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Procrastination Won’t Pay – Use This Time Wisely! A Cautionary Tale …

Three physicians, two nonphysician practitioners, a chief financial officer, a compliance officer, two practice managers, and me: These were the attendees of a very recent

ICD-10: The Momentum is Back!

The momentum is back for ICD-10 risk assessments, following the Department of Health and Human Services’ (DHHS) announcement of a one-year delay in implementation date.

Exploring ICD-10-CM’s Chapter 13: Diseases of the Musculoskeletal System & Connective Tissue

In a previous article titled ICD-10: The Axis of Classification, we had indicated that one method for preparing your key stakeholders for the transition to

ICD-10 – Notes from the Field

Last week I attended the ICD-10 Summit in Baltimore. The atmosphere was energetic, with a myriad of speakers, attendees, and vendors ready to share their

2012 ICD-10-CM Coding Guidelines, Part 4

This is the fourth and final article in a series related to the key changes in the 2012 ICD-10-CM Official Guidelines for Coding and Reporting.

The Documentation of ICD-10

Submitted by Precyse The ICD-10-CM diagnostic classification is more specific and provides a better clinical picture to support optimal quality of care and reimbursement. And by

The ICD-10 Tale: Act II, Scene 3: “An Evening with IT”

[Scene: the private meeting room at The Humble Dragon, the town's largest Asian buffet. Corey Sue LaChienne is facilitating a meeting of everybody at Crossroads

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ICD-10-PCS Table 4A0: Cardiac Catheterization and Other Measurements

The ICD-10-PCS root operation Table 4A0 classifies procedures and tests that involve measurement, which is defined in ICD-10-PCS as determining the level of a physiological or physical function at a certain point in time. An ICD-10-PCS code is derived by...

ICD10 eNews | Lolita M. Jones, RHIA, CCS | Tuesday, 15 May 2012

In our previous article, titled “ICD-10: the Axis of Classification,” we had indicated that one method for preparing your key stakeholders for the transition to ICD-10 was to break ICD-10-CM down into its basic components: chapters and axes of classification....

ICD10 eNews | Angela Carmichael, MBA, RHIA, CCS, CCS-P | Tuesday, 3 April 2012

On April 9, the Centers for Medicare & Medicaid Services (CMS) announced its proposed switch of the ICD-10 implementation date from Oct. 1, 2013 to Oct. 1, 2014. This delay was premised on three listed considerations: the challenges experienced in...

ICD10 eNews | Paul Weygandt, MD, JD, MPH, MBA, CPE | Tuesday, 17 April 2012

The transition from ICD-9 to ICD-10 is big and complex - that's a fact, and it's nothing new. As the industry starts to realize how big and complex it is, though, we're starting to understand the impacts this transition will...

ICD10 eNews | Admin-Tim | Tuesday, 15 May 2012

ICD-9-CM provides codes for hemiparesis without further specification (342.0x-342.9x) and hemiparesis as a late effect of cerebrovascular disease (438.20-438.22). Fifth digits specify the side of the body affected by the hemiplegia/hemiparesis, but guidance for assignment of the fifth digit, which...

Rehabilitation | Patricia Trela, RHIA | Monday, 25 July 2011

“To use GEMs, or not to use GEMs?” That is a question posed by many ICD-10-minded people these days. To address this issue, let’s take a look at what GEMs are not. Experts are recommending that GEMs not be used...

Technology | Dennis Flint | Monday, 20 February 2012

Below is an example of a computerized tomography (CT) guided core biopsy of the liver as well as the ICD-10-CM and ICD-10-PCS codes that should be assigned for this outpatient encounter. Preoperative Diagnosis: Malignant neoplasm liver, primary Postoperative Diagnosis: Malignant...

Case Study | Patricia A. Shell, CPC, CPC-H, CIRCC, RCC | Monday, 19 December 2011

Updates | Gracielinda Prescott | Tuesday, 15 May 2012

(BALTIMORE: 04/16/12---The ICD-9 code freeze, originally schedule to end Oct. 1, 2014, will be extended for one year if the implementation of the proposed one-year delay of ICD-10 goes into effect. Pat Brooks, senior technical advisor for the Centers for...

ICD10 Alerts | Kim Charland, BA, RHIT, CCS | Monday, 16 April 2012

Over the past few weeks, all of us received the surprising news from Centers for Medicare and Medicaid Services (CMS) Acting Administrator Marilyn Tavenner and Health and Human Services Secretary Kathleen Sebelius about the intent to revisit the timeline for...

Talk Back | Chris Powell, President, Precyse | Tuesday, 6 March 2012

There are some significant differences between ICD-9 and ICD-10-CM for coding conditions related to pregnancy, childbirth and the puerperium. Coding for multiple gestation, for example, requires documentation related to the number of fetuses, the number of placentae and the number...

ICD10 eNews | Lauri Gray, RHIT, CPC | Tuesday, 15 May 2012

Amid smoldering controversy generated by proponents and opponents, the U.S. Department of Health and Human Services posted a proposed rule today that would move the ICD-10 compliance date from October 2013 to October 2014. In doing so, HHS is soliciting...

SPECIAL BULLETIN | Chuck Buck | Monday, 9 April 2012

The ICD-10 Tale Act II, Scene 2: The Doctors’ Caucus

(Scene: A Tuesday evening. The curtain falls on a facilitated dialogue at Tickle Your Palate, a new restaurant and successful venture of local ENTs and their wives who were looking to do something romantic and professional. It’s closed for this private party of the CMC ...

Possible ICD-10 Implementation Delay: Is This Good News?

The Department of Health & Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) understand the difficulties that providers are dealing with to comply with the complexity of required changes to implement the ICD-10-CM diagnosis and PCS coding systems across the healthcare ...