Coding - ICD10monitor

Understanding why a culture of compliance in coding and documentation is so important. Compliance is a large part of our duties in healthcare. It is especially true for coding. With so many regulations, the audit atmosphere and payment nightmares, quite simply we are a moving target. For those of us…
Body mass index is a heavy topic. Spring has arrived in the Northeast and people are getting back to their exercise schedules. I was thinking about this topic as I was reading Coding Clinic, Fourth Quarter 2018. One of the big topics in this issue is body mass index (BMI)…
Bypassing the bypass guidelines for the coronary and peripheral arteries Forget the coding guidelines (at least temporarily) – let’s focus on the procedures first. The classic first step in coding is to read the guidelines, but in the case of many ICD-10-PCS guidelines, starting there may prove to be confusing…
Complications of CKD include early death and heart disease. Chronic kidney disease (CKD) affects 15 percent of United States adults, or 37 million people, according to a recent statement by the Centers for Disease Control and Prevention (CDC).  The following are some basic facts about CKD; specifically, it is: More…
Valerie Watzlaf, PhD returns for a second appearance tomorrow during the live broadcast. Valerie J. Watzlaf, PhD, MPH, RHIA, FAHIMA, recently elected American Health Information Management Association (AHIMA) President/Chair of the group’s 2019 Board of Directors, will be the special guest today on Talk Ten Tuesdays, according to Chuck Buck,…
Computer-assisted coding depends on the accuracy of the input. There is considerable interest in computer-assisted coding or “CAC.” The proponents say it will reduce costs, coding backlogs and discharged not final billed claims.  There are several companies in this space, the largest being 3M with more than $30 billion in…
Coding of chronic conditions: Part 2  This article addresses concerns regarding the coding of chronic conditions during a patient’s journey. The truth of the matter is that depending on your role in the coding process, your experience coding chronic conditions can differ greatly from that of others. As indicated in…
“Separate procedure” may not mean what you think. Many procedural codes in the CPT® Book are designated as “separate procedures.” However, the common misinterpretation of this is that coders can report such codes as such in every case. Not true. First, you must consider: Were there other procedures performed during…
Developing a team approach can positively impact coding quality and reduce coding errors. Coding professionals are faced with a myriad of challenges that can significantly impede coding quality. Such challenges include ongoing, increasing pressure to meet management productivity standards and CFO expectations to drop bills in a timely manner to…
Understanding the correct use of chronic condition codes in the coding process. Coders are often confused regarding when they should code co-morbid chronic conditions and when they should not. This leads to inaccurate coding of levels, or sometimes missing out on the opportunity of stressing each patient’s true clinical conditions,…