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February 16, 2012

HIMSS WEEK 2012

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  ICD-10: What Just Happened?Live Reports from HIMSS in Las Vegas Tuesday, Wednesday and ThursdayFeb. 21, 22, 23, 201210/9C
Modern Healthcare today is reporting that Acting CMS Administrator Marilyn Tavenner says the CMS will reexamine its timeline for ICD-10 implementation. Tavenner, according to the report, was speaking this morning before the American Medical Association’s Advocacy Conference in Washington, D.C. when she told reporters that CMS would “reexamine the timeframe.”…
A stellar lineup of healthcare thought leaders will appear on three live half-hour ICD10monitor.com podcasts during the Healthcare Information and Management Systems Society’s annual conference and exhibit Feb. 21, 22 and 23 in Las Vegas.
Against the backdrop of rumblings about halting the implementation of ICD-10-CM/PCS, 69 percent of Talk-Ten-Tuesday listeners said this week that they were against postponement of the new code set mandated to take effect in October 2013.
As soon as providers and vendors get over the hurdle of the version 5010 implementation, "We’ll see that everyone’s time and attention will turn to I-10. …They’ll be able to focus on the real work of implementation." That’s what Denise Buenning, director of the administrative simplification group in the Centers…
There are a growing number of pathogenic microorganisms that are resistant to some or all of the drugs previously used to treat the infections they cause. Until the 2012 ICD-10-CM draft version was released, drug-resistant infections were captured with a single code: Z16, Infection with drug-resistant microorganisms. Even Methicillin-resistant Staphylococcus…
What’s Happening? Everyone working on ICD-10 preparedness in any capacity fits into one of two groups: Group 1 includes those who have thought “I will be so glad when this is done and ICD-10 is all there is!” Group 2 includes those who have not thought this. Typically, the group…
What’s Happening? Everyone working on ICD-10 preparedness in any capacity fits into one of two groups: Group 1 includes those who have thought “I will be so glad when this is done and ICD-10 is all there is!” Group 2 includes those who have not thought this. Typically, the group…
EDITOR’S NOTE: David Block, physician, mediator and erstwhile playwright, continues with Act II of his “The ICD-10 Tale.” Act I has been archived and can be accessed using the Search button on the ICD10monitor home page. Act II, Scene 1: (The scene: It’s Tuesday night at the meeting room of…
ICD-10-CM category L89 codes classify pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers. Pressure ulcers are wounds caused by unrelieved pressure on the skin. These ulcers are localized injuries affecting skin and underlying tissues, representing trauma associated with pressure and also friction, immobility, poor nutrition, hard…
I have been meaning to respond to a lot of articles concerning the ICD-10 conversion and meaningful use in the EHR arena, but I felt it would not necessarily engender any useful outcome. After 40 years in the industry, however, I decided I might have as much of a right…
In the second of two salvos directed at the federal government’s mandated implementation of ICD-10 and HIPAA Version 5010, the Medical Group Management Association demanded this week that the U.S. Department of Health and Human Services correct disruptions to physicians receiving payments, a result of the new electronic transmission set.…
Citing “significant burdens on the practice of medicine with no direct benefit to individual patient care,” James Madara, MD, executive vice president and CEO of the American Medical Association, is urging Congress to stop the implementation of ICD-10 mandated for all HIPAA-covered entities by October 2013.
