Health Information Management

Health Information Management Articles by Topic: ICD-9-CM Coding

Q&A: A second look at encephalopathy as integral to seizures/CVA

  • CDI Strategies, Issue 2, January 22, 2015

    Editor’s Note: James S. Kennedy, MD, CCS, CDIP,director of CDIMD Physician Champions offers...

Q&A: Acute or chronic cor pulmonale

  • CDI Strategies, Issue 19, September 11, 2014

    Q: We’re having a lot of discussions with physicians right now and need to get some clarity...

Q&A: Sequencing a diagnosis when the phrase 'versus' is used

  • CDI Strategies, Issue 15, July 17, 2014

    Q: Is it okay to code a diagnosis if the physician documents two diagnoses using the phrase...

Product spotlight: Resolve Sepsis Coding and Documentation Problems

  • CDI Strategies, Issue 13, June 19, 2014

    Over-identifying sepsis and failing to code sepsis when it is present are just two of the problems...

ICD-10 anatomy refresher: Wrists and hands

  • Briefings on APCs, Issue 3, March 1, 2014

      Coders are aware that ICD-10-CM will allow much more specificity than ICD-9-CM, and that is...

This month’s coding Q&A

  • Briefings on APCs, Issue 3, March 1, 2014

    How does CPT® define “final examination” for code 99238 (hospital discharge day...

Briefings on APCs - March 2014 issue

  • Briefings on APCs, Issue 3, March 1, 2014

    In this month's issue, we review latest 2014 CPT® Manual changes, examine how MUEs are...

Focus on key factors to ensure accurate principal diagnosis selection

  • Briefings on Coding Compliance Strategies, Issue 2, January 29, 2014

    The UHDDS defines principal diagnosis as the condition established after study to be chiefly...

Tip: Timeline for AMI changing in ICD-10-CM

  • APCs Insider, Issue 3, January 17, 2014

    Currently in ICD-9-CM, a myocardial infarction is considered to be acute when stated as such or...

CMS releases ICD-10 preparation video for providers

  • APCs Insider, Issue 52, December 20, 2013

    As 2013 nears an end, many providers are likely approaching 2014 with trepidation as ICD-10...

Tip: Brush up on sepsis audits, queries

  • CDI Strategies, Issue 24, November 21, 2013

    "[Recovery Auditors] are doing a really good job at identifying the patients who don't have...

CMS releases new ICD-10 resources

  • HIM-HIPAA Insider, Issue 45, November 18, 2013

    CMS recently released five online resources to aid providers in their ICD-10 implementation...

News: OIG findings reflect poor clinical documentation follow through

  • CDI Strategies, Issue 20, September 26, 2013

    In two recent findings from the Office of the Inspector General (OIG), improper documentation may...

Full/part-time coding instructors sought

  • CDI Strategies, Issue 17, August 15, 2013

    HCPro is seeking Coding Education Specialists to serve as instructors for ICD-10-related boot...

News: AHIMA study finds CAC successes

  • CDI Strategies, Issue 17, August 15, 2013

    A recent study conducted by the AHIMA Foundation in collaboration with the Cleveland Clinic...

AHIMA study examines CAC impact on coding

  • HIM-HIPAA Insider, Issue 28, July 29, 2013

    Normal 0 false false false EN-US X-NONE X-NONE...

Audio conference: Clinical updates and communication strategies for sepsis coding

  • CDI Strategies, Issue 15, July 18, 2013

    Sepsis. Ureosepsis. Severe Sepsis. Systemic inflammatory response syndrome (SIRS). Bacteremia...

Coding Sepsis Survey: You spoke, we listened

  • HIM-HIPAA Insider, Issue 23, June 24, 2013

    Normal 0 false false false EN-US X-NONE X-NONE...

Tip: ICD-9 may not go away completely

  • APCs Insider, Issue 25, June 21, 2013

    Don't burn your ICD-9-CM Manual October 1, 2014. Not everyone is going to transition to...

CMS releases new ICD-10 FAQs

  • APCs Insider, Issue 24, June 14, 2013

    CMS released three FAQs about ICD-10 billing, including how to bill encounters that cross the...

Tip: Consider using GEMS during ICD-10 transition

  • APCs Insider, Issue 22, May 31, 2013

    General equivalence mappings (GEMs) are reference maps between ICD-9-CM and ICD-10-CM codes. They...

ICD-10 tip: Coding for infectious and parasitic diseases

  • HIM-HIPAA Insider, Issue 10, March 25, 2013

    When it comes to coding for infectious and parasitic diseases, the translation from ICD-9-CM to...

Tip: Appropriately sequence additional diagnoses

  • APCs Insider, Issue 2, January 11, 2013

    Determining the appropriate order to translate diagnoses into ICD-9 codes on the claim form can be...

Q&A: Obtaining clarification for Schatzki’s Ring

  • CDI Strategies, Issue 1, January 3, 2013

    Q: A few times I have seen physicians document Schatzki’s Ring. I understand that if the...

Tip: Take care sequencing diagnoses

  • CDI Strategies, Issue 1, January 3, 2013

    Depending on how they are sequenced, CC and MCC conditions can have a direct effect on MS-DRG...

Tip: Consider using dual coding to prepare for ICD-10

  • APCs Insider, Issue 51, December 21, 2012

    Dual coding is one way to prepare for the transition to ICD-10. The idea is to have coders using...

Tip: Know stages of chronic kidney disease

  • APCs Insider, Issue 48, December 7, 2012

    Glomerular filtration rate (GFR) measures the ­creatinine level of the blood and how well the...

Have you done your ICD-10 coder assessments?

  • ICD-10 Trainer, Issue 23, November 16, 2012

    Do you know what you don’t know about ICD-10? Do you know where your knowledge gaps are...

Tip: Stay on top of post-op pain coding

  • CDI Strategies, Issue 23, November 8, 2012

    ICD-9 guidelines indicate that coders should not report routine or expected postoperative pain that...

Tip: Correct coding for chronic kidney disease and acute kidney failure

  • APCs Insider, Issue 43, November 2, 2012

    Patients with chronic kidney disease (CKD) may also suffer from a sudden loss of the ability of the...

Robotic-assisted procedures: Transitioning from ICD-9-CM to ICD-10-PCS

  • JustCoding News: Inpatient, Issue 43, October 24, 2012

    In ICD-9-CM, coders report specific codes to indicate a surgeon used robotic assistance. Lori-Lynne...

Q&A: Sequencing additional diagnosis codes

  • JustCoding News: Outpatient, Issue 42, October 17, 2012

    QUESTION: I work for a gastrointestinal (GI) practice and I have a question regarding the correct...

Follow these nine tips to capture inpatient wound care correctly

  • JustCoding News: Inpatient, Issue 41, October 10, 2012

    Provider documentation of inpatient wound care services may be confusing at best and completely...

Q&A: Coding for transplant complications

  • JustCoding News: Inpatient, Issue 41, October 10, 2012

    Q: I have a question about coding transplant complications. My understanding is if the complication...

Q&A: Coding other bipolar disorder

  • JustCoding News: Inpatient, Issue 39, September 26, 2012

    Q: I have a question about coding bipolar disorder. When can I report ICD-9-CM code 296.89 (other...

Q&A: Coding for acute mental status change secondary to an infectious process

  • JustCoding News: Inpatient, Issue 37, September 12, 2012

    Q: I need further clarification regarding documentation of toxic metabolic encephalopathy...

Tips for Joint Commission EPs 19 and 11

  • HIM-HIPAA Insider, Issue 10, September 10, 2012

    Timing and dating all entries in the medical record can be difficult if the medical record is still...

