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... Read more...
New York Yankees legend Yogi Berra once coined a phrase that seems to fit our present situation: “It’s déjà vu all over again!” The political fastball that none of us saw coming was whacked out of the proverbial ballpark a few weeks ago, with the implementation date of ICD-10 having been smacked clear into 2015. All I can say at this point is, “wow,” and wonder if even that date is realistic...Read more...
Changes associated with switching from ICD-9-CM to ICD-10-CM/PCS typically are reviewed in total and discussed service by service. When reviewing by individual services, the variances between the two classification systems will not be so daunting. The services that will be covered will include...Read more...
With the initial shock of the latest ICD-10 delay behind us, now is the time to leverage it as opportunity to ensure that coders are fully prepared for the transition. Coder training and readiness is a critical element of ICD-10 success. The additional... 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...
June 03, 2013 / Paul Weygandt, MD, JD, MPH, MBA, CPE
On April 1, 2014, when the Protecting Access to Medicare Act of 2014 (Pub. L. No. 113-93) was enacted, most of us were caught off-guard. Along with once again patching the SGR methodology for physician payment, ICD-10 implementation was delayed at least until October 1, 2015. On May 1, CMS announced it would be publishing an interim final rule including a mandatory compliance date of October 1, 2015... 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...
June 3, 2014 / Juliet A. Santos, MSN, CCRN, FNP-BC
One of the challenges of the previous October 1, 2014, deadline was the “rush factor” that seemed to cause organizations to circumvent the details of testing all systems, which could overwhelmingly affect their level of success. In addition, during the WEDI Conference in Hollywood, Calif., on May 12-15, participants once again discussed a major gap in healthcare IT today. Because healthcare has never really had an end-to-end test ... 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
June 03, 2014 / Joseph C. Nichols, MD
There is a widely held belief that ICD-10-CM is much more “granular” and will require much greater specificity. It is true that ICD-10-CM will support the reporting of much more specific and detailed information about risk, severity, complexity, comorbidities, and complications, and other key parameters of patient evaluation. There’s a little secret that is seldom mentioned, however: You can be just as vague in ICD-10 as you were in ICD-9... Read more
April 1, 2014 / Angela Carmichael
Hospital inpatient procedure reporting is governed primarily by the Uniform Hospital Discharge Data Set (UHDDS) reporting criteria, in addition to payer-specific guidelines. The UHDDS indicates that all “significant procedures” should be reported in the short-term, acute-care hospital setting. It defines “significant procedures” as those that meet any of the following criteria: being surgical in nature, carrying a procedural or anesthetic... 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
April 15, 2014 / Lolita M. Jones, RHIA, CCS
While the implementation of ICD-10-CM/PCS has been delayed until at least October 2015, you shouldn’t delay your training in and mastery of ICD-10-PCS, the more complicated of the two classification systems. In the coming months, we will use the delay to test your knowledge of each of the seven characters used to build an ICD-10-PCS code. 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... Read more
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A Best Practice Roadmap to ICD-10 Readiness
While the extension of the ICD-10 compliance deadline to October 1, 2015 seems almost certain following an April 9, 2012 rule proposed by HHS, healthcare organizations must still move forward with the transition that CMS says will help improve patient care and better facilitate the exchange of healthcare data.
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