Special Bulletins

As many of you may know by now, the often-discussed question of what to do about physicians’ use of new clinical practice terms that do not correspond to ICD-10 codes was recently addressed in the Coding Clinic for the first quarter of 2016. Heart failure with “reduced ejection fraction” or…
EDITOR’S NOTE: Laurie Johnson is covering the two-day meeting of the federal Coordination and Maintenance meeting taking place Wednesday and Thursday at CMS headquarters in Baltimore. Johnson filed this report on yesterday’s proceedings and will file a report on Day 2, wrapping up later this afternoon. Complete coverage will be…
America’s healthcare system has been submitting ICD-10 claims at the rate of 4.6 million daily since the conversion to the new coding set took effect Oct. 1, according to the Centers for Medicare & Medicaid Services (CMS). The rate of claim denials is 10.1 percent of all claims being processed,…
Efforts to fix what has been identified as the first significant issue to emerge under ICD-10 — medical necessity — appear to be underway with Medicare Administrative Contractor (MAC) NGS reporting that it will update its local coverage determination (LCD). The LCD issue surfaced earlier this week, when Laurie Johnson,…
The topic of medical necessity surfaced in the form of National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) during yesterday's ICD10monitor.com broadcast, "ICD-10: Five Days in Ten." The first to report on the issue was Laurie Johnson, MS, RHIA, FAHIMA, who made the discovery Monday, saying that her "eyes…
The Centers for Medicare & Medicaid Services (CMS) is monitoring the progress America’s healthcare industry is making with the implementation of ICD-10 – but it’s also standing by with a series of contingency plans should there be any significant disruption.
The first significant glitch of the ICD-10 era seems to be connected to physician office scripts, as reported during ICD10monitor's War Room live broadcast today. That's the assessment from healthcare consultant and educator Laurie Johnson, MS, RHIA, FAHIMA, who monitored the broadcast.
Early reports from the first full day of ICD-10 indicate that some of the nation's practice management system (PMS) vendors are giving a thumbs up to implementation of the new coding set — although, of course, they're still waiting for the ultimate verdict: adjudication of claims.  "Our experience is positive…