Sharing insights on assumptive coding  When I was a physician advisor, I used to offer a diabetic Charcot joint as an example of why we must be explicit with linkage. Years ago, if a provider listed diabetes mellitus and a Charcot joint (neuropathic osteoarthropathy) as concomitant diagnoses without documenting clear…
New ICD-10 codes that address human trafficking become effective Oct. 1. This year has seen the launch of the ICD-10 Z codes, and now we will also have T codes to address human trafficking. Catholic Health Initiatives (CHI) has collaborated with several healthcare organizations , including the American Hospital Association's…
The new definition includes clinical concepts that were not an option before when choosing an MI diagnosis. Since 2012, changes and updates have continued to clarify the acute myocardial infarction (AMI) diagnosis. There are now five types of MI diagnoses that have been expanded and updated through the years, and…
Patients in New York may be certified to use medical marijuana as a substitute for opioids. EDITOR’S NOTE: The following is a transcript of a recent Talk Ten Tuesday broadcast featuring the author. An interesting development in the use of medical marijuana was reported recently by a number of major…
Document it right on the front end; avoid fighting a denial on the back end I was recently asked about a post from Hospital Performance regarding acute respiratory failure and airway protection (https://soundphysicians.com/blog/2018/06/20/from-the-appeals-desk-acute-respiratory-failure-part-1-2/), and I wanted to expand on what the author, Dr. Hesham Hassaballa, wrote. A key point is…
ICD-10 code I21.A1 identifies Type 2 MI. Over the past two months, I have been making the rounds speaking at regional and national conferences and going on-site for my consulting business. Many of you have approached me and assured me that the message I am trying to convey is indeed…
WHO team leader to weigh in on the new coding set. The World Health Organization’s (WHO’s) Robert Jakob, MD is scheduled to appear on Talk Ten Tuesdays this morning, according to Chuck Buck, publisher of ICD10monitor and executive producer and program host of its marquee weekly Internet radio broadcast. Dr.…
New hybrid CDI program blends off and on-site CDI operations. University of Pittsburgh Medical Center (UPMC) is a world-renowned healthcare provider and insurer based in Pittsburgh, Penn. that has 80,000 employees in the state. UPMC operates more than 30 academic, community, and specialty hospitals and more than 600 doctors’ offices…
Nonaccidental trauma (NAT) should code to “child abuse, suspected or confirmed.”The challenges of coding “child abuse, suspected or confirmed” is becoming a source of increased interest for me. When ICD-10 rolled out, as among the changes was a coding guideline that included a code for “child abuse” (and any time…
Risk adjustment has been used to entice payers and providers to accept patients with multiple chronic conditions along with those patients who are relatively healthy. Is coding and billing for risk adjustment really any different than what we have been doing all along? It is different in that the codes…