Coding Q&A

  • HIM-HIPAA Insider, Issue 10, September 10, 2012

    Q. How do a cervical/vaginal laceration complication/repair and a routine episiotomy performed for...

Coma, stroke codes require more specific documentation

  • HIM-HIPAA Insider, Issue 9, August 31, 2012

    A quick glance at ICD-9-CM and ICD-10-CM stroke and coma codes reveals many similarities and some...

Q&A: MS-DRG assignment and cystic fibrosis

  • CDI Strategies, Issue 18, August 30, 2012

    Q: I was interested in further discussion about cystic fibrosis coding. I am conducting an audit on...

Specificity key to neoplasm coding in ICD-10-CM

  • JustCoding News: Inpatient, Issue 35, August 29, 2012

    Neoplasm coding in ICD-10-CM is similar to the current ICD-9-CM coding. Most benign and all...

ICD-10-CM coma, stroke codes require more specific documentation

  • JustCoding News: Inpatient, Issue 35, August 29, 2012

    ICD-9-CM and ICD-10-CM stroke and coma codes reveal many similarities and some important...

ICD-10 two-year game plan

  • JustCoding News: Inpatient, Issue 35, August 29, 2012

    Retain. Train. Assess. Investigate. Analyze. HIM professionals have undoubtedly come across action...

Thorough documentation review helps ensure accurate principal diagnoses

  • HIM-HIPAA Insider, Issue 7, August 20, 2012

    Clear and consistent documentation makes a coder’s job much easier, and it improves data...

Q&A: Coding for intractable pain with a fracture

  • JustCoding News: Outpatient, Issue 34, August 8, 2012

    QUESTION: A patient complained of intractable pain from compression fracture (sustained the day...

CMS releases 2013 IPPS Final Rule: Quality initiatives, value-based purchasing, and CC/MCC changes

  • HIM-HIPAA Insider, Issue 5, August 6, 2012

    Inpatient facilities received mixed news on proposed changes to the list of complications and...

Coders skills are crucial for successful EHR rollout

  • HIM-HIPAA Insider, Issue 5, August 6, 2012

    Should coders or coding managers be involved in an EHR rollout? The answer to this question is...

Don't let fear prevent coders from learning ICD-10

  • JustCoding News: Inpatient, Issue 31, August 1, 2012

    Although ICD-10 includes more codes than ICD-9-CM, Shelley C. Safian, PhD, CCS-P, CPC-H, CPC-I, and...

Q&A: Coding for poisoning due to bath salts

  • JustCoding News: Inpatient, Issue 31, August 1, 2012

    QUESTION: I'd like to address our coders' questions on how to code poisoning due to bath salts...

Q&A: Assigning a principal diagnosis for a patient with pneumonia and atrial fibrillation

  • HIM-HIPAA Insider, Issue 4, July 30, 2012

    QUESTION: A patient is admitted with pneumonia and atrial fibrillation and both are present on...

Epilepsy codes in ICD-10-CM requires additional documentation

  • ICD-10 Trainer, Issue 15, July 27, 2012

    Epilepsy affects nearly 3 million Americans and 50 million people worldwide, so you may see some of...

ICD-9-CM vs. ICD-10-CM: Examine the differences in diabetes coding

  • JustCoding News: Outpatient, Issue 30, July 25, 2012

    Many coders can quickly quote the code for diabetes mellitus in ICD-9-CM (code 250.00) when the...

Pregnancy coding: Understanding the differences between ICD-9-CM and ICD-10-CM

  • JustCoding News: Outpatient, Issue 30, July 25, 2012

    As you get the opportunity to investigate the complete pregnancy chapter in ICD-10-CM, you will...

Cross-train medical coders to prepare for ICD-10 implementation

  • JustCoding News: Outpatient, Issue 30, July 25, 2012

    Cross-training coders has definitive short-term advantages, such as enhancing staff coverage during...

Q&A: ICD-10-CM coding for asthma

  • JustCoding News: Outpatient, Issue 30, July 25, 2012

    QUESTION: How is the coding for asthma going to be different in ICD-10-CM?

What to expect when coding CAD, MI with ICD-10-CM

  • HIM-HIPAA Insider, Issue 3, July 23, 2012

    Let's get to the heart of the matter. ICD-10-CM coronary artery disease (CAD) and myocardial...

Q&A: Documentation and coding for post-operative complications related to COPD

  • CDI Strategies, Issue 15, July 19, 2012

    Q: We recently had a case where a patient with severe chronic obstructive pulmonary disease...

New malnutrition criteria could help ensure consistent coding

  • JustCoding News: Inpatient, Issue 29, July 18, 2012

    New clinical guidelines for malnutrition could help alleviate compliance challenges associated with...

Pondering causes of mechanical, paralytic ileuses

  • JustCoding News: Inpatient, Issue 29, July 18, 2012

    The digestion process is complex and there’s a lot that can go wrong. Thankfully, Robert S...

Healthcare News: CMS releases new short-term acute care PEPPER

  • JustCoding News: Inpatient, Issue 29, July 18, 2012

    In late May, CMS released nationwide a new short-term (ST) acute care Program for Evaluating...

Q&A: Assigning a principal diagnosis for a patient with pneumonia and atrial fibrillation

  • JustCoding News: Inpatient, Issue 29, July 18, 2012

    QUESTION: A patient is admitted with pneumonia and atrial fibrillation and both are present on...

Q&A: Query forms for acute and chronic respiratory failure

  • HIM-HIPAA Insider, Issue 2, July 16, 2012

    Q: Our pulmonologists are not comfortable documenting acute respiratory failure unless a patient is...

Simplify diagnostic, procedural pain management coding

  • JustCoding News: Outpatient, Issue 28, July 11, 2012

    Pain is an expected component of injuries, illnesses, and surgical procedures. In some instances...

Coding for an atypical small acinar proliferation of the prostate

  • HIM-HIPAA Insider, Issue 1, July 9, 2012

    Q: Which code should I report for atypical small acinar proliferation of the prostate? Is ICD-9-CM...

Tip: Start with emergency room documentation to help reduce claims denials

  • CDI Strategies, Issue 14, July 5, 2012

    By Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, FCS, PCS, C-CDI, CCDS Broaden the scope of your CDI...

Q&A: POA renal failure?

  • HIM-HIPAA Insider, Issue 27, July 3, 2012

    Q: A patient is admitted January 3 and undergoes spinal surgery that day. No laboratory specimens...

Tip: Know the guidelines for reporting ICD-9-CM V codes

  • APCs Insider, Issue 25, June 29, 2012

    According to the ICD-9-CM Official Guidelines for ­Coding and Reporting, coders should report V...

AHIMA, AAPC provide testimony on ICD-10 delay

  • ICD-10 Trainer, Issue 13, June 29, 2012

    Until HHS issues a clear and direct statement on a final ICD-10-CM/PCS implementation date, some...

ICD-10-PCS root operations: Insertion

  • ICD-10 Trainer, Issue 13, June 29, 2012

    When a physician performs a procedure designed to put in a device without doing anything else to a...

Unravel complications of outpatient coding for chronic kidney disease

  • JustCoding News: Outpatient, Issue 26, June 27, 2012

    Chronic kidney disease (CKD) is the permanent alteration in the kidney’s ability to perform...

Q&A: Coding for cochlear implants

  • JustCoding News: Outpatient, Issue 26, June 27, 2012

    QUESTION: The vendor for our cochlear implants has stated it’s standard to provide our...

What to expect when coding CAD, MI with ICD-10-CM

  • HIM-HIPAA Insider, Issue 26, June 26, 2012

    Let's get to the heart of the matter. ICD-10-CM coronary artery disease (CAD) and myocardial...