By Chuck Buck and Janis K. Oppelt WASHINGTON, D.C. – In describing his blueprint for America’s future by emphasizing domestic energy production, technology and manufacturing, President Barack Obama in his State of the Union address Tuesday night failed to mention one of his signature domestic achievements – healthcare reform –…
Despite his lost last Saturday in South Carolina, a week ago last Tuesday, former Massachusetts Gov. Mitt Romney won the New Hampshire GOP primary, capturing 39.4 percent of the vote in an accomplishment many political observers credited to the candidate's use of data analytics to weed out voters unlikely to…
Recently I was addressing a group of healthcare dilettantes to discuss the impending transition from ICD-9 to ICD-10 and the various processes, staff resources and impact areas expected to be affected by the changeover within the physician practice setting. One person rather abruptly raised his hand and emphatically blurted "Can…
Recently I was addressing a group of healthcare dilettantes to discuss the impending transition from ICD-9 to ICD-10 and the various processes, staff resources and impact areas expected to be affected by the changeover within the physician practice setting. One person rather abruptly raised his hand and emphatically blurted "Can…
EDITOR’S NOTE: This is the third in a series of articles addressing the definitions and differences between the Medical and Surgical Root Operations. Let's review what we covered so far. In the Medical and Surgical section (first character 0), there are 31 root operations using standardized terminology with no procedure…
When an organization brings us in to talk about ICD-10-CM, someone invariably asks why "how to register for and receive EHR government Incentive money" is part of the planned agenda. Well, for one thing, talking about accessing up to $63,750 per provider is fun. Everyone wants to hear about "free…
When an organization brings us in to talk about ICD-10-CM, someone invariably asks why "how to register for and receive EHR government Incentive money" is part of the planned agenda. Well, for one thing, talking about accessing up to $63,750 per provider is fun. Everyone wants to hear about "free…
As a heightened awareness and acceptance of our inevitable transition to ICD-10 develops, many of you may be wondering how to approach the task of preparing your key stakeholders, coders, clinical documentation specialists and providers for the change. Certainly we all realize the need for additional education, but just where…
Here's a top 10 list of things to think about this coming month to get you moving in the right direction. 1. Have a formalized plan. If you do not have a documented project plan with assigned responsibilities, milestones, resource needs, etc., you do not have a formalized plan. 2.…
Here's a top 10 list of things to think about this coming month to get you moving in the right direction. 1. Have a formalized plan. If you do not have a documented project plan with assigned responsibilities, milestones, resource needs, etc., you do not have a formalized plan. 2.…
By now we all should be aware that the transition to ICD-10-CM/PCS will be a significant event that will impact not just technology, but processes across entire organizations for providers and payers alike. As we prepare for this event it will be important for organizations to understand the projected impact…
Seventy-one percent of respondents to a recent online poll reported that they are using 5010 with more than half of their payers and providers. The poll – which asked the question “Which of the following best describes your status with 5010 use as of 2012?” – was conducted during Talk…
Denise Buenning, Director of Administrative Simplification Group, at the Centers for Medicare & Medicaid Services (CMS)’ Office of E-Health Standards and Services, is scheduled to appear on Talk-Ten-Tuesday tomorrow (Jan. 10, 2012) when the live podcast airs at 10 a.m. eastern.
I was in a planning meeting this morning – a joyful, exuberant, bi-weekly event designed to maximize performance from developers and analysts alike – and someone raised this question: “Is there a crosswalk we can use to price Medicaid claims?” The inquirer was referring to an ICD-10-to-ICD-9 “back” crosswalk with…
I was in a planning meeting this morning – a joyful, exuberant, bi-weekly event designed to maximize performance from developers and analysts alike – and someone raised this question: “Is there a crosswalk we can use to price Medicaid claims?” The inquirer was referring to an ICD-10-to-ICD-9 “back” crosswalk with…
I know that coders are feeling a little overwhelmed by the prospects of having to learn not one, but two completely new coding systems: ICD-10-CM for diagnoses and ICD-10-PCS for procedures. In this article I want to discuss some ways that we as individual coders can make the transition to…
"Hepatitis" means inflammation of the liver, and the term also refers to a group of viral infections that affect the liver. The most common types are Hepatitis A, Hepatitis B and Hepatitis C.
