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ExtStore.AdvPoll.initResult(); Have you noticed an increase in overdose deaths in your area? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-72'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Yes 32.9% No 20.32% Unknown/No Answer 46.77% ← Back
By Timothy Powell, CPA, CHCP One of the consulting engagements I once turned down was for a group of “mini” hospitals that provided emergency care in rural areas. What drove reimbursement was the fact that they refused to contract with essentially all payors, and they demanded full charges from non-contracting…
Details will be announced during the Talk Ten Tuesdays broadcast today. By Chuck Buck The American Health Information Management Association (AHIMA) is releasing a new product brief on clinical documentation integrity (CDI), with details to be revealed today during the live edition of Talk-Ten-Tuesdays. “Clinical documentation integrity (CDI) and technology…
In an unprecedented move, the Centers for Medicare & Medicaid Services (CMS) has proposed in the 2022 Outpatient Prospective Payment System (OPPS) Rule to put back on the inpatient only list all the procedures that they removed from the inpatient only list starting this calendar year. The agency has also…
EDITOR’S NOTE:  This story was originally published on RACmonitor July 15, 2021. By Stanley Nachimson, MS Some major regulations have been announced in the last few weeks. The departments of Health and Human Services (HHS), Labor, and Treasury announced the first set of rules eliminating surprise billing for commercial health…
The Centers for Disease Control and Prevention (CDC) published the ICD-10-CM Official Coding and Reporting Guidelines for the 2022 fiscal year (FY) on July 12. There are 115 pages in the new release, a decrease of 11 pages from the FY 2021 version. These guidelines become effective with Oct. 1,…
As a former manager of clinical documentation integrity (CDI) and utilization review (UR) at an academic medical center, my focus was on understanding all possible sources of revenue leakage. At that time, the UR staff focused on activities that demonstrated a patient’s medical necessity, as defined by a variety of…
Telehealth policies will lapse if something isn't done quickly, as the PHE is scheduled to end on July 21. As lawmakers are lining up to decide what Medicare will pay for after the COVID-19 public health emergency (PHE) is over, the U.S. Department of Health and Human Services Office of…
The proposed changes mark a direct effort to close health equity gaps. The Centers for Medicare & Medicaid Services (CMS) has proposed actions to close health equity gaps by providing Medicare patients battling end-stage renal disease (ESRD) with greater access to care through the ESRD Prospective Payment System (PPS) annual…
Documentation is integral to solving this problem. UnitedHealthcare (UHC) recently threatened to implement a new policy wherein they would be retroactively denying some emergency department claims for their commercial members if an internal evaluation suggested that the services were not emergent. Anthem has had a similar policy in place since…
The effective date for the FY 2022 Official Guidelines is Oct. 1, 2021 Released earlier in the year than in the past, the Official Guidelines for Coding and Reporting of ICD-10-CM became available online on July 12. You can access the full guideline document at the Centers for Disease Control…
The defendant convicted in connection of one of the most massive fraud schemes in U.S. healthcare history is free after his sentence was commuted. I have written five previous articles on Philip Esformes, who was sentenced to 20 years in federal prison for a truly infamous scheme to defraud Medicare…
ExtStore.AdvPoll.initResult(); When is the ideal time to review ICD-10-CM/PCS code updates? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-71'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); September 27% August 16% Now 42% October 11% Does Not Apply/I don’t know 4% ←…
Documentation by association. My home office is located in Merritt Island, Florida, and if you’re not familiar with where that is, you’re not the first. It’s actually five miles from Kennedy Space Center, which is about 40 miles southeast of Orlando. I moved into a home office about eight years…
Sometimes we neglect the importance of our hospitals in our communities.EDITOR’S NOTE: Sharon Easterling, the newest member of the ICD10monitor editorial board, will be reporting on health equity while also sharing thoughts about her personal experiences as a Black woman working in the healthcare industry.  We all think small towns…
Comfort care is not an indication to stop documenting and coding. Last week, a listener reached out to me to ask me my opinion on querying for potential comorbid conditions or complications in relation to patients who expire. Specifically, she pinpointed patients who were transitioned to comfort care and asked…
