EDITOR’S NOTE: The following is part one of a two-part series dealing with challenges facing physicians in their adoption of ICD-10. The day finally came and went. I must admit, I am relieved there were no more delays in ICD-10 implementation. It is time to move forward. But ICD-10 anxiety…
Early reports from the first full day of ICD-10 indicate that some of the nation's practice management system (PMS) vendors are giving a thumbs up to implementation of the new coding set — although, of course, they're still waiting for the ultimate verdict: adjudication of claims.  "Our experience is positive…
Although many got a laugh (or were completely confused) by former Secretary of Defense Donald Rumsfeld’s infamous convoluted answer to a question, it seems it was prophetic of where we are on the road to ICD-10. “There are known knowns; there are things we know we know. We also know…
While the term “countdown” has debatable origins, scholars have attributed it to events as different as space shuttle launches, New Year's celebrations and Cambridge University rowing races, most healthcare insiders agree it now applies to ICD-10. Although many providers have counted down the time remaining until the ICD-10 transition, we…
EDITOR’S NOTE: Stanley Nachimson, founder of Nachimson Advisors, LLC, is the recipient of the 2015 Ten Leadership Award from ICD10monitor. Nachimson was recognized for his decade-long industry leadership in the adoption of ICD-10. Nachimson is co-chair of the WEDI-SNIP ICD-10 Testing Workgroup. He has been co-chair of the HIMSS ICD-10…
Have you reviewed your Medicare Administrative Contractors’ (MACs’) new local coverage determinations (LCDs) that include ICD-10 codes instead of ICD-9 codes? Do they include the full range of ICD-10 codes that map from the ICD-9 codes in current or former policies? Some of them don’t, warns JoAnne Glisson, senior vice…
Sometimes people do their homework with setting up a new system, and sometimes they don’t. Sometimes, even when those people do their homework, it may not be adequate, and billions of dollars of avoidable wasteful spending occurs.    But too often “they” won’t listen. 
What is the difference between delirium and encephalopathy? This is a common discussion among coders and clinical documentation improvement (CDI) professionals alike. Usually when a question like this comes up, the solution is simple: check the literature. Unfortunately, the information is somewhat contradictory, so we continue the debate while Recovery…
It looks like ICD-10 will indeed keep on trucking, with the American Medical Association (AMA) now on board and the Centers for Medicare & Medicaid Services (CMS) having made an announcement regarding a transition period. Not only was this important to reassure folks that there would be no turning back with…
The risks associated with the changeover to ICD-10 on Oct. 1 have been numerous and varied. Will there be increased allegations of false claims? Did the recent Centers for Medicare & Medicaid Services (CMS) clarification regarding “families” of codes alleviate concerns? Will the change really create a surge in improper…