As we move into 2012, the federally mandated ICD-10 implementation date of Oct. 1, 2013 is only about 600 days away. If you haven’t gotten started already, the time to begin ICD-10 preparation is here. On Jan. 15, 2009 the U.S. Department of Health and Human Services (HHS) issued a…
For many people, the beginning of the year is a time for reflection. For others, it is an opportunity to look ahead – and to make plans, list goals and itemize the steps it will take to achieve them. As healthcare organizations continue the march toward ICD-10 adoption, 5010 is…
[The scene: Crossroads Medical Center (slogan: “We’re there for you at your Crossroads”), a 250-bed hospital in the mid-sized town of Crossroads. The town is in transition socially, economically and politically. Once controlled by the medical staff, the hospital board had to bring in professional management in 1998 or risk…
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December 27, 2011

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Less than two weeks prior to the mandated implementation date of HIPAA Version 5010, the Medical Group Management Association (MGMA) is asking the Centers for Medicare & Medicaid Services for a six-month “contingency plan” allowing health plans to continue to accept 4010 transactions for a limited period of time, according…
"Nothing has changed at CMS relative to I-10 implementation... We haven't been given any clue that the implementation date will move." That was the official word provided by Denise Buenning, director of the administrative simplification group at the Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and…
"Nothing has changed at CMS relative to I-10 implementation... We haven't been given any clue that the implementation date will move." That was the official word provided by Denise Buenning, director of the administrative simplification group at the Centers for Medicare & Medicaid Services (CMS) Office of E-Health Standards and…
I’m lucky to have the opportunity to work closely with CFOs at a number of the nation’s leading hospital and health systems, and I give them a great deal of credit for tackling the challenges in front of them – from securing meaningful use funds to implementing pay-for-performance models to…
By now you all have heard about the transition to ICD-10-CM/PCS, particularly the increase in the volume of codes, the change in code structure and the predicted impact on productivity. Interestingly enough, however, there has been very little available information regarding the predicted impact of ICD-10 on provider reimbursement. Based…
I had to chuckle. At an introductory ICD-10 seminar for physicians, one of the attendees – an emergency department physician – just had asked a rather obvious question. We were reviewing the new “language” of the codes for diabetes, in particular the ICD-9-CM verbiage as compared to the draft ICD-10-CM…
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 neoplasm liver, primary Procedure: CT guidance, liver core biopsy Anesthesia:…
At any time of year, giving thanks is an appropriate sentiment. During the holiday season it is especially fulfilling to recognize the people and companies that have supported you of late, particularly during this time of transition as healthcare organizations manage multiple reform initiatives, including migrating to 5010 and adopting…
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EDITOR’S NOTE: Janis K. Oppelt’s complete coverage of the ICD10monitor-sponsored roundtable will appear in the Dec. 20 edition of ICD10monitor e-news. "Nothing has changed at CMS relative to I-10 implementation... We haven't been given any clue that the implementation date will move." That was the official word provided by Denise…
The Centers for Medicare & Medicaid Services (CMS) has confirmed the planned presence of a participating representative for ICD10monitor.com’s roundtable discussion on the American Medical Association’s stance on the ICD-10 coding system, a groundbreaking live broadcast event scheduled to take place today at 10:30 a.m. EST.
ICD10monitor.com is gearing up for a groundbreaking live roundtable discussion with a panel of experts selected to analyze a recent decision by the American Medical Association (AMA) to make a bid to halt implementation of the ICD-10 coding system, according to website Publisher Chuck Buck.