Coding for clinical accuracy requires keen eye for detail

  • JustCoding News: Inpatient, Issue 25, June 20, 2012

    Why do coders need to know about Value Based Purchasing, the Readmissions Reduction Program...

Ensure coding accuracy by following rules for selecting a principal diagnosis

  • JustCoding News: Inpatient, Issue 25, June 20, 2012

    Choosing a principal diagnosis can be tricky for coders. Luckily, Gloryanne Bryant, BS, RHIA, RHIT...

Address medical necessity, coding challenges related to wound care

  • JustCoding News: Inpatient, Issue 25, June 20, 2012

    Medical necessity denials traditionally focus on high-dollar MS-DRGs, such as those for hip and...

Healthcare News: Medicare FFS to reject version 4010 electronic transactions as of July 1

  • JustCoding News: Inpatient, Issue 25, June 20, 2012

    Medicare Fee-For-Service (FFS) will accept only ASC X12 Version 5010 or NCPDP Telecom D.0...

Q&A: Coding for shingles

  • JustCoding News: Inpatient, Issue 25, June 20, 2012

    QUESTION: A patient was exposed to shingles, for which a coder reported ICD-9-CM code V01.79...

Tips for handling Medicaid HCACs

  • HIM-HIPAA Insider, Issue 25, June 19, 2012

    Starting in July, hospitals can risk their reimbursement under the Medicaid program for conditions...

Consider two options for coding Rho(D) immune globulin given in pregnancy

  • JustCoding News: Outpatient, Issue 24, June 13, 2012

    The Rh factor of positive and negative can lead to problems between a mother and the developing...

Q&A: Coding for a chest x-ray showing atelectasis

  • HIM-HIPAA Insider, Issue 24, June 12, 2012

    Q: Our question pertains to the following scenario: The studies section of a history and physical...

Tip for coding debridement of multiple layers

  • HIM-HIPAA Insider, Issue 24, June 12, 2012

    Medicare Quarterly Provider Compliance Newsletter, October 2011, Vol. 2, Issue 1, reminds coders to...

Q&A: Codes for healing traumatic finger amputation without an infection diagnosis

  • HIM-HIPAA Insider, Issue 23, June 5, 2012

    Q: The patient scenario involves a healing traumatic finger amputation with concern but no...

Tip for coding sepsis

  • HIM-HIPAA Insider, Issue 23, June 5, 2012

    Coders should review documentation thoroughly, query when necessary, and consider the following tip...

Note changes for skin substitutes, mental health codes

  • JustCoding News: Outpatient, Issue 22, May 30, 2012

    Facilities can't bill for skin substitutes unless they also bill for a skin substitute application...

The guiding principles of Medicare Advantage: Keeping risk adjustment compliant

  • JustCoding News: Outpatient, Issue 22, May 30, 2012

    The guiding principle is the definitive methodology used for all risk adjustment medical record...

Q&A: Coding for dry skin due to cold weather

  • HIM-HIPAA Insider, Issue 22, May 29, 2012

    Q: Should I report ICD-9-CM code 701.1 (keratoderma, acquired) or 706.8 (other specified diseases...

Review guidelines for coding pregnancy, its complications

  • JustCoding News: Inpatient, Issue 21, May 23, 2012

    Depending on the demographics of the region a hospital serves, its coders could determine code...

Q&A: Acute respiratory failure diagnosis does not require intubation

  • HIM-HIPAA Insider, Issue 21, May 22, 2012

    Q: Our pulmonologists are not comfortable documenting acute respiratory failure unless the patient...

Is the sign or symptom integral to the disease?

  • ICD-10 Trainer, Issue 10, May 18, 2012

    Coders often report signs and symptoms when physicians document them in the patient’s medical...

ICD-10-CM coding conventions for etiology and manifestations

  • ICD-10 Trainer, Issue 10, May 18, 2012

    Certain conditions have both an underlying etiology and multiple body system manifestations due to...

The dangers of do-it-yourself

  • ICD-10 Trainer, Issue 10, May 18, 2012

    Home repair and improvement can be hazardous to your health. Just ask the residents of Calamity...

Healthcare News: CC, MCC, DRG, and HAC changes in the FY 2013 IPPS proposed rule

  • JustCoding News: Inpatient, Issue 19, May 9, 2012

    Inpatient acute care hospitals could see a 2.3% increase in payment rates under the fiscal year...

Q&A: Coding for debridement of a necrotic muscle not due to an open wound

  • JustCoding News: Inpatient, Issue 19, May 9, 2012

    QUESTION: A physician documents in an operative report debridement of a necrotic muscle (not due to...

Q&A: Coding for use of synthetic marijuana

  • JustCoding News: Outpatient, Issue 16, April 18, 2012

    QUESTION: I would like to know the correct codes to use when a patient comes into the ER after...

Code freeze to extend through ICD-10 implementation

  • HIM-HIPAA Insider, Issue 16, April 17, 2012

    After HHS proposed a year-long delay of ICD-10-CM/PCS, questions emerged regarding the current...

News: Hospital settles allegations of False Claims Act violations related to malnutrition and leading queries

  • CDI Strategies, Issue 8, April 12, 2012

    A Maryland hospital allegedly added malnutrition as a secondary diagnosis, employing tactics that...

New on JustCoding Platinum!

  • JustCoding News: Inpatient, Issue 15, April 11, 2012

    New on JustCoding Platinum!

Despite gains, coders dissatisfied with compensation given increased responsibilities

  • JustCoding News: Inpatient, Issue 15, April 11, 2012

    During the last year, the buzz from the health information management (HIM) and coding community...

Planning can maximize benefits of internal coding audits

  • JustCoding News: Inpatient, Issue 15, April 11, 2012

    If you're going to spend time and resources to conduct a coding audit, you certainly want to ensure...

Healthcare News: CMS posts summary of ICD-9-CM Coordination and Maintenance Committee meeting

  • JustCoding News: Inpatient, Issue 15, April 11, 2012

    CMS has posted a summary report from the discussion of procedure codes at the ICD-9-CM Coordination...

Q&A: Coding for healing traumatic finger amputation

  • JustCoding News: Inpatient, Issue 15, April 11, 2012

    QUESTION: For a healing traumatic finger amputation with concern but no diagnosis of infection at...

Coders need to understand their role in the process

  • HIM-HIPAA Insider, Issue 14, April 3, 2012

    Coding isn't just about reading documentation and selecting codes based on certain words. It's...

News: ICD-9-CM Coordination and Maintenance Committee discusses few code changes

  • CDI Strategies, Issue 7, March 29, 2012

    The ICD-9-CM Coordination and Maintenance (C&M) Committee discussed a few changes to the...

Examine documentation for clinical indicators that provide context for MCCs

  • JustCoding News: Inpatient, Issue 13, March 28, 2012

    Coders are constantly analyzing documentation for clues and details that may indicate the need for...

Don’t jump to conclusions about documentation

  • JustCoding News: Inpatient, Issue 13, March 28, 2012

    These days, documentation improvement and compliance are at the forefront of coders' minds. In some...

Be diligent about documentation review to prevent denials and ensure sufficient detail supports medical necessity

  • JustCoding News: Inpatient, Issue 13, March 28, 2012

    How does medical necessity get “overlooked” on the physician side as well as the...

Healthcare News: CMS issues global surgery fact sheet

  • JustCoding News: Inpatient, Issue 13, March 28, 2012

    CMS released in February a fact sheet, “Global Surgery,” which contains information...

