News

Fraud and abuse could soon be spreading like the coronavirus. I had strongly thought about not discussing anything COVID-19-related this week, but it is the story of 2020 so far, so I felt I had no choice. For the majority of us, it has been a tough few weeks, trying…
According to the official coding guidelines, ICD-10 code U07.1 for COVID-19 may be reported under the following circumstances: As documented by the provider; Documentation of a positive COVID-19 test result; or A presumptive positive COVID-19 test result. “Presumptive” was the description given for cases that local testing initially indicates are…
ICD-10-CM codes are not robust enough to tell the patient story correctly.   I was having a terrible time preparing for my COVID-19 coding webinar, held on the afternoon of April 29, because the current ICD-10-CM codes under the current guidelines are not robust enough to tell the story correctly.…
Ten practical steps to break the COVID-19 spell while spellbound. Most of us are working from home now. That’s quite amazing. In July 2019, a total of 4.7 million folks telecommuted, either full- or part-time. Now, according to Global Workplace Analytics, that figure could possibly be 75 million! So, what…
Managing the after-effects of coding and billing as COVID-19 cases start to move through an organization’s billing cycle, while maintaining up-to-date information, could prove challenging. With ever-changing coding and billing updates, it is difficult not to anticipate a surge of denied claims, or an increase in inaccurately paid claims, related…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a five-part series on healthcare data for ICD10monitor. This is the fourth installment in his exclusive series. This is the fourth in a series of five articles on the search for…
Clinical judgment is sufficient for COVID-19 diagnosis. When I was a third-year resident, in 1987, I saw a really sick kid in the ED. He was about 5 years old, had a fever of 104°, and was lethargic in his mother’s arms. His eyes were swollen and infected, and he…
During quarantine, I look for every chance to be outside. During the fifteen-minute break I have between online classes, I try to get outside; I exercise and spend time with my mother outside. Right now, all we have is our home and the outdoors. We are seeing how important it…