for ICD-10 will not change, and the healthcare industry must be ready or face the consequences. In fact, CMS’s attorneys have advised the agency that it cannot provide enforcement delays as it did for the 5010. This is just one of the messages that CMS representatives stressed during a July 15 agency listening session... Read more
Career Step has over 20 years of experience successfully training healthcare professionals. This experience in online adult learning has been combined with the ICD-10 expertise of YES HIM Consulting, Inc. in the development of The ICD-10 Solution, which is... Read more
November 26, 2013 / Lolita M. Jones, RHIA, CCS
ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code.... Read more
March 26, 2013 / Donna Richmond, BA, RCC, CPC
When October 1, 2014, rolls around, the ICD-10-PCS (procedural coding system) will replace the ICD-9-PCS currently used for inpatient procedures. Code assignments under this system will be very different for all inpatient coding professionals, starting with the idea that they will need to “build” a seven-character code—either for medical-surgical procedures or ancillary services, which include imaging, nuclear medicine, and radiation oncology... Read more
March 19, 2013 / Rebecca DeGrosky, RHIT
In the Medical and Surgical section (first character 0), there are 31 root operations with standardized terminology and no procedure names, no diagnostic information, and no eponyms. So far, we have covered 24 of them, and today will bring us to the remaining ones. We have gone over the notion that a fracture reduction is the root operation reposition, and that there is no appendectomy listing in ICD-10-PCS. Coders... Read more
September 17, 2013 / Mark Spivey
Popular culture is rife with doomsday scenarios for the end of the world, ranging from televangelist Pat Robertson, who predicted the end of the world in the 1980s, to the Heaven’s Gate cult followers in San Diego, who predicted of demise of the world when the Hale-Bopp comet appeared and they subsequently committed suicide. Could there be a possible doomsday scenario in store for healthcare providers when, at the stroke of midnight... Read more
February, 11 2013 / Mark Spivey
American Health Information Management Association (AHIMA) Executive Vice President of Operations and Chief Operating Officer Deborah K. Green will head a team of subject matter experts signed on to report live from the Healthcare Information and Management Systems Society's (HIMSS) annual conference and exhibit in Orlando, Fla. later this month. Green, who has had a long career in health information and IT leadership, will join 24 other healthcare professionals broadcastin... Read more...
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