Use spinal anatomy as a basis for ICD-9-CM, ICD-10-CM coding

  • JustCoding News: Outpatient, Issue 12, March 21, 2012

    Knowing spinal anatomy provides the foundation necessary to assign codes both before and after the...

CMS targets April for release of new ICD-10-CM/PCS implementation date

  • HIM-HIPAA Insider, Issue 12, March 20, 2012

    CMS expects to release a new ICD-10-CM/PCS implementation date sometime in April. That date will be...

Q&A: Coding for pneumonia with malnutrition secondary to feeding difficulties of the elderly

  • HIM-HIPAA Insider, Issue 12, March 20, 2012

    Q: A physician admitted a patient with pneumonia, which was the first diagnosis. The second...

Tip: Respiratory coding guidelines similar in ICD-9-CM, ICD-10-CM

  • APCs Insider, Issue 11, March 16, 2012

    Coders need to understand the intimate details of the upper and lower respiratory systems to report...

Insight into operative notes clarifies how to code cryptic 'TBB'

  • JustCoding News: Inpatient, Issue 11, March 14, 2012

    Physicians use a lot of shortcuts and abbreviations. Some of them may even make it onto the...

Understand the impact of HACs and HCACs on your coding practices

  • JustCoding News: Inpatient, Issue 11, March 14, 2012

    When a provider notes a diagnosis on the hospital-acquired condition (HAC) list, coders must be...

Know how inpatient coders can ensure compliance

  • JustCoding News: Inpatient, Issue 11, March 14, 2012

    What should inpatient coders remember about the three-day payment window requirements? Although it...

Q&A: Dealing with denials for ICD-9-CM code 584.9 due to lab values

  • JustCoding News: Inpatient, Issue 11, March 14, 2012

    QUESTION: Recently, reviewers have denied diagnostic code 584.9 (acute renal failure [ARF]) based...

Stay on top of post-op pain coding

  • HIM-HIPAA Insider, Issue 11, March 13, 2012

    ICD-9 guidelines indicate that coders should not report routine or expected postoperative pain that...

Identify all injuries and conditions to correctly code for multiple significant trauma

  • JustCoding News: Inpatient, Issue 9, February 29, 2012

    Coders who keep in mind the injuries that define multiple significant trauma are more likely to...

Respiratory failure code description limitations

  • JustCoding News: Inpatient, Issue 9, February 29, 2012

    Robert S. Gold, MD, discusses updates to the code definitions and exclusions for various lung...

Scrutinize documentation in 2012 and beyond

  • JustCoding News: Inpatient, Issue 9, February 29, 2012

    Even if you didn’t make a personal New Year's resolution, you should make a professional one...

Healthcare News: Trailblazer cites insufficient documentation as chief reason for MS-DRG 470 denials

  • JustCoding News: Inpatient, Issue 9, February 29, 2012

    Trailblazer Health Enterprises, LLC, the Medicare administrative contractor (MAC) for Jurisdiction...

Brush up on respiratory system anatomy and physiology

  • JustCoding News: Outpatient, Issue 6, February 8, 2012

    With the increased specificity required for ICD-10-CM coding, coders need a solid foundation in...

Use encoders alongside of critical reasoning and clinical knowledge

  • JustCoding News: Inpatient, Issue 5, February 1, 2012

    A coder can be misled when coding directly from an encoder, and heavy dependence on one can...

Q&A: Coding for appendiceal stump syndrome

  • JustCoding News: Inpatient, Issue 5, February 1, 2012

    QUESTION: A physician admits a 30-year-old male with lower abdominal pain. A CT scan showed...

Q&A: Proper sequencing of heart failure with hypertensive heart/kidney disease

  • CDI Strategies, Issue 2, January 19, 2012

    Q:I have a question regarding sequencing. I would usually have sequenced 428.21 (heart failure) as...

Is computer-assisted coding friend or foe?

  • JustCoding News: Inpatient, Issue 3, January 18, 2012

    Computer-assisted coding (CAC) is a hot topic these days. Many industry experts claim that CAC is...

Cardiomyopathy: Know intent of codes reported

  • JustCoding News: Inpatient, Issue 3, January 18, 2012

    The goals of coding should always be ensuring data accuracy and capturing a patient's true clinical...

Accurate hierarchical condition category capture hinges upon accurate physician coding

  • JustCoding News: Inpatient, Issue 1, January 4, 2012

    Medicare Advantage plans rely on the Hierarchical Condition Categories (HCC) system for...

Tip: Consider the benefits of inter-departmental coding conferences with ICD-10 on the horizon

  • CDI Strategies, Issue 27, December 22, 2011

    Most of the cases that HIM professionals code are straightforward; some are more difficult, and a...

Director’s Note: Clarification regarding Coding Clinic publication

  • CDI Strategies, Issue 27, December 22, 2011

    The American Hospital Association (AHA) has not made any formal decisions regarding when it will...

Q&A: ’Suggestive’ documentation could require clarification

  • CDI Strategies, Issue 27, December 22, 2011

    Q:Does documentation such as “suggestive of” or “suspicious of” qualify as...

Incorporate remote staff in ICD-10 training sessions

  • HIM-HIPAA Insider, Issue 51, December 20, 2011

    Training coordinators must find ways of integrating remote staff members into the training...

Coding Clinics highlight documentation’s critical role in accurate stroke coding

  • JustCoding News: Inpatient, Issue 49, December 7, 2011

    Clinical documentation plays a vital role in all coding. It is especially important, however, when...

Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines

  • JustCoding News: Inpatient, Issue 49, December 7, 2011

    As the weather cools, the heat is on coders to properly report the high number of pneumonia cases...

Coders play pivotal role in facilities’ efforts to curb improper payment allegations from auditors

  • JustCoding News: Inpatient, Issue 49, December 7, 2011

    Coders should not underestimate the vital role they play in their organization’s efforts to...

Tip: Evaluate CAC and software expenses

  • CDI Strategies, Issue 25, December 1, 2011

    Invest in computer-assisted coding (CAC) now because of its potential positive impact on...

Take the fear out of switch to ICD-10-CM

  • JustCoding News: Outpatient, Issue 46, November 16, 2011

    Coders shouldn’t fear the upcoming transition to ICD-10-CM. It’s not as scary or as...

Don’t fall prey to coding information overload

  • HIM-HIPAA Insider, Issue 46, November 15, 2011

    Becoming inundated with coding information is easy in this fast-paced world of interconnectedness...

Q&A: Coding for surgical debridement of devitalized tissue with scalpel

  • HIM-HIPAA Insider, Issue 45, November 8, 2011

    Q: One of our podiatrists documents “surgical debridement of devitalized tissue with...

Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines

  • HIM-HIPAA Insider, Issue 45, November 8, 2011

    As the weather cools, the heat is on coders to properly report the high number of pneumonia cases...

Tip: Assign correct new glaucoma codes

  • APCs Insider, Issue 44, October 28, 2011

    As part of the final regular update to ICD-9-CM before the transition to ICD-10-CM October 1, 2013...

News: Maryland facility faces $8 million fraud charges for Kwashiorkor billing

  • CDI Strategies, Issue 23, October 27, 2011

    The Department of Health and Human Services and the Department of Defense accused Baltimore-based...

Evaluate CAC and software expenses

  • HIM-HIPAA Insider, Issue 43, October 25, 2011

    Gloryanne Bryant, RHIA, CCS, CCDS, regional managing director of HIM (Northern California Revenue...

New ICD-9-CM diagnosis codes offer hint of what future holds

  • HIM-HIPAA Insider, Issue 43, October 25, 2011

    Variety is often the spice of life, and this year's 168 new ICD-9-CM diagnosis codes seem to...