Are we entering a new era: the era of hospital de-construction? My favorite thing to do when visiting one of the medical centers in our health system is to look at the historic pictures in the lobby that chronicle the construction of the hospital. I don’t think there is a…
Providers seeking to get ahead of the curve before the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Final Rule for the 2022 fiscal year (FY) takes effect this Oct. 1 will find everything they need packaged in a dynamic upcoming three-day webcast being presented by…
New codes are effective Oct. 1, 2021. Highly anticipated, the fiscal year 2022 ICD-10-CM codes have been released by the Centers for Disease Control and Prevention (CDC), although still pending are the 2022 Official Coding and Reporting Guidelines which were not included in the package of new codes.   We are…
ExtStore.AdvPoll.initResult(); Have you memorized ICD-10-CM codes? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-70'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Yes, more than 20 25% Yes, between 1 and 19 43% No 23% Does not apply/Don’t know 9% ← Back
The U.S. Supreme Court has upheld the Patient Protection and Affordable Care Act (PPACA), commonly referred to as Obamacare, for the third time. In March, the American Rescue Plan Act (ARPA) was passed. It extends eligibility for health insurance subsidies to people buying their own health coverage through Obamacare on…
Rewind:  ICD-10-CM by the Alphabet I like to review the ICD-10-CM by the alphabet at least once per year as it provides an easy way to memorize ICD-10-CM codes or at least the chapters.     Last year, I did this review in table form.  This year, I thought that I would…
Unnoticed and under-reported is the clinical revenue cycle (CRC). In my experience, the clinical revenue cycle (CRC) is seldom mentioned and under-reported. The more universally recognized concept, of course, is revenue cycle management (RCM). It is the umbrella of which CRC is an integral part and a crucial revenue driver,…
Readers are advised to monitor regularly the OIG Work Plan. Even the most seasoned healthcare professionals and coders can get blindsided when they see a headline or a news alert and think, “wait, that can’t be correct…can it?” Which is what happened to me as I monitored the U.S. Department…
An examination of areas of focus to reduce wasteful healthcare spending on services with little to no clinical benefit, and finding opportunities in improving the quality of care. “Low-value care” is a common term, quite frequently used in discussions of healthcare spending and patient quality of care for some time…
Part IV in this series discusses expanding HIM’s visibility and enhancing organizational processes via authorization denial management. In my prior article, I discussed the value of payer policy management, and mentioned that “no authorization” denials represent 10-15 percent of all denials. This focused denial category presents another opportunity for health…
It is disheartening that there are still misconceptions about what a leading query is. In my last article, “The Query Conundrum,” I briefly talked about the timing of an initial clinical documentation improvement (CDI) review, which can impact the timing of the first query. Specifically, I asked “wouldn’t it make…
The code 99417 is invalid for Medicare and MA reimbursement. When the CPT® Guidelines were updated for 2021, one of the options for leveling an office or other outpatient evaluation and management (E&M) service was to use time as the leveling agent. The time thresholds for each E&M office visit…
ExtStore.AdvPoll.initResult(); With the release of the FY22 ICD-10-PCS codes, what have you already checked out? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-68'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Deleted Codes 1.98% New Codes 4.95% Guideline updates 10.89% All of…
This program could be a windfall for accountants, but also a huge bottleneck.The Provider Relief Fund (PRF) became law as part of the Coronavirus Aid, Recovery, and Economic Security (CARES) Act on March 27, 2020. The U.S. Department of Health and Human Services (HHS) distributed billions of dollars to hospitals…
Part III in this series discusses expanding HIM’s visibility with payer policy management. As you may know, the purpose of this series of articles is to expand the visibility of health information management (HIM) professionals and utilize their skills to benefit organizations. I think it’s time for HIM to take…
Outsourcing versus offshoring – do you know who is working for you? Should you outsource the medical billing, coding, and/or administrative needs of your practice? Also, if the answer is yes, make sure you know the difference between outsourcing and offshoring, as some think this is the same thing, and…
The underlying etiology is sequenced first and the manifestation, or the presentation of the disease process, is coded second. Recently I was listening to a podcast called Coder vs. CDI by my friend, Allen Frady, and his co-host, Amy Czahor, about how to code mild COVID-19 with other conditions; at…
