icd-10 slideshow 1 icd-10 slideshow 1 icd-10 slideshow 1

Coding Quality: It Affects More than Claim Reimbursement

Written by Rose Dunn, MBA, RHIA, CPA, FACHE

Recently I served as a panelist for Talk Ten Tuesdays, ICD10monitor’s weekly Internet program. The program covers a variety of topics, but ICD-10 is its primary focus. The experience got me to thinking: we are already seeing, ICD-10 can provide us some rich data, and this directly ties to coding quality. When we are considering coding quality, .....

Shocking Facts of Shock Liver

Written by Tina Ferguson, RN, CCDS

“Patient with transaminitis, keep watching labs.” “Patient’s liver enzymes extremely elevated, keep in ICU.” Physicians may have seen these notes before. But transaminitis and “extremely elevated liver enzymes” do not equate to shock liver or acute and subacute hepatic failure without coma. ....

Putting a Halt to ICD-10 AMI Documentation Obstacles

Written by Terri Millerd, MLT (ASCP), RN, BSN, CCDS

ICD-10 went into effect Oct. 1, 2015 and, so far, everything seems to be going pretty well. There are a few areas, however, that continue to give clinical documentation improvement (CDI) specialists and coders headaches. One of these problems is Acute Myocardial Infarction (AMI) documentation. In ICD-10 there is a demand for increased specificity – most of the documentation problems surrounding AMI revolve around documentation of the AMI site, timing of the event, and the type of AMI. .......

Feature Stories

Zika: We Have a Code, and Other Updates

DITOR’S NOTE: President Barack Obama is asking Congress for more than $1.8 billion in emergency funding to combat the Zika virus here and abroad it was announced yesterday, We have a code! The Zika virus has continued to generate national headlines. During this past week, it was announced that Zika can be transmitted through sexual contact as well as infected mosquitos..,...Read more...

Combating Opioid Addictions and Overdoses with Coded Data

The statistics are striking: Between 2002 and 2013, heroin overdoses in the United States increased by 286 percent, according to a Centers for Disease Control and Prevention (CDC) report. In 2013 alone, more than 8,200 Americans died due to a heroin-related overdose. .....Read more...

Congestive Heart Failure: Query Again and Again

Congestive heart failure (CHF) is the inability of the heart to pump an adequate volume of blood to meet the metabolic requirements of tissues – or the ability to only do so at elevation in the filling pressure. CHF can be caused by coronary artery disease, hypertension (HTN), rheumatic fever, post-procedure complications (cardiac or other), hypertensive heart disease, and chronic kidney disease (CKD). ...Read more...

Making ICD-10 Documentation Interesting

ICD-10 training is rapidly becoming the sort of buzzword that gets everyone rolling their eyes and having nightmarish visions of death by a thousand PowerPoints. It’s true that the subject matter can be dry, and people are rapidly transitioning into training fatigue. That fatigue will lead to complacency and finally to apathy. With the news that there can be hundreds of new ICD-10 codes coming in the next year, the unfortunate truth is that we can’t really let up off the gas pedal. In 2016, the prospect of educators facing burned-out and uninterested audiences will be more of a reality than any time I can remember in the last 20 years. The challenge will be to find presentation styles and strategies to continue engaging audiences in a manner that increases information retention, interest, and attendance.... Read more...

  1. Dual Coding
  2. CDI
  3. Physician Education
  4. Payers
  5. Mental Health
  6. CHIRO
  7. MGMA
  8. Technology
  9. AHIMA
  10. Clearinghouses
  11. Reimbursement
  12. Coding
  13. Testing
  14. CMS
  15. AAPC
  16. Coding Tips
  17. Property & Casualty
  18. Root Operations
  19. Practice Management
  20. PCS Character Series
  21. ICD-11
  22. EHRs
  23. Clinical Labs
  24. Hospice

Dual Coding: Tracking Your Output

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...

ICD-10 and the Zika Virus: Another Public Health Crisis

Written by Laurie M. Johnson, MS, RHIA, CPC-H, FAHIMA | Monday, 25 January 2016

There have been several articles published recently about the latest public health crisis to attract the world’s attention: the Zika virus, which is currently spreading in South America, Central America, and the Caribbean. This virus is a flavivirus that causes flulike symptoms in patients. An infected mosquito spreads the virus. The biggest risk the virus poses is its impact on pregnant women. There are some thoughts that the Zika virus may be related to the increase of microcephaly newborns in Brazil, where it has been flourishing. Newborns with microcephaly have unusually small heads. .... Read more...

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Surviving in an ICD-10 World

Written by Deborah Grider, CPC, COC, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP Certified AHIMA Clinical Documentation Improvement Practitioner AHIMA-Approved ICD-10-CM/PCS Trainer | Monday, 18 January 2016

The past few years we have focused closely on getting ready for ICD-10. In most cases, the transition to ICD-10 was successful. We had a few bumps in the road, but overall, things went well. What’s next? Now we need to shift the focus to improve coding and clinical documentation in order to protect revenue. Most payers, including the Centers for Medicare & Medicaid Services (CMS) have given the industry a grace period in which to code to adequate specificity in ICD-10, as long as we are coding in the correct category and laterality is reported. However, this grace period will not last forever. ...... Read more...

Health Plans Report ICD-10 Success

Mark Spivey | Thursday, 17 December 2015

Health plans nationwide are touting widespread success in the implementation of ICD-10, according to comments made by three health plan representatives during the most recent edition of Talk Ten Tuesdays, the weekly Internet broadcast hosted by ICD10monitor.com. ... Read more...

2015 a Year of Focus on Mental Health

Written by H. Steven Moffic, MD | Thursday, 17 December 2015

EDITOR’S NOTE: Nationally renowned psychiatrist H. Steven Moffic, MD, a frequent guest on Talk Ten Tuesdays as its resident psychiatrist, provided audience members with a recap on mental health stories that made headlines this year during the most recent edition of the weekly Internet broadcast. Here is a transcript of his segment that aired on Dec. 15. ... Read more...

What are “Other” Codes for in ICD-10?

Evan M. Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, CCCPC, CPC-I MCS-P, CPMA | Monday, 11 January 2016

In nearly every ICD-10-CM category there is an option for an “other specified” condition. What do these mean, and how are they properly used? ... Read more...

Efforts Underway to Increase ICD-10 Flexibility for Physician Practices

July 19, 2015 / Robert M. Tennant, MA

A joint announcement issued on July 6, 2015, by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) tackled a number of ICD-10 issues in an effort in ease the burden for physician practices transitioning to ICD-10. While this effort addressed several important issues, at the same time it raised other important questions about the agency’s flexibility message and what practices need to do to avoid catastrophic cashflow disruption... Read more...

ICD Codes May Be Past Their Shelf Life

Written by Craig Kasten | Monday, 01 February 2016

In business as well as in life, it’s always interesting to look back on what was critically important a year ago to see if those things are as big a deal now as they were then. Back in January 2015, one of the hot topics in healthcare was the transition from International Classification of Diseases, Version 9 (ICD-9) to ICD-10. Providers and payers both worried whether they would be able to meet the looming Oct. 1, 2015 deadline, and various organizations continued pleas to delay it for the third time right up until the due date........ Read more...

The Future of ICD-10-CM/PCS

January 5, 2015 / Lou Ann Wiedemann, MS, RHIA, CHDA, CDIP, FAHIMA

In a December 2014 statement on the implementation of ICD-10, U.S. House of Representatives Energy and Commerce Committee Chairman Fred Upton (R-Mich.) and House Rules Committee Chairman Pete Sessions (R-Texas) called the new coding set "an important milestone in the future of healthcare technologies." The statement clearly indicated that the congressmen will continue to work closely with the Centers for Medicare & Medicaid Services (CMS) to, as the statement put it, "ensure that the deadline can successfully be met by stakeholders... Read more...

Cooperative Exchange Declares ICD-10 Implementation “Non-Event”

Written by Mark Spivey | Thursday, 17 December 2015

The organization representing the healthcare clearinghouse industry has declared the much-anticipated implementation of ICD-10 a “non-event,” according to a statement issued this week. The assessment was based on the Cooperative Exchange’s view that “good ICD-10 planning, education, testing, and industry collaboration” resulted in a smooth transition for most healthcare providers nationwide..... Read more

Fine-Tuning for Financial Success During the ICD-10 Transition: Preparations to Prevent Cash Flow Disruption

July 19, 2015 / Ken Bradley

When something needs fine-tuning, it’s either near the end of preparation (“Hey, let’s fine-tune the presentation before tomorrow’s meeting”) or in pretty good shape overall (“Fortunately, that squeak is no big deal; your car just needs fine-tuning”). For most providers, both scenarios are likely an accurate reflection of their ICD-10 status. After months of hard work, the finish line is in view—a fact that elicits relief alongside a healthy dose of stress as everyone asks, “Will we be ready on October 1? What are our weak points?” And lastly, the... Read more

Unspecified Codes among Issues Being Monitored

Written by Jill Finn and Ana Croxton | Monday, 25 January

At the four-month mark of ICD-10 implementation, practice management vendors are continuing to look for trends and potential issues for their clients. Several things currently being tracked are the overutilization of unspecified codes, claim submission, and payment productivity – and whether payers have implemented some, part, or all of the ICD-10 edits that will impact the financial health of providers. HATA members AdvancedMD and NextGen currently are mining their data and hoping to work with payers to achieve continued success with ICD-10. ...... Read more...

ICD-10 Testing: Why Test – and Why Test Right Now?

December 9, 2014 / Betty Gomez

ICD-10 will impact nearly all of the processes in your practice or organization, and using that fact as the starting point for your ICD-10 testing will make the process smoother and more worthwhile for everyone involved. Although it may not be possible to coordinate or synchronize all aspects of the testing, the more comprehensive your testing plan is, the better prepared your organization will be on Oct. 1, 2015. In addition to helping you gauge your readiness for ICD-10... Read more...

Malaise to Melioration: The ICD-10 Journey Continues

Chuck Buck | Thursday, 17 December 2015

In some quarters of healthcare, 2015 was the year of the big malaise. Although former President Jimmy Carter never actually uttered the word in his July 1979 speech about a “crisis of confidence,” his comments ultimately become known as the “malaise speech.” ... Read more

Hypertension in the New World of Ten

Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC | Monday, 18 January 2016

Understanding clinical conditions and relationships is an important component of coding. With many code assignments currently being paid in accordance with quality measures and assignments, using a code with less specificity when more detailed information is found in the medical record can hurt your bottom line. It’s also important that you work with your physicians on clinical documentation improvement. .... Read more

Eight Areas of Focus for Better ICD-10 Documentation

Allen R. Frady, RN, BSN, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer | Monday, 14 December 2015

If you don’t read anything else this holiday season, read this. Documentation improvement is at the heart of any successful ICD-10 coding program, and in this article I will highlight eight key areas of focus about ICD-10 and clinical documentation improvement (CDI). .... Read more

ICD-10 Implementation Brings Little to No Impact on Worker’s Compensation

Written by Sherry Wilson and Tina Greene | Monday, 16 November 2015

The American Medical Association (AMA) has asked that AAPC be added as a cooperating party in the U.S. Department of Health and Human Services (HHS) committee responsible for development and maintenance of ICD-10 codes, guidelines, and descriptions — the ICD-10 Coordination and Maintenance Committee. .... Read more

The Various Procedures of the Medical & Surgical Root Operations

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

Working with your Practice Management System Vendor Ensures a Successful Transition to ICD-10

July 1, 2014 / Tim McMullen, JD, CAE

Whether you were annoyed or relieved by the announcement of another delayed implementation of ICD-10, the benefit of having additional time to ensure a smooth transition can work to your favor. The expertise that is held by your practice management system (PMS) vendor is a key component that can contribute to a smooth transition. Many PMS vendors have integrated ICD-10 within their systems, so these vendors are ready and have the ability to test now. You likely have been getting updates from your vendor... Read more

ICD-10-PCS Character Analysis: Test Your Knowledge of Character 6 – Device

December 8, 2014 / Lolita M. Jones, RHIA, CCS

The process of constructing codes in ICD-10-PCS is designed to be logical and consistent: individual letters and numbers, called "values," are selected in sequence to occupy the seven spaces of the code, called "characters." ..... Read more

ICD-11: A Code Set for the Future

April 6, 2015 / Michael Stearns, CPC, CFPC, MD

CD-11 has been in development since 2007 but will not be ready for use in the United States, by some estimates, until the year 2023 or later. ICD-11 is an important undertaking, as its precursor, ICD-10, is the most widely used code set in the world. The World Health Organization (WHO) has elected to modernize ICD so that it will be suitable for use “with electronic health applications and information systems... Read more...

ICD-10 is Risky Business

August 17, 2015 / Holly Louie, RN, BSN

The risks associated with the changeover to ICD-10 on Oct. 1 have been numerous and varied. Will there be increased allegations of false claims? Did the recent Centers for Medicare & Medicaid Services (CMS) clarification regarding “families” of codes alleviate concerns? Will the change really create a surge in improper payments? Potential legal ramifications aside, will there be increases in issues that concern patients? Will improved clinical documentation result in optimal coding? .... Read more...

Clinical Labs Likely to Face Challenges Under ICD-10

August 24, 2015 / Robin Zweifel, BS, MT (ASCP)

When ICD-10 implementation becomes a reality on Oct. 1, 2015, clinical laboratories will continue to experience challenges related to the submission of test requisitions, no matter how prepared they are internally. Administrative problems that exist under ICD-9 will not go away; in fact, they could worsen under ICD-10 if the ordering providers are not ready for the change..... Read more...

ICD-10 Impact on a Hospice: A Case Study

Suzi K. Johnson, MPH, RN | Monday, 07 December 2015

Here are some lessons learned over the last year as we have prepared for an organization-wide approach to implementing ICD-10 across a very large health system in San Diego. ... Read more...






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