Carefully examine syncope and collapse denials

  • HIM-HIPAA Insider, Issue 42, October 18, 2011

    Hospitals reported syncope and collapse (MS-DRG 312) as the top MS-DRG with respect to financial...

Coming soon in MRB

  • HIM-HIPAA Insider, Issue 42, October 18, 2011

    In the November issue of MRB, you’ll find articles on the following topics!

Q&A: Coding emaciation without documented malnutrituion

  • HIM-HIPAA Insider, Issue 41, October 11, 2011

    Q: A physician documents emaciation without noting malnutrition. ICD-9-CM indexes emaciation to...

New white paper available on selecting a principal diagnosis

  • HIM-HIPAA Insider, Issue 40, October 4, 2011

    The Revenue Cycle Institute has released a new white paper, “Principal Diagnosis Selection...

Know how to identify, understand RAC compliance risks

  • HIM-HIPAA Insider, Issue 40, October 4, 2011

    It shouldn't come as a surprise that RACs use the Common Working File (CWF) to ensure that...

Tip: Remember to add fifth digit when coding malignant neoplasms of the skin

  • APCs Insider, Issue 40, September 30, 2011

    The CDC significantly expanded code series 173.x (other malignant neoplasms of the skin) by adding...

White Paper: Understand principal diagnosis selection factors to determine appropriate code assignment

  • CDI Strategies, Issue 20, September 29, 2011

    Documentation improvement staff often struggle with principal diagnosis selection. A clear...

Q&A: Coding Clinic clarifies SIRS query questions

  • CDI Strategies, Issue 20, September 29, 2011

    Q:  How should I query for systemic inflammatory response syndrome (SIRS) if SIRS codes...

Q&A: Are poison control agencies covered entities?

  • HIM-HIPAA Insider, Issue 39, September 27, 2011

    Q: Should I report ICD-9-CM code V71.5 (observation following alleged rape or seduction) after an...

What color is your PEPPER?

  • HIM-HIPAA Insider, Issue 39, September 27, 2011

    The Program for Evaluating Payment Patterns Electronic Report (PEPPER), distributed either...

FY 2012 IPPS final rule includes some surprises

  • HIM-HIPAA Insider, Issue 38, September 20, 2011

    The FY 2012 IPPS final rule is out, and hospitals that are bracing for changes effective October 1...

Coming soon in Medical Records Briefing

  • HIM-HIPAA Insider, Issue 38, September 20, 2011

    In the October issue of MRB, you’ll find articles on the following topics!

Remote coding: The good, the bad, and the productivity

  • HIM-HIPAA Insider, Issue 36, September 6, 2011

    According to a survey on coder productivity published in the May edition of MRB, 83% of those with...

Q&A: Coding based on a note dated after the discharge date

  • HIM-HIPAA Insider, Issue 35, August 30, 2011

    Q: Some of our physicians are uncomfortable making addendums to the discharge summary to include...

Q&A: Coding for palliative care

  • HIM-HIPAA Insider, Issue 34, August 23, 2011

    Q: I am auditing records that include diagnosis code V66.7 (palliative care) for patients...

Start preparing for ICD-10-CM by comparing differences in diabetes mellitus coding

  • HIM-HIPAA Insider, Issue 33, August 16, 2011

    In ICD-10-CM, the diabetes mellitus codes are combination codes that include the type of...

Don’t remain silent if you observe a pattern of fraudulent conduct

  • HIM-HIPAA Insider, Issue 33, August 16, 2011

    It started with two courageous coders who knew the query process at Johns Hopkins Bayview Medical...

Coming soon in MRB

  • HIM-HIPAA Insider, Issue 33, August 16, 2011

    In the September issue of MRB, you’ll find articles on the following topics!

CMS releases 2012 IPPS final rule

  • HIM-HIPAA Insider, Issue 32, August 9, 2011

    CMS released its final rule for the FY 2012 Inpatient Prospective Payment System integral to...

Q&A: Coding for chronic lower back pain from spinal stenosis

  • HIM-HIPAA Insider, Issue 32, August 9, 2011

    Q: A patient has chronic lower back pain from spinal stenosis. Should I code chronic lower back...

News: IPPS Final Rule released

  • CDI Strategies, Issue 16, August 4, 2011

    CMS released the Inpatient Prospective Payment System (IPPS) Final Rule, Monday, Aug. 1, reducing a...

Review HIV coding to ensure compliance

  • HIM-HIPAA Insider, Issue 31, August 2, 2011

    Coding and sequencing HIV can be challenging for coders, so it's no surprise that CMS identified it...

Are your ICD-10 educational efforts under way?

  • HIM-HIPAA Insider, Issue 31, August 2, 2011

    When it comes to ICD-10 education, a day late may mean you're more than a few dollars short. The...

Q/A: Remember these dates for smooth transition to ICD-10

  • APCs Insider, Issue 30, July 29, 2011

    Q: What’s the newest timeline for the transition to ICD-10-CM? We know the important role...

Jump-start ICD-10 efforts with coding and documentation assessments

  • HIM-HIPAA Insider, Issue 30, July 26, 2011

    There’s no time like the present to conduct a coding and documentation assessment in...

ICD-10-CM/PCS: Assess coder productivity and clinical knowledge

  • HIM-HIPAA Insider, Issue 30, July 26, 2011

    Coding productivity will decrease at least initially with the switch to ICD-10-CM/PCS. Coders will...

Take our 2011 ICD-10 benchmarking survey!

  • HIM-HIPAA Insider, Issue 30, July 26, 2011

    Medical Records Briefing is conducting a benchmarking survey on ICD-10-CM/PCS implementation...

Prepare for ICD-10

  • HIM-HIPAA Insider, Issue 30, July 26, 2011

    ICD-10. The biggest change to happen in health information management in more than 20 years is on...

Take small steps to prepare for ICD-10-CM

  • HIM-HIPAA Insider, Issue 29, July 19, 2011

    The descriptions of diagnosis codes in ICD-10-CM may be very different than what coders have become...

Coming soon in MRB!

  • HIM-HIPAA Insider, Issue 29, July 19, 2011

    In the August issue of MRB, you’ll find articles on the following articles and more.

Tip: Learn new ICD-10-CM documentation requirements for pathologic fractures

  • APCs Insider, Issue 28, July 15, 2011

    A pathologic fracture is a broken bone caused by disease. ICD-10-CM expands code selection for this...

Q&A: Coding conflicting documentation

  • HIM-HIPAA Insider, Issue 28, July 12, 2011

    Q: Many of our orthopedic surgeons are documenting open reduction internal fixation (ORIF...

Special editions MLN articles highlight inpatient coding vulnerabilities and admit date issues

  • HIM-HIPAA Insider, Issue 27, July 5, 2011

    CMS released two special edition MLN articles last week. One article, SE1121, highlights some of...

Q&A: Coding 'aspiration without pneumonia'

  • HIM-HIPAA Insider, Issue 26, June 28, 2011

    Q: Some of our physicians have started documenting “aspiration without pneumonia.” When...

Tip: Oregon QIO posts physician query policy

  • CDI Strategies, Issue 13, June 23, 2011

    While the bulk of discussion regarding how to ethically and responsibly submit queries to...

Q&A: Coding patellofemoral chondrosis in ICD-9-CM and ICD-10-CM

  • HIM-HIPAA Insider, Issue 25, June 21, 2011

    Q: How should I report patellofemoral chondrosis?

Use PEPPER to enhance your RAC readiness

  • HIM-HIPAA Insider, Issue 25, June 21, 2011

    Not sure where to focus your RAC preparations these days? Look no further than the Program for...

