Of all the challenges associated with the transition to ICD-10-PCS, coding spinal fusion procedures is by far the most difficult to tackle, in this author’s opinion. Even after training, many coders still struggle with the complexities of coding these procedures. This article focuses on the importance of thoroughly reviewing operative…
EDITOR’S NOTE: This is the second piece in a series of articles on the issue of burnout among healthcare professionals – a problem leading medical experts say is not only increasing in prevalence, but also intensity. During the coming month, several of these experts will be making appearances on Talk-Ten-Tuesdays, the…
The 2017 Inpatient Prospective Payment System (IPPS) final rule brings with it a number of changes that are likely to have an even bigger impact on documentation, coding, and revenue than ICD-10 itself. An unprecedented number of dramatic changes will go into effect on Oct. 1.I knew that things were…
Allow me to preference this by saying I love coders. Many of my best work relationships are with coders. I am a coder, and have been since 1998. Coding gave me my career path into consulting. I owe much of what I have learned to all of those years poring…
ICD-10 went into effect Oct. 1, 2015 and, so far, everything seems to be going pretty well. There are a few areas, however, that continue to give clinical documentation improvement (CDI) specialists and coders headaches. One of these problems is Acute Myocardial Infarction (AMI) documentation. In ICD-10 there is a…
We all have one: a beloved holiday flick that inspires us to deck the halls, snuggle up, and press play. Whether you’re a die-hard fan of a Christmas classic, or you prefer the elven shenanigans of Will Ferrell, here’s one holiday treat everyone should enjoy: the coder’s complete ICD-10 list…
Lewy body dementia is the second-most common type of progressive dementia after Alzheimer’s disease, and it is captured with ICD-10-CM code G31.83, Dementia with Lewy Bodies. G31.83 is listed in section G31, titled "Other degenerative diseases of nervous system, not elsewhere classified,” and is included in category G31.8, titled "Other…
I have told you about some of my pet peeves before, and below is another. How many of you reading this article hate Convention A.11 when it comes to PCS guidelines? Come on and admit it: you are silently chuckling about it now! What is A.11?
Many healthcare organizations recently have contracted with coding vendors to provide ICD-9 coding assistance, in part to allow in-house coders to undergo ICD-10 training and participate in dual coding. Some of these vendors employ U.S.-based coders only. However, it’s becoming more common for companies to employ a mix of both…
With the initial shock of the latest ICD-10 delay behind us, now is the time to leverage it as opportunity to ensure that coders are fully prepared for the transition. Coder training and readiness is a critical element of ICD-10 success. The additional time will give coders the ability to…
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