The final rule contains 78,220 code changes, up by 117 from FY 2021. The Centers for Medicare & Medicaid Services (CMS) has released the final ICD-10-PCS codes and guidelines for the 2022 fiscal year (FY). The files included in the release include the Addenda File, Code Tables and Index file,…
The key is to focus on capturing everything relevant to a patient’s condition. As we observe Mental Health Awareness Month this May, what better time to discuss some common trends and challenges associated with mental health and behavioral health coding? The key to behavioral health coding is to focus on…
AMA/CPT® 2021 E&M clarifications are provided for readers and listeners.  Ever since the release of the new 2021 Evaluation and Management (E&M) Guidelines for Office and Other Outpatient Services, ICD10University has been conducting numerous provider and staff educational training sessions through webcasts, articles, and session spotlights on ICD10monitor’s Talk Ten…
New substances and devices are cited in technology proposals. The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2022 fiscal year (FY), which was released on April 27, includes numerous applications for New Technology Add-On Payments (NTAPs). The proposals will be finalized in the IPPS Final Rule, which should…
It is critical that the CDISs compose their queries to get codable verbiage in response. In my most recent consulting project, I read many cases and queries regarding pneumonia related to COVID-19, and our Talk Ten Tuesdays listeners have been sending me cases soliciting my opinion as to how to…
ExtStore.AdvPoll.initResult(); As we begin to talk about the Inpatient Prospective Payment System Proposed Rule for FY22: I am looking forward to seeing/hearing: jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-67'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); DRG Changes 3% CC/MCC…
May is National Mental Health Awareness Month. EDITOR’S NOTE: The following are remarks delivered by Dr. H. Steven Moffic during a recent broadcast of Talk Ten Tuesdays. To begin May, which is Mental Health Awareness Month, May 5 was World Maternal Mental Health Day. Following that was Mother’s Day last Sunday,…
The transition to ICD-11 takes time – and understanding the new concepts being introduced is a key starting point. Since the World Health Organization (WHO) announced the release of the International Classification of Diseases, Eleventh Edition (ICD-11) in 2019, the opinion among industry insiders regarding U.S. adoption of the new…
The IPPS proposed rule is dense reading. The Centers for Medicare & Medicaid Services (CMS) released its Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2022 fiscal year (FY) on April 27. This proposed rule is packed with information for inpatient services for FY 22, covering a whopping 1,091…
It’s about time. I talked about the medical decision-making element regarding the updated 2021 Office and Ambulatory Services Evaluation and Management (E&M) Guidelines a few weeks ago. Today, I am going to go over selection of E&M levels of service (LOS) according to time. In other Current Procedural Terminology (CPT®)…
ExtStore.AdvPoll.initResult(); How much will Medicare Advantage benefit enhancements help your fiscal bottom line. jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-66'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Does not apply 15.84% Do not know 51.49% A great deal 7.92% Somewhat…
The sequester is expected to end next year in the absence of any legislation. Times change –  there was a time when deficit spending caps were the talk of Washington, D.C. In 2011, then-President Obama signed the Budget Control Act of 2011 (BCA) as part of an agreement with Congress…
The patient story is paramount to validating a diagnosis of sepsis. MS-DRGs 872 and 871, Septicemia or Severe Sepsis with MCC and without MCC, respectively, are problematic, from a compliance and reimbursement perspective. Most commercial payers, including Medicare Managed Care organizations, have put these two MS-DRGs under heightened scrutiny due…
We need to stop thinking of it as copying and pasting, and have a paradigm shift to consider it copying and editing.  Last week, Shannon DeConda bemoaned the fact that we have lost the story of the encounter. She postulated that the primary impetus for this in the electronic environment…
A reader says that coders, not CDISs, are querying physicians. Across the archipelago of the Internet came a timid yelp to be heard one recent Thursday morning – and it has renewed a tsunami of interest and passion regarding the roles of coders and clinical documentation integrity specialists (CDISs). A…
Revenue is not a goal; it is an outcome. Healthcare providers, hospitals and other services, have struggled for the last decade to maintain sustainable revenue for survival. This has been exacerbated by the pandemic changing borderline net revenue to worsening losses. Many have instituted new practices to acquire more revenue…