Coming soon in MRB!

  • HIM-HIPAA Insider, Issue 25, June 21, 2011

    In the July issue of MRB, you’ll find articles on the following articles and more!

2012 IPPS proposed rule: What you need to know

  • HIM-HIPAA Insider, Issue 24, June 14, 2011

    CMS has released its fiscal year (FY) 2012 IPPS proposed rule, and coders need to note various...

Comment on the IPPS proposed rule

  • HIM-HIPAA Insider, Issue 22, May 31, 2011

    CMS published the 2012 Inpatient Prospective Payment System (IPPS) proposed rule May 5 in the...

HAC data goes public: Is your hospital ready?

  • HIM-HIPAA Insider, Issue 22, May 31, 2011

    If you haven't already heard, HAC data is now publicly available on CMS' website, and as of April...

Q&A: ICD-10-CM/PCS and ICD-9-CM dual systems

  • HIM-HIPAA Insider, Issue 21, May 24, 2011

    Q: In what instances would a dual system be necessary after ICD-10 takes effect?

News: CMS releases latest MS-DRG version, hosts ICD-10 teleconference

  • CDI Strategies, Issue 10, May 12, 2011

    Hospitals can start experimenting with how new ICD-10-CM/PCS codes will translate to MS-DRGs since...

Inpatient-only procedures: Ensure compliance, avoid RAC recoupments

  • HIM-HIPAA Insider, Issue 19, May 10, 2011

    Inpatient coders may lack familiarity with the ¬inpatient-only procedure list because CMS...

Know how ICD-10 could affect your bottom line

  • HIM-HIPAA Insider, Issue 18, May 3, 2011

    Exactly how will ICD-10 affect MS-DRG assignment? As coders began learning the intricacies of...

CMS proposes IPPS changes for 2012 and beyond

  • HIM-HIPAA Insider, Issue 17, April 26, 2011

    The Centers for Medicare & Medicaid Services (CMS) plans limited changes to complications and...

ACDIS submits comments to CDC about proposed ICD-9-CM changes

  • HIM-HIPAA Insider, Issue 16, April 19, 2011

    The Association of Clinical Documentation Improvement Specialists (ACDIS) submitted comments March...

Q&A: Percutaneous vs. trocar cholecystostomies

  • HIM-HIPAA Insider, Issue 16, April 19, 2011

    Q: The following procedures are performed in the radiology department: 51.01 (percutaneous...

Coming soon in MRB

  • HIM-HIPAA Insider, Issue 16, April 19, 2011

    In the May issue of MRB, you’ll find articles on the following topics and more!

Q&A: Lewy body dementia and Parkinson?s disease

  • HIM-HIPAA Insider, Issue 15, April 12, 2011

    Q: May I report Lewy body dementia (LBD) for a patient who has Parkinson’s disease with...

Q&A: Does a skin graft code include debridement?

  • HIM-HIPAA Insider, Issue 14, April 5, 2011

    Q: I have been trying to determine whether a skin graft includes debridement. Based on what I have...

Tips to help improve physician queries

  • HIM-HIPAA Insider, Issue 14, April 5, 2011

    Physician queries are a predictable part of any coder's job. Coders may pose hundreds—even...

Catch up on Coding Clinic guidance

  • HIM-HIPAA Insider, Issue 13, March 29, 2011

    Be sure to take a look at Coding Clinic, 3rd and 4th quarters 2010, if you haven't already...

Increased coding compliance, improved productivity: The benefits of computer-assisted coding

  • HIM-HIPAA Insider, Issue 12, March 22, 2011

    If you haven't already considered adopting computer-assisted coding (CAC) software, there's no time...

Coming soon in MRB

  • HIM-HIPAA Insider, Issue 11, March 15, 2011

    In the April issue of MRB, you’ll find articles on the following topics and more!

Dig deeply into documentation whenever you assign the POA indicator

  • HIM-HIPAA Insider, Issue 10, March 8, 2011

    You’re coding a record, and the documentation of a patient’s stage III pressure ulcer...

Q&A: Coding for follow-up visit after surgical rod insertion

  • HIM-HIPAA Insider, Issue 8, February 22, 2011

    Q. A patient presents for a follow-up visit after undergoing surgery for insertion of a rod. The...

Know when to report secondary diagnoses

  • HIM-HIPAA Insider, Issue 7, February 15, 2011

    A patient’s medical record could include a laundry list of diagnoses, but not all of these...

Coder productivity survey prize winners announced

  • HIM-HIPAA Insider, Issue 7, February 15, 2011

    MRB recently conducted its 2010 coder productivity benchmarking report. (Stay tuned for the...

CMS talks EHRs, the three-day rule, value-based purchasing program and more

  • HIM-HIPAA Insider, Issue 6, February 8, 2011

    During the January 12 Hospital & Hospital Quality Open Door Forum, CMS representatives...

Q&A: Coding for a DPOAE hearing test for a newborn

  • HIM-HIPAA Insider, Issue 6, February 8, 2011

    Q: What code should I report for a distortion product otoacoustic emissions (DPOAE) hearing test...

Briefings on Coding Compliance Strategies, February 2011

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2011

    Learn about reporting secondary diagnoses,  assigning the POA indicator, ICD-10 procedure...

An ounce of prevention: Keep HIM and coding running smoothly during EHR go-live

  • HIM-HIPAA Insider, Issue 5, February 1, 2011

    The last thing you need is more to do, but when it comes to preparing your HIM department for EHR...

Three tips for conducting coding audits

  • HIM-HIPAA Insider, Issue 4, January 25, 2011

    With an ever-growing list of RAC-targeted MS-DRGs and a host of coding compliance traps that...

Last chance! Take the 2010 Coder productivity survey, win a prize!

  • HIM-HIPAA Insider, Issue 4, January 25, 2011

    HCPro is conducting in-depth research into coder productivity, and we value your input. The survey...

2010 Coder productivity survey

  • HIM-HIPAA Insider, Issue 3, January 18, 2011

    HCPro is conducting in-depth research into coder productivity, and we value your input. The survey...

2010 Coder productivity survey

  • HIM-HIPAA Insider, Issue 2, January 11, 2011

    HCPro is conducting in-depth research into coder productivity, and we value your input. The survey...

Coding tips from the experts

  • HIM-HIPAA Insider, Issue 1, January 4, 2011

    Briefings on Coding Compliance Strategies recently asked advisory board members about the best...

2010 Coder productivity survey

  • HIM-HIPAA Insider, Issue 1, January 4, 2011

    HCPro is conducting in-depth research into coder productivity, and we value your input. The survey...

Briefings on Coding Compliance Strategies, January 2011

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2011

    Learn about coding issues to include in your 2011 audit plan, the benefits of online social...

2010 Coder productivity survey

  • HIM-HIPAA Insider, Issue 51, December 28, 2010

    HCPro is conducting in-depth research into coder productivity, and we value your input. The survey...

Q&A: Coding for protein malnutrition

  • HIM-HIPAA Insider, Issue 51, December 28, 2010

    Q: Our physician provided an illegible diagnosis of malnutrition, and when we queried him regarding...

Take time to understand acute kidney injury versus acute renal failure

  • HIM-HIPAA Insider, Issue 49, December 14, 2010

    The language physicians use to create a patient’s clinical picture doesn’t always...

Tool: 3rd/4th Quarter Coding Clinic CDI updates available for ACDIS members

  • CDI Strategies, Issue 25, December 9, 2010

    Editor’s note: ACDIS recently published Coding Clinic update, a review of the most recent...

