Review your payer policies when performing these services. Pain management coding can be tricky.  Trigger point injection therapy is a common procedure performed by pain management specialists, orthopedic surgeons, physical medicine and rehab and other specialties. Trigger point injection therapy is used for the treatment of myofascial pain syndrome (MPS).…
Complicated coding of type 2 myocardial infarctions. Advancing technology often leads to evolution of medicine. As our laboratory studies become more sensitive, we need to evaluate what the clinical significance of a positive test is. Such is the case with troponin. In October 2012, the Third Universal Definition of Myocardial…
How CDI transforms documentation from a reimbursement perspective to a tool for patient care and support of quality-based, cost-effective, efficient healthcare.Clinical documentation improvement (CDI) programs have become deeply ingrained in most hospitals as part of a purposely directed strategy to improve financial operations.According to a survey conducted by Black Book…
As coders, we often face dilemmas without benefit of clear guidance, creating the feeling of being pulled in different directions. In today’s audit environment, coders need practical solutions to succeed in a setting of conflicting expectations. This article focuses on coding and clinical criteria dilemmas, and the value of having…
Most small-to-medium medical practices are struggling just to keep up with the changes taking place in healthcare today. As I work with larger hospital systems and small-to-large physician practices, I can see that the challenges associated with moving toward ICD-10 implementation are most daunting for the small physician practice. Large…
July 31 brought good news to the healthcare community with the announcement from the U.S. Department of Health and Human Services (HHS) that Oct. 1, 2015 is the new implementation date for the much-awaited ICD-10 coding set.
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