Special Bulletin

FY 2019 Official Guidelines for Coding & Reporting were released on Thursday and contain notable changes.The National Center for Health Statistics (NCHS) has released and posted the fiscal year (FY) 2019 official guidelines for coding and reporting ICD-10-CM. Oct 1, 2018 will bring some notable changes that will help with…
A major shift in the reporting of transgender issues is at hand.They’re here, but it won’t be until sometime until after 2022 that the United States is expected to adopt the codes of ICD-11 – the new International Classification of Diseases, Version 11 – released yesterday by the World Health…
There will be 392 new PCS codes; eight revision titles; and 216 deleted codes.The Centers for Medicare and Medicaid Services (CMS) has released and posted the fiscal year (FY) 2019 ICD-10-PCS (procedural coding system) changes. The files contain information on the ICD-10-PCS updates for FY 2019 that all hospital inpatient…
She had chosen palliative care as the medical therapy. EDITOR’S NOTE: Former First Lady Barbara Bush died Tuesday at age 92 at her home in Houston, having decided to decline further medical treatment for health problems and instead to focus on “comfort care.” The ‘Great Man Theory’ of history was…
Healthcare billing professional operating in storm-torn territory details unique challenges left behind by Hurricane Maria.It was an unusual sight for any hospital in any part of the world, let alone a major hospital in a U.S. territory: a Federal Emergency Management Agency (FEMA) surgeon preparing to go to work while…
The American Medical Association (AMA) released new current procedural terminology (CPT®) codes during its 2018 CPT and RBRVS symposium held in Chicago Nov. 15-17.Significant changes to the 2018 CPT® codes and descriptors were announced late last week by the American Medical Association (AMA), including 170 new CPT codes, 60 revised…
Using the phrase “Hx of” and substituting “F/U of” will  make a difference to the risk profile of outpatient providers.Lately I have been getting more requests from physicians to speak to them about outpatient clinical documentation improvement (CDI) and how to ensure that their risk adjustment profiles accurately reflect the…
Puerto Rico hospitals continue to struggle in the aftermath of Hurricane Maria.Reporting that only nine of 61 hospitals in Puerto Rico have electric power, a hospital billing company representative told Talk-Ten-Tuesdays listeners this past Tuesday that the lack of electricity is one of the biggest problems residents of the U.S.…
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