If you have not glanced at the ICD-10-PCS Operations Table and reviewed the 31 root operations listed there for the coding system's Medical and Surgical section, you might wonder what the word “extirpation” has to do with coding. The term is not one most of us see often in documentation…
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More than half of respondents to an ICD10monitor survey (57.8 percent) say they are not in favor of the position taken by the members of the American Medical Association (AMA) House of Delegates who voted on Tuesday, Nov. 15 to “work vigorously (to) stop implementation of ICD-10.” The poll, conducted…
Two years from now, ICD-10-CM/PCS will be implemented in the United States. As we get closer to the Oct. 1, 2013 implementation date, more and more valuable resources are being posted online. Many of these resources are available for free, and with all of the expenses that ICD-10 implementation will…
Most organizations by now have realized the impact of ICD-10 implementation. Many currently are undergoing global readiness assessments, looking at not only the obvious coding, information systems and infrastructure issues, but also more tangential issues such as contract renegotiation, claims tracking, analytics and reporting. A question heard more and more…
Below is a case study that identifies some of the subtle differences between the descriptions of ICD-9-CM and ICD-10 codes. Note that the ICD-10 codes provide a higher level of specificity to the code assignment. Postoperative diagnosis: Colloid cyst of the third ventricle Operation: Bi-frontoparietal craniotomy, transcallosal removal of colloid…
First things first: The Centers for Medicare & Medicaid Services have no intention of changing the October 1, 2013, implementation of the ICD-10-CM system. That’s the official statement given by one of the speakers during the question-and-answer period of the November 17 ICD-10 Implementation Strategies and Planning National Provider Call—in…
Today the Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services (OESS) announced that it would not initiate enforcement action until March 31, 2012, with respect to any HIPAA covered entity that is not in compliance with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0…
The House of Delegates of the American Medical Association (AMA) voted today “to work vigorously to stop implementation of ICD-10,” according to a news release posted on the association’s website. The vote came during the closing session of its semi-annual policy-making meeting that took place in New Orleans.
As if hospital administrators didn’t have enough to worry about these days, they’re now staring down the significant risk of productivity and revenue losses that could come as a result of ICD-10 implementation – unless they start preparing now. With denied claims expected to more than double, going from 3…
Hospital providers may now view and download the fiscal year 2012 changes to the ICD-10-PCS codes at the website of the Centers for Medicare & Medicaid Services. A review of these changes shows that the number of codes for has decreased by 163—from 72,081 procedure codes in FY2011 to 71,918…
Two of the leading publishers of healthcare news — Contexo Media and ICD-10monitor.com — have formed an editorial partnership to help further awareness of the implementation of ICD-10. “ICD-10 implementation is less than two years away,” said Jerry Okabe, Contexo’s general manager. “Our new partnership with ICD10monitor will give our…
To begin, let’s look at similarities and differences between the format and structure of ICD-9-CM and ICD-10-CM. ICD-9-CM ICD-10-CM Three digit categories Three character categories Four digit subcategories Four or five character subcategories Five digit subclassifications No subclassifications Three-, four- or five-digit codes Three, four, five, six or seven character…
The best-prepared healthcare organizations are those that actively are assessing and interacting with their affiliates to ensure readiness for the upcoming ICD-10 transition. For payers this means all affiliates, not just those that submit directly. For providers this means your internal departments, staff and all of those affiliated with your…
It is pretty safe to say that by this point, most organizations understand that the magnitude of the change to ICD-10 is huge and the impact on an organization is enterprise-wide. This conversion impacts a broad spectrum of processes, from patient scheduling through claims processing to payment and beyond. The…
Do you remember the Warner Bros. cartoon “A Sheep in the Deep” with the sheepdog and the wolf (Sam and Ralph, respectively) who both punch a time clock and begin to wreak havoc upon each other until a whistle blows and they break for a leisurely, collegial lunch? Eventually the…
Good News! ICD10monitor is now partnered with Contexo Media to provide you with the latest ICD-10 news and information. Please login or register and start receiving all the benefits from ICD-10monitor. As a registered ICD-10monitor member, you will receive the following benefits ICD-10monitor E-news Special Bulletins Breaking News Alerts Educational…
Have you conducted an ICD-10 financial-readiness assessment? How will your facility pay for the new system? Do you know how the conversion will impact your cash reserves, and how you will protect and manage those reserves?