To query or not query that is the question. Querying is the lifeline of clinical documentation integrity (CDI) professionals and many coding professionals. In fact, the CDI profession has many key performance indicators (KPIs) based on querying – so isn’t it funny that, as an industry, there is so much…
Updates are retroactive to Jan. 1, 2021. The following updates have been made via American Medical Association/Current Procedural Terminology (AMA/CPT®) editorial corrections. These corrections (errata) were posted on March 9 (published on April 1)., however, they are retroactive to Jan. 1 Underlined text indicates a change to the language instructions, and…
In January 2021, the billing guidelines changed for office and outpatient-based ambulatory services. During my interview with the C-suite occupants for my physician advisor job, I had this epiphany that the hospital gets paid, too. For those of you who do facility billing, you may not be aware that the…
CMS says the proposed rule is intended to enhance medical workforce in rural and underserved communities.  Long-awaited and eagerly anticipated the Centers for Medicare & Medicaid Services (CMS) published the proposed rule for inpatient and long-term care facilities. As in two recently proposed rule, the posting yesterday is consistent with…
ExtStore.AdvPoll.initResult(); Has the discussions over the last three weeks inspired you to writing or updating your facility coding guidelines? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-65'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Yes, started writing our guidelines 5% Yes,…
Comments on these proposed rules are due by June 7.  Hospice payment rates, as well as those for skilled nursing facilities (SNFs), constitute the subjects of two recently proposed payment rules for the 2022 fiscal year (FY)that have been issued by the Centers for Medicare & Medicaid Services (CMS). In…
Why are providers not using the new rules to their advantage? This past week, I was sitting in a new client’s office (finally!) in Georgia reviewing ear, nose, and throat (ENT) documentation. I temporarily lost my audit focus, because I started thinking back to how, at the beginning of the…
Part I in this two-part series touches on ensuring data integrity and primarily focuses on the ambulatory environment.  According to an American Medical Association (AMA) benchmark survey, the number of physicians employed by healthcare systems now exceed those remaining in private practice. Employed physicians made up 47.4 percent of all patient…
It’s not a valvular problem, but a definitional one. I recently received an email from a clinical documentation integrity (CDI) friend from my previous life as a physician advisor, asking my opinion on acute pulmonary insufficiency. She pointed out that the Association of Clinical Documentation Integrity Specialists (ACDIS) CDI handbook…
Talk Ten Tuesdays contributor Laurie M. Johnson has just about seen it all during a long career in the fields coding and consulting. EDITOR’S NOTE: Laurie Johnson is a longtime contributor to ICD10monitor and Talk Ten Tuesdays. You can hear her live reports during the latter every Tuesday at 10…
From time spent as an intern to now being the founder of a revenue cycle consulting service, Susan Gatehouse has learned the value of collaboration. To give you an idea of how much the industry has changed over the years, when I graduated in 1990, health information management (HIM) was…
Gloryanne Bryant savors her journey in healthcare and her relationship with AHIMA, explaining that what she enjoys most is growing, expanding, learning, leading, advocating, sharing, and ever importantly, volunteering, which is available to all. This is Health Information Professionals (HIP) Week, and I was asked to take some time to…
ICD10monitor contributor Rose T. Dunn has a formidable legacy as a leader in the field of coding. It was the luckiest mistake I ever made.  I am from a very small township in Pennsylvania, and my high-school counselor, like many at that time, encouraged me to go into teaching or…
Four AHIMA members tell stories of their journey into healthcare as we observe Health Information Professional (HIP) Week. ICD10monitor and Talk Ten Tuesdays are currently recognizing Health Information Professional (HIP) Week, sponsored by the American Health Information Management Association (AHIMA). As part of this recognition, we asked four of our…
Nuss Principal Procedure (ICD-10-PCS 0PS0447) Editor’s Note: This article was originally published in the American College of Physician Advisors Newsletter. IntroductionHow many times have you had a provider immediately respond, “the coding must be wrong,” when you engaged in a quality discussion? And, after you went in circles (and took several…
Facility guidelines promote data consistency. As we begin the spring season, it is a good time to update or develop new facility-specific coding guidelines. The hardest step in developing such guidelines is collecting the information necessary to write them.   There was an article in the Journal of the American Health…