Understand the 'X' in ICD-10 coding

  • HIM-HIPAA Insider, Issue 48, December 7, 2010

    What does “x” represent in ICD-10? What seemed like a fairly straightforward question...

Briefings on Coding Compliance Strategies, December 2010

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2010

    Learn about the OIG work plan, acute kidney injursy, acute kidney failure, documentation and DNFB...

Q&A: Coding removal of a Bartholin's gland cyst catheter in the ED

  • HIM-HIPAA Insider, Issue 47, November 30, 2010

    Q: What code should I report for a patient who presents to the ED for removal of a...

Involve coders in your RAC defense strategy

  • HIM-HIPAA Insider, Issue 46, November 23, 2010

    Now that RAC medical necessity audits are well under way, the focus has shifted from anticipatory...

Briefings on Coding Compliance Strategies, November 2010

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2010

    Learn about medical necessity audits, linking signs and symptoms with definitive conditions...

News: Partial freeze of code changes announced

  • CDI Strategies, Issue 22, October 28, 2010

    At the September 15, 2010 ICD-9-CM Coordination & Maintenance Committee Meeting, the committee...

Partial code freeze prompts concern about lingering problematic codes

  • JustCoding News: Inpatient, Issue 43, October 27, 2010

    The decision to implement a partial code freeze for ICD-9-CM and ICD-10-CM/PCS may not have come as...

Transition to ICD-10: The team, timeline, and tasks

  • HIM-HIPAA Insider, Issue 42, October 26, 2010

    The transition to ICD-10 is not in any way the kind of transition we made from ICD-8 to ICD-9, nor...

Review coding guidelines for inpatient wound debridement coding

  • HIM-HIPAA Insider, Issue 41, October 19, 2010

    Coders and other HIM staff members can do several things to ensure that they report excisional...

News: MLN Matters article SE1028 rewrites rules of reporting secondary diagnoses

  • CDI Strategies, Issue 21, October 14, 2010

    A recent MLN Matters article has changed the official coding guidelines to define what...

Tip: Use new V codes for specific congenital malformation

  • APCs Insider, Issue 41, October 8, 2010

    For 2010, only one code captured the variety of congenital malformations (code V13.69). That code...

What you need to know about the 2011 ICD-9-CM codes

  • HIM-HIPAA Insider, Issue 39, October 5, 2010

    Every October 1, new ICD-9-CM codes take effect. Others are revised or deemed invalid. What do you...

Briefings on Coding Compliance Strategies, October 2010

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2010

    Learn about new and revised ICD-9-CM codes, identifying high-risk vulnerabilities in preparation...

Tip: Remember to add fifth digit for ICD-9-CM flu codes

  • APCs Insider, Issue 40, October 1, 2010

    The 2011 update for ICD-9-CM codes adds specificity to the codes for flu due to H1N1 by including a...

Tip: Anatomy to know when capturing debridement documentation

  • CDI Strategies, Issue 20, September 30, 2010

    Just because physicians may document the term excisional debridement it doesn’t mean that...

Do some analysis to deal with the DCA

  • HIM-HIPAA Insider, Issue 38, September 28, 2010

    The FY 2011 inpatient prospective payment system final rule released July 30 includes the usual...

Editor's note: Correction

  • HIM-HIPAA Insider, Issue 37, September 21, 2010

    Editor’s note: In the previous issue of HIM Connection there was a typo in the fifth digit of...

Healthcare News: ICD-9 code freeze finalized

  • HIM-HIPAA Insider, Issue 37, September 21, 2010

    During the ICD-9-CM Coordination and Maintenance Committee meeting September 15, the committee...

Don't bypass coding rules to get more money: Take a closer look to compare acute, chronic conditions

  • HIM-HIPAA Insider, Issue 37, September 21, 2010

    Last month I discussed the importance of queries related to sepsis versus UTI due to an indwelling...

Coming soon in Medical Records Briefing

  • HIM-HIPAA Insider, Issue 37, September 21, 2010

    In the October issue of MRB, you’ll find articles on the following topics and more!

Q/A: When will the ICD-9-CM code freeze happen?

  • APCs Insider, Issue 38, September 17, 2010

    Q: With the move to ICD-10-CM October 1, 2013, will the ICD-9-CM Coordination and Maintenance...

Tip: Know contractor requirements for coding venoplasty

  • APCs Insider, Issue 38, September 17, 2010

    Venoplasty, the mechanical widening of a narrowed or obstructed vein, is commonly performed on...

Q&A: Coding for chronic scapholutynate ligament tear

  • HIM-HIPAA Insider, Issue 36, September 14, 2010

    Q: Which ICD-9-CM code denotes chronic scapholutynate ligament tear?

Assigning the principal diagnosis: Four case studies

  • HIM-HIPAA Insider, Issue 35, September 7, 2010

    The following four case studies test your knowledge of correct principal diagnosis (PDX...

Briefings on Coding Compliance Strategies, September 2010

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2010

    Learn about the FY 2011 IPPS final rule, the three-day payment rule, documentaiton and coding...

Q&A: Coding for dyspnea due to respiratory ciliary dyskinesia

  • HIM-HIPAA Insider, Issue 34, August 31, 2010

    Q: Which code should I report for a patient who has dyspnea due to respiratory ciliary dyskinesia?

Editor's Note: Correction: Coding Clinic vs. coding guidelines: Which takes precedence?

  • HIM-HIPAA Insider, Issue 33, August 24, 2010

    Editor’s note: HIM Connection reprinted the following Q&A in our August 17 issue...

CMS revises POA instructions

  • HIM-HIPAA Insider, Issue 13, August 24, 2010

    On August 13 CMS issued Transmittal 756, Change Request 7024, to instruct providers on...

Q&A: Coding for diagnosis of pregnancy-elevated primary glucose tolerance test

  • HIM-HIPAA Insider, Issue 13, August 24, 2010

    Q: Which code should I report for a diagnosis of pregnancy-elevated primary glucose tolerance test...

Q&A: Don't discharge the discharge summary

  • CDI Strategies, Issue 17, August 19, 2010

    Q: Should coders wait for the discharge summary before coding? A: The answer is complicated...

Start your ICD-10-CM training by assessing your coders' preparedness

  • JustCoding News: Inpatient, Issue 33, August 18, 2010

    Aesop’s fable of the ant and the grasshopper teaches us the value of planning ahead. While...

Q&A: Coding Clinic vs. coding guidelines: Which takes precedence?

  • HIM-HIPAA Insider, Issue 32, August 17, 2010

    Q: An auditor recently reviewed a chart for an inpatient stay. The patient was admitted due to an...

Take note of signature requirements to ensure compliance when coding for labs and diagnostic testing

  • JustCoding News: Outpatient, Issue 12, August 11, 2010

    Providers must understand the signature guidelines outlined in MedLearn Matters article 6698 and...

Don't fall into avoidable V code traps

  • HIM-HIPAA Insider, Issue 31, August 10, 2010

    V codes play an important role in painting an accurate picture of an admission and facilitating...

Tip: Query for type, underlying causes, and/or stage of heart failure and CKD

  • CDI Strategies, Issue 16, August 5, 2010

    It’s not enough to know whether heart failure is systolic or diastolic. Congestive heart...

CMS proceeds with documentation 2.9% payment cut in FY 2011 IPPS final rule

  • HIM-HIPAA Insider, Issue 30, August 3, 2010

    On July 30, CMS issued the inpatient prospective payment system (IPPS) final rule to update...

Don’t bypass coding rules for more money

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    We all know that coders are under pressure to capture all relevant conditions (including CCs and...

Review of neoplasm coding guidelines good strategy when preparing for RAC audits

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    It shouldn’t come as a surprise that HealthDataInsights—the RAC for Region D—is...

Don’t fall into these avoidable V code traps

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    V codes play an important role in painting an accurate picture of an admission and facilitating...

Briefings on Coding Compliance Strategies, August 2010

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2010

    Learn about avoidable V code traps, why you shouldn't bypass coding rules for more money, why...

Should coders wait for the discharge summary before coding?

  • HIM-HIPAA Insider, Issue 29, July 27, 2010

    A coder may delay sending a claim for many reasons, but should a missing discharge summary be one...

Correction: Q&A on coding for signs and symptoms

  • HIM-HIPAA Insider, Issue 26, July 6, 2010

    Editor’s note: There was an error in the last sentence of the Q&A on coding for signs and...

Q/A: Billing for venipuncure with blood draw

  • APCs Insider, Issue 27, July 2, 2010

    Q: Is billing for venipuncture in association with a blood draw relative to laboratory tests...

Tip: Correctly code multiple turbinate removal

  • APCs Insider, Issue 27, July 2, 2010

    The AMA’s CPT Assistant advises in its December 2004 issue not to report code 30930 (fracture...

Q&A: Resolve confusion around injection, infusion coding

  • Briefings on APCs, Issue 7, July 1, 2010

    Many HIM professionals, coders, and billers continue to struggle with correct coding for injections...

Build a base for comprehensive review of procedure data

  • Briefings on APCs, Issue 7, July 1, 2010

    The technical nature of the CPT coding system can be very challenging for coding specialists, and...

Cure what ails your pain management coding

  • Briefings on APCs, Issue 7, July 1, 2010

    As reimbursement for complex pain management continues to decrease, your coding must drive accurate...

Modifier -25: Is that E/M service really above and beyond the norm?

  • Briefings on APCs, Issue 7, July 1, 2010

    A patient comes into your outpatient facility for a minor surgical procedure and the physician...

Briefings on APCs, July 2010

  • Briefings on APCs, Issue 7, July 1, 2010

    Inside: Is that E/M service really above and beyond the norm?  Cure what ails your pain...

Don’t let bad coding advice lead you astray

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    What should coders do when advice is misguided?

ICD-9 code expansion on institutional claims may enhance data quality

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    Coders and quality managers who lament that CMS processes a total of only nine diagnosis and five...

Prepare for RAC audits by taking a closer look at mechanical ventilation

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    Inpatient admissions requiring mechanical ventilation tend to be high-dollar cases, which is...

Should coders wait for the discharge summary before coding?

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    There are many reasons why a coder could delay sending a claim, but should a missing discharge...

Briefings on Coding Compliance Strategies, July 2010

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2010

    Learn whether coders should delay sending a claim because of a missing discharge summary.

Q&A: Coding for signs and symptoms

  • HIM-HIPAA Insider, Issue 25, June 29, 2010

    Q: My question pertains to inpatient admissions during which the conditions are resolved at the...

News: ICD-9-CM code updates available

  • CDI Strategies, Issue 13, June 24, 2010

    The new, revised, and deleted ICD-9-CM codes, effective October 1, 2010, are now out. You can find...

Q&A: Documentation in the discharge summary

  • CDI Strategies, Issue 13, June 24, 2010

    Q:I have a question about the discharge summary. When a physician documents a firm diagnosis (not...

FY 2011 IPPS proposed rule spurs discussions about regulatory hot topics

  • HIM-HIPAA Insider, Issue 24, June 22, 2010

    The fiscal year (FY) 2011 IPPS proposed rule released April 19 addresses several highly debated...

Q&A: Determining the principal diagnosis for hernia with bowel obstruction

  • HIM-HIPAA Insider, Issue 23, June 15, 2010

    Q: A patient who has had multiple previous abdominal surgeries now presents with a small bowel...

Understand causes of anemia in cancer patients before reporting 285.22

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2010

    Name as many reasons why a cancer patient may develop anemia as you can. Is anemia in neoplastic...

This month's coding Q&A

  • APC Payment Insider, Issue 6, June 1, 2010

    In this month's coding Q&A, our experts answer questions about how to report Unna boot...

FY 2011 IPPS proposed rule spurs discussions about regulatory hot topics

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2010

    The fiscal year (FY) 2011 IPPS proposed rule released April 19 addresses several highly debated...

Reduce coding and billing errors by always knowing who is appending modifiers, always reviewing documentation

  • APC Payment Insider, Issue 6, June 1, 2010

    The sheer number of modifiers can cause plenty of confusion for HIM staff. The rules about which...

Briefings on Coding Compliance Strategies, June 2010

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2010

    Learn about the three-day payment rule, FY 2011 IPPS Proposed Rule, discharge disposition codes...

APC Answer Letter, June 2010

  • APC Answer Letter, Issue 6, June 1, 2010

    Learn about coding scenarios involving the ED, injections and infusions, observation, orthopedics...

CMS makes few changes to I/OCE edits for April

  • Briefings on APCs, Issue 6, June 1, 2010

    CMS added 10 new HCPCS codes and six new APCs to the I/OCE as part of Transmittal R1927CP’s...

Understand individual needs to effectively motivate your team

  • HIM-HIPAA Insider, Issue 21, June 1, 2010

    Motivation HIM department staff members is important because it affects performance. It is the...

Establish a robust coding auditing program

  • HIM-HIPAA Insider, Issue 21, June 1, 2010

    Many reasons justify establishing an internal auditing program. An organization may have a...

Tip: Responding to MUE denials

  • APCs Insider, Issue 21, May 21, 2010

    In one-time notification R617OTN, CMS notes that organizations can report reasonable and necessary...

Help ensure compliance when reporting cirrhosis and alcoholic hepatitis with an MCC

  • HIM-HIPAA Insider, Issue 19, May 18, 2010

    MS-DRG 432 (cirrhosis and alcoholic hepatitis with MCC) is one of many MS-DRGs slated for RAC...

AHIMA addresses physician queries in guidance for CDI programs

  • HIM-HIPAA Insider, Issue 18, May 11, 2010

    On April 29, AHIMA issued a practice brief, “Guidance for Clinical Documentation Improvement...

Use PEPPER to improve coding compliance

  • HIM-HIPAA Insider, Issue 18, May 11, 2010

    Aside from being a catchy acronym, PEPPER (Program for Evaluating Payment Patterns Electronic...

Coding corner: Become a modifier master

  • HIM Briefings, Issue 5, May 1, 2010

    The many CPT and HCPCS modifiers can leave coders dazed and confused when it comes to appropriately...

Medical Records Briefing, May 2010

  • HIM Briefings, Issue 5, May 1, 2010

    This month's issue includes an article on the EHR certification proposed rule, as well as advice...

Q/A: Billing ED visit and OR procedure

  • APCs Insider, Issue 18, April 30, 2010

    Q: A patient is seen in the ED and based on the findings is sent to the OR for a procedure. May a...

Q&A: Multiple query options can confuse syncope clarifications

  • CDI Strategies, Issue 9, April 29, 2010

    Q: Our CDI specialists tend to ask questions that provide the physician with multiple options to...

CMS releases FY 2011 IPPS proposed rule

  • HIM-HIPAA Insider, Issue 16, April 27, 2010

    In the fiscal year (FY) 2011 Inpatient Prospective Payment System (IPPS) proposed rule, CMS...

Q&A: Processing claims during the ICD-10 transition

  • HIM-HIPAA Insider, Issue 16, April 27, 2010

    Q. If an outpatient has a service on September 10, September 20, October 1, and October 15, 2013...

News: CMS to count more codes on UB forms

  • CDI Strategies, Issue 8, April 15, 2010

    Effