One subject brought up several weeks ago on an edition of Talk Ten Tuesdays was the sequencing of J44.0, chronic obstructive pulmonary disease (COPD), with acute lower respiratory infection and pneumonia. Guest Stacey Elliot referred to the Coding Clinic from the third quarter of 2016, which says: “based on the…
It is estimated that 80 percent of Americans report back pain at one time or another, and treatment for such issues comes at a cost of $50 billion annually. Roughly 40 percent of those with back pain seek help from a primary care physician; another 40 percent see a chiropractor,…
The Coordination and Maintenance (C&M) Committee Meeting was held March 7 and 8 at the Centers for Medicare & Medicaid Services (CMS) headquarters, for the purposes of reviewing proposals for new ICD-10-CM (diagnosis) and ICD-10-PCS (procedures) for fiscal years 2018 and 2019. The agenda was full and required two full…
EDITOR’S NOTE: This is the first in an ongoing series of articles about proposed code changes to the ICD-10-CM/PCS code set that will be published here by Bryant and other contributing editors at ICD10monitor.The ICD-10-CM/PCS Coordination and Maintenance (C&M) Committee met this past week, and there were lots of proposed…
It is very important to stay current with the latest coding guidance from official coding resources. Coding Clinic, published by the American Hospital Association (AHA), has released Fourth Quarter 2016. There are six key takeaways from this issue: Diabetes and Osteomyelitis: Previously, the official coding guidelines for this combination stated that…
I chose the titular subject for this article because many of us have been focusing on ICD-10-CM and PCS – and while CM is used by both inpatient and outpatient coders, we may have lost sight of CPT and HCPCS.CPT® and HCPCS education is as important as ICD-10, especially considering the…
EDITOR'S NOTE: The Centers for Disease Control and Prevention (CDC) which administers the diagnosis codes released the 2017 ICD-10-CM codes on June 24, 2016. This information can be found at https://www.cms.gov/Medicare/Coding/ICD10/2017-ICD-10-CM-and-GEMs.html Since the release of the 2017 ICD-10-PCS codes, the healthcare vendor community has been waiting with bated breath for the 2017 ICD-10-CM…
June 19 was Father’s Day, and the conclusion of Men’s Health Week, which was celebrated June 13 through June 19. It appears that men are not proactive in taking care of their health, as evidenced by the Agency for Healthcare Research and Quality (AHRQ) data. The following statistics have been…
Given the added specificity inherent in ICD-10, it’s no surprise that medical necessity denials for physician practices and medical groups are expected to increase throughout 2016. In addition to greater levels of code granularity, three key industry drivers are expected to impact ICD-10 coding compliance among physician practices in the…
EDITOR’S NOTE: Attention deficit hyperactivity disorder (ADHD) continues to make news. “Science Daily” reported recently that a new study from Aarhus University documented that there is some truth to the claim made by parents of children with ADHA that their children have more trouble falling to asleep than other children.…