New E&M codes will take effect Jan. 21, 2021. Our number one priority is supporting our healthcare organizations during the COVID-19 pandemic, yet we still must be aware of changes in the way E&M codes are assigned for office visits, based on new guidelines that will take effect on Jan.…
In the hope of finding a silver lining, there may be a small yet significant upside to result from the current global crisis: a focus on the importance of information sharing of health factors, as well as non-medical social factors. Throughout history, viruses and diseases have posed a threat to…
An ICD10monitor article published in March 2015, which generated renewed interest in coding for racism, is updated in light of the coronavirus outbreak. EDITOR’S NOTE: The March 16, 2015, ICD10monitor article, “Is there a code for racism?” received an unprecedented number of searches this past week, prompting this update. London…
Understanding the ICD-10-CM Z codes is essential. On Feb. 6, RACmonitor posted an article by Ellen Fink-Samnick, a frequent contributor to ICD10monitor and Talk Ten Tuesdays. It was titled “Underutilization of ICD-10-CM Z Codes for Medicare Beneficiaries.” She reminded us that it’s been two years since we were given dispensation…
Seven coding challenges reveal a new compliance landscape in 2020. It’s here: 2020! This past year in healthcare, as in many years before, was full of changes, challenges, and some surprises as well. When trying to foresee the key future challenges in clinical coding, the following topics came to mind…
New Year’s thoughts and reflections. The holidays are times for people to connect with loved ones, including family and friends. I would ask that during this holiday season, please look out for our adolescents.    In October 2019, the Public Broadcasting Service (PBS) published an article indicating that suicide is the…
Approximately $230 billion a year in healthcare costs are directly related to illiteracy and the social factors associated with illiteracy. “Illiteracy” is such a broad term. It states a fact, but the underlying causes and far-reaching life and generational impacts are less well-stated.  The problems are hiding in statistics from…
The SDoH are an essential element to providing patient care while addressing social needs. What determines health? While medical care is one determinant of one’s health, it plays a minor role in comparison to the economic and social conditions of an individual, otherwise known as social determinants of health (SDoH):…
CMS IPPS for 2020 takes a giant step forward. For those who somehow missed it, there are 88 current ICD-10-CM Z codes and subcategories that encompass psychosocial and socioeconomic circumstances: Z55-65. One of these codes is Z59: Problems related to housing and economic circumstances. These Z codes have been part…
April showers bring social determinants of health flowers The showers of April have brought a burst of blooms in the Social Determinants of Health (SDoH) reimbursement garden. First, the Centers of Medicare and Medicaid Services (CMS) released its 2020 rate sheet. As expected by the industry, Medicare Advantage and Part…
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