EDITOR’S NOTE: This article marks the beginning of a series of articles on clinical documentation improvement by clinical service. Changes associated with switching from ICD-9-CM to ICD-10-CM/PCS typically are reviewed in total and discussed service by service. When reviewing by individual services, the variances between the two classification systems will…
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…
EDITOR'S NOTE: The following article by Mandy Willis, originally published in the June 17, 2014 edition of the ICD10monitor eNews, is reprinted as the U.S. ramps up its response to the Ebola crisis here and in West Africa. Along with being a perpetual optimist, I’m also an information junkie, and…
At numerous meetings since the ICD-10 delay was announced, the chasm between large and small providers, entities, and practices has been evident. Obviously, some small groups are well ahead of the pack and some large groups are lagging, but the profound discrepancies keep reappearing. Stanley Nachimson recently commented on the…
Based on theory, it would seem that ICD-10-PCS root operations could be assigned correctly with relative ease; however, practical application sometimes intersects with coding scenarios that make one question the selection of the appropriate root operation. Hands-on ICD-10-PCS practice continually reinforces that only with the practical application of theory can…
Battered and bruised yet intact, like a dazed boxer entering a late round against an unrelenting challenger, the interim final rule for implementing ICD-10 by October 2015 limped into the federal Office of Management and Budget (OMB) last Friday.
Although narrow in scope, results from the ICD-10 National Testing Week conducted early last March revealed that the Centers for Medicare & Medicaid Services (CMS) accepted 89 percent of the test claims, with some regions reporting acceptance rates as high as 99 percent, according to CMS. The normal FFS Medicare…
(WASHINGTON: June 5, 2014)---The Senate today voted 78-17 to confirm Sylvia Burwell as the new secretary of the Department of Health and Human Services (HHS), replacing outgoing Secretary Kathleen Sebelius. In her new role, Burwell will assume ownership of the unwieldy ICD-10 initiative that has stalled four times as the…
Congress has stirred up a hornet’s nest by delaying ICD-10 implementation, and the hornets are those in the healthcare industry who have been diligently preparing for the launch of ICD-10 on October 1. This includes not only healthcare providers, suppliers, and vendors but also the Centers for Medicare & Medicaid…
With the healthcare industry already reeling from shock waves sent last week by the president signing legislation delaying the start of ICD-10 for at least one year, the announcement yesterday that Health and Human Services Secretary Kathleen Sebelius was stepping down after a five-year stint in the Obama Cabinet was…