What could be most directly impacting reimbursement among hospitals and health systems? The problem could be, in many cases, the selection of principal diagnoses, since they drive the medical diagnosis-related groups (DRGs).For past 12 months, the health information management (HIM) consulting division at Panacea Healthcare Solutions has been conducting ICD-10 coding reviews among the nation’s…
The 2017 Inpatient Prospective Payment System (IPPS) guidelines contain several fundamental changes, and certainly some challenges insofar as clinical documentation improvement (CDI) and coding practices are concerned.As an advocate for integration of coding guidelines into our CDI practice, the 2017 IPPS certainly offers an opportunity for tighter collaboration between the…
Given the massive number of new ICD-10 codes and the Oct. 1, 2016 compliance date, HRS and ICD10monitor are producing a special-edition Internet broadcast that will focus on the imperative of pre-bill auditing.The free broadcast will air live at 1:00 p.m. on Thursday, Aug. 4. The 60-minute live event is being sponsored…
One of the most vexing issues coding professionals face when coding for infusions and drug administration is the absence of start and stop times.According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 902, hospitals are to report codes that indicate the actual time in which an infusion is…
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…
March 14, 2016

AHIMA

The American Health Information Management Association (AHIMA) is the premier association of health information management (HIM) professionals worldwide. Founded in 1928 to improve health record quality, AHIMA has played a leadership role in the effective management of health data and medical records needed to deliver quality healthcare to the public. Serving…
Following the Centers for Medicare & Medicaid Services (CMS) ICD-10-CM/PCS Coordination and Maintenance Committee meeting and public comments and discussion occurring on March 9 and 10, there is lots to follow and stay tuned about in the coding world. This is due to the code freeze being scheduled to end…
On Feb. 5, Hollywood Presbyterian Medical Center experienced an electronic health record (EHR) outage that began due to ransomware. This type of malware had shut down the hospital’s internal computer system and communication devices, with only a software “key” capable of reopening the internal data files. The hospital has reported…
In some quarters of healthcare, 2015 was the year of the big malaise. Although former President Jimmy Carter never actually uttered the word in his July 1979 speech about a “crisis of confidence,” his comments ultimately become known as the “malaise speech.”
Now that ICD-10 is a reality in U.S. healthcare, providers are finding that Oct. 1, 2015 didn’t bring with it the doomsday scenario they thought it might – but they also know that ICD-10-related challenges that aren’t apparent now may manifest themselves in the coming months.  The latest data from…