Expenditures are expected to reach more than $6 trillion by 2028. Quoting from a recent press release, I noted that the Centers for Medicare & Medicaid Services (CMS) said, reflected by the below bullet points, that: Major Findings for National Health Expenditure Projection: 2019-2028: National health spending is projected to…
The worst exposure is in the airport, while you wait. Last week, my husband and I went on a post-vaccination, we-miss-being-empty-nesters vacation to use some of my airline credits I had accrued from cancelling all my speaking engagements from 2020. We had to change destinations when Georgia dropped its mask…
ExtStore.AdvPoll.initResult(); Have you reviewed the items for New Technology Add-On Payment (NTAP) and communicated to the inpatient coders which ones that should be coded for your facility? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-64'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); });…
 CMS also suspended Medicare’s FFS claims payment adjustment through December. The Centers for Medicare & Medicaid Services (CMS) announced that the suspended sequestration payment adjustment of 2 percent –  which applied to all Medicare Fee-for-Service (FFS) claims from May 1 through Dec. 31, 2020, later extended through March 21, 2021…
Dear Colleague, Please join me in recognizing the outstanding work done every day by dedicated and compassionate Health Information Professionals (HIPs). We here at ICD10monitor, and Talk Ten Tuesdays extend our sincere appreciation to those healthcare workers who toil endlessly at their stations – either on the floor, bedside, or…
Health Information Professional (HIP) Week is here, and we celebrate the tireless contributions they make in the lives of patients and providers alike, especially now during the coronavirus era— a time when, unlike any before, the focus on data is intense. And thanks to the training and education provided by…
ExtStore.AdvPoll.initResult(); How are your facility specific coding guidelines documented? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-63'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Written and available for viewing 53% Verbal 5% In process 9% No 10% Not applicable 23% ←…
Chronic or acute: questions persist in the new guidelines. You know, we have been using the new evaluation and management (E&M) guidelines for 96 days now, and if they had the ease and efficiency, we were told they had, I don’t think we would still be stumbling over the questions…
Reflections on ICD-11.    I would like to share some thoughts on ICD-11, for your consideration. First, ICD-11 is fully electronic; there will be no books. It has 17,000 diagnostic categories, and more than 100,000 medical diagnostic terms. The index-based search algorithm interprets more than 1.6 million terms. The World Health…
Current issue includes most frequently asked questions about coding COVID-19. The American Hospital Association (AHA) central office is the official United States clearinghouse on medical coding for the proper use of the ICD-10-CM/PCS systems and Level I HCPCS (CPT-4 codes) for hospital providers – and certain Level II HCPCS codes for hospitals, physicians,…
Proposed rules offer insight into the Administration’s priorities. The Centers for Medicare & Medicaid Services (CMS) has issued its first proposed payment rules under the Biden Administration. While these rules are required to update Medicare payment rates for different provider types, they also give us insights into the new Administration’s…
FOR IMMEDIATE RELEASE               For more information, please contact: Mike Bittner Media and Communications Manager 312-233-1087 emailProtector.addCloakedMailto("ep_c1ecfed2", 1);emailProtector.addCloakedMailto("ep_72f29d9f", 1); Health Information Professionals Week Set for April 18-24, 2021 The American Health Information Management Association (AHIMA) will honor and celebrate health information professionals during the 32nd annual Health Information Professionals…
HIP Week is April 18 Through April 24. Health Information Professionals (HIP) Week will be recognized April 18 through April 24 according to the American Health Information Management Association (AHIMA).   It has been established that the third week in April will be HIP Week.   The theme of this year’s HIP…
There is still much to be learned about the COVID-19 associated coagulopathy. The first and ultimate reason for excellent documentation is improved patient care through clear communication between providers and an accurate picture of the patient's medical situation and treatment course. It is essential to capture all the comorbidities conditions…
IFHIMA makes the case for ICD-11 adoption with latest whitepaper. As healthcare transformation progresses due to the digitization of data and advancements in medical science and technology, it is increasingly important that nations around the world begin planning for adoption of ICD-11.  The International Classification of Diseases (ICD) has a…
This is updates an ICD10monitor story posted in September 2020. The repayment began March 30, 2021. In March 2020, the Centers for Medicare and Medicaid Services (CMS) expanded the Accelerated and Advanced Payment Program (AAP) due to the COVID-19 Public Health Emergency (PHE), in an effort to increase cash flow to…
March is National Nutrition Month. In honor of National Nutrition Month (March), here is a review of weight-related diagnoses. The Official Coding and Reporting Guidelines for ICD-10-CM state that other clinicians may document body mass index (BMI), but the provider must document the weight diagnosis. The BMI codes are found…
We often overlook the human component of metrics within our profession. I recently received some feedback on an article I wrote about the metrics used to measure clinical documentation improvement (CDI) performance. It reminded me that we often overlook the human component of metrics within our profession, especially when CDI…
Implementation of the Cures Act is April 5, 2021. The patient is at the center of the 21st Century Cures Act. Putting patients in charge of their health records is at the center of the U.S. Department of Health and Human Services’ (HHS's) work toward a value-based healthcare system. It is also…
ExtStore.AdvPoll.initResult(); As you think about Health Information Professionals Week, how will you celebrate? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-62'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Departmental luncheon/meal (Zoom or in person) 6% Special departmental education 1% Special departmental…
The issue is with the terminology and the coding implications. Medscape recently highlighted an article from Neurocritical Care, published March 16, by Frontera, Melmed, Fang, et al., titled Toxic-Metabolic Encephalopathy in Hospitalized Patients with COVID-19. When I read the article, alarm bells started blaring in my brain. I am writing…
Dear Colleague: The World Health Organization (WHO) gave us the International Classification of Diseases version 10 (ICD-10) and up next: ICD-11. Every day, between small tasks and major initiatives, WHO healthcare professionals are providing a huge amount of work—especially now during the global pandemic caused by the coronavirus. Their work…
Some have called this particular kind of pandemic anger, “panger!” EDITOR’S NOTE: Dr. Moffic, an internationally acclaimed psychiatrist, serves as the resident psychiatrist for Talk Ten Tuesdays. What a year it has been, as we just passed the official one-year anniversary of the advent of our viral pandemic. But it…
Understanding the impact on business processes in the event that biannual ICD-10-CM and PCS updates are implemented is essential – as is your feedback.  With a comprehensive agenda covered at the virtual ICD-10 Coordination and Maintenance Committee meeting earlier this month, one topic in particular inspired quite a few comments…
This OIG audit is an opportunity for us to be introspective. In February, a report came out from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) regarding their concern about an apparent increase in the reporting of highest-severity Medicare Severity Diagnosis-Related Groups (MS-DRGs) (Trend…
A little monitoring effort can go a long way in achieving improvement. Length of stay (LOS) continues to be examined as a metric for healthcare providers to improve. It can have positive and negative effects on both direct and indirect costs, patient care, and overhead. There is a plethora of…
ExtStore.AdvPoll.initResult(); Which diagnosis is the topic of your most frequent denial? jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-61'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Sepsis 50% Encephalopathy (Metabolic or Toxic) 8% Acute Respiratory Failure 23% Acute Congestive Heart Failure…
The U.S. Department of Health and Human Services (HHS) has a new leader – thanks to the narrowest of margins. The U.S. Senate voted 50-49 Thursday to approve former California Attorney General Xavier Becerra as the nation’s top federal health official, with Democratic Sen. Mazie Horono’s abstention countered by a…
The new code is expected to be here in October. EDITOR’S NOTE: The following is the broadcast script from Dr. Erica Remer’s segment during Talk Ten Tuesdays, March 16, 2021. One of the highlights of my year, and most definitely in this past year, is participating in the ICD-10-CM Coordination and…
As vaccination rates slowly rise, federal officials are urging the pace to quicken. As COVID-19 vaccination rates slowly creep higher in jurisdictions across the country, federal officials are seeking to give the numbers a shot in the arm. The Centers for Medicare & Medicaid Services (CMS) announced Monday that this…
The three-part series is in response to listeners’ requests. The long-running live Internet broadcast Talk TenTuesdays will debut a three-part series on coding and documentation issues associated with outpatient clinical documentation integrity (CDI) today. The series, developed in response to listeners’ requests, has been developed by Colleen Deighan, a senior…