Below is an example of a percutaneous endoscopic procedure of the knee as well as the ICD-10-CM and ICD-10-PCS codes that should be assigned for this outpatient encounter. Preoperative Diagnosis: Derangement of right lateral meniscus Postoperative Diagnosis: Derangement of right lateral meniscus Procedure: Meniscectomy, right knee, arthroscopic approach Anesthesia: General…
ICD-10 transition campaigns are being launched all across the country. Teams are being mobilized, charters are being written, plans are being developed, GAP analyses are being completed and action items and objectives are being delegated. Meetings are scheduled ad nauseum and early status reports are rolling in. Proactive ICD-10 team…
ICD-10 transition campaigns are being launched all across the country. Teams are being mobilized, charters are being written, plans are being developed, GAP analyses are being completed and action items and objectives are being delegated. Meetings are scheduled ad nauseum and early status reports are rolling in. Proactive ICD-10 team…
(WASHINGTON)---The Centers for Medicare & Medicaid Services (CMS) announced that it has developed four Implementation Handbooks as additional resources to assist the healthcare industry with the transition from ICD-9 to ICD-10 codes.
I was on a recent call during which a middle manager for a healthcare provider noted that his hospital wasn’t doing anything to prepare for ICD-10 implementation because “our vendors are taking care of all that.” To that apprentice executive I say welcome to Oz, because if you believe that,…
I was on a recent call during which a middle manager for a healthcare provider noted that his hospital wasn’t doing anything to prepare for ICD-10 implementation because “our vendors are taking care of all that.” To that apprentice executive I say welcome to Oz, because if you believe that,…
Anemia is a condition in which the body does not have enough healthy red blood cells, which provide oxygen to body tissues. According to the U.S. Centers for Disease Control, iron deficiency anemia is the most common known form of nutritional deficiency.
Computerized provider order entry (CPOE) is one of the 15 core objectives required for Stage 1 of Meaningful Use under the federal Electronic Health Records (HER) Incentive Program. This objective requires the use of CPOE for medication orders entered directly by any licensed healthcare professional who can enter orders into…
Those who want a reference to all things ICD-10 should check out the CMS Medicare Severity (MS) Grouper with Medicare Code Editor (MCE) ICD-10 R1 Pilot Software (v28). Also available is the updated ICD-10 MS-DRG (v28) R1 Definitions Manual. The draft ICD-10 MS DRG 28.0 R1 definitions are displayed in…
At this point in time providers’ preparation efforts for ICD-10 should be well under way, with most providers having completed all of the Phase 1 tasks outlined in “ Impact Assessment” and approximately half of the Phase 2 tasks outlined in “Overall Implementation” from AHIMA’s June 2007 “ICD-10 Preparation Checklist.”…
Famed writer and socialite Truman Capote once wrote: “To me, the greatest pleasure of writing is not what it’s about, but the music the words make.” In terms of medical record (MR) documentation, however, with a growing nexus of rules and regulations and all of the governmental “do’s and don’ts”…
By: T. Ormondroyd and A. Majerowicz The transition from ICD-9 to ICD-10 in October 2013 goes hand-in-hand with the goal of healthcare reform to improve quality and decrease the cost of care. As our nation moves closer to a model that rewards quality care, we need a coding system that…
EDITOR’S NOTE: CHIME, the College of Healthcare Information Management Executives, is holding its annual CIO Forum in San Antonio. The conference continues today. San Antonio, TX: Oct. 27, 2011---Even those far along the ICD-10 conversion path worry that they’re going to face difficult challenges ahead. At a town hall meeting…
EDITOR’S NOTE: CHIME, the College of Healthcare Information Management Executives, is holding its annual CIO Forum in San Antonio. The conference continues today. San Antonio, TX: Oct. 27, 2011---Even those far along the ICD-10 conversion path worry that they’re going to face difficult challenges ahead. At a town hall meeting…
EDITOR’S NOTE: The following article — part one of a two part series — is based on one of three presentations at the HIMSS Oct 12, 2011 briefing. The second part of this series summarizes key points of the big picture presented at the October HIMSS Virtual Briefing. Watch for…
EDITOR’S NOTE: The following article — part one of a two part series — is based on one of three presentations at the HIMSS Oct 12, 2011 briefing. The second part of this series summarizes key points of the big picture presented at the October HIMSS Virtual Briefing. Watch for…
I had the pleasure of attending both the ICD-10 Clinical Modification (CM) and Procedure Classification System (PCS) AHIMA academies in September, and I strongly urge physicians to attend a coding program designed for ICD-10. The CM, or diagnosis, portion of ICD-10 has changed significantly, but not as significantly as the…
How the heck do we begin? Develop a project charter! Create a communication strategy template! Perform a GAP analysis! Distribute readiness surveys! List critical success factors! Draft a project management team! Schedule meetings! For those beginning the ICD-10 transition process, taking that all-important first step seems to be the most…
Training healthcare professionals in ICD-10 implementation and usage during the past two years has unveiled some gaps in the way physicians document compared to the way an ICD-10 manual is written for selection of the most precise diagnosis codes. In order to ensure a successful transition to ICD-10, it is…
PrecyseCDI™ and PrecyseCode™ will enable Sarasota Memorial and other providers to focus on CDI and ICD-10 initiatives now to prepare for the future Wayne, Pa., and Alpharetta, Ga., October 03, 2011—Precyse, a leader in Health Information Management (HIM) technology and services, is revolutionizing Clinical Documentation Improvement (CDI) initiatives for its…
As someone who works with both healthcare payers and providers, I have the opportunity to speak with a wide range of organizations about their readiness for ICD-10. A few trends have emerged from these discussions. First, the larger the organization, the better organized they are and the more aggressive they…
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If there is one constant in today’s healthcare environment, it would have to be that there is continuous change. ICD-10, ARRA, Accountable Care Organizations (ACOs), never events and the need for improved patient care and clinical integration (to name a few areas) confirm that the healthcare marketplace undoubtedly is going…
Compliance with ICD-10 demands a significant effort spanning many parts of healthcare organizations. According to WEDI, “ICD-10 is expected to be the most costly government-mandated change ever to hit the healthcare industry.” (1) The scope of this transition is daunting. While ICD-9 contains 14,000 diagnosis codes, ICD-10 has nearly 70,000;…
Limited coding resources long have been an industry reality. According to a June 2011 survey by the American Health Information Management Association (AHIMA), 40 percent of respondents said shortages were the result of a lack of qualified coders.(1) This mirrors similar findings from a 2009 AHIMA survey on coding practices.…
I have developed a theory about ICD-10 implementation building on the old cliché that “everything I need to know I learned in elementary school.” Too often we forget those studies from so long ago, but here are some examples of lessons learned: My first three years of elementary school were…
I have developed a theory about ICD-10 implementation building on the old cliché that “everything I need to know I learned in elementary school.” Too often we forget those studies from so long ago, but here are some examples of lessons learned: My first three years of elementary school were…
Some health information management (HIM) professionals will conduct ICD-10-CM/PCS training of coding specialists in their facilities, and many of these professionals will kick off the training in early 2013. However, in order to start ICD-10 training in 2013, these HIM professionals must do a lot of “prep work” – and…
Some health information management (HIM) professionals will conduct ICD-10-CM/PCS training of coding specialists in their facilities, and many of these professionals will kick off the training in early 2013. However, in order to start ICD-10 training in 2013, these HIM professionals must do a lot of “prep work” – and…
EDITOR’S NOTE: This is the second in a series of articles addressing the definitions and differences between the medical and surgical root operations. Our focus today is the four root operations that put in/put back or move some or all of a body part. As per the ICD-10-PCS book, we…
With ICD-10 on the horizon, there’s a lot to think about from a coding, reimbursement and compliance perspective. For a moment, however, let’s take a step back and a deep breath. Think big-picture: what is the goal of every healthcare provider? Being an old vet myself, I know it’s to…
With ICD-10 on the horizon, there’s a lot to think about from a coding, reimbursement and compliance perspective. For a moment, however, let’s take a step back and a deep breath. Think big-picture: what is the goal of every healthcare provider? Being an old vet myself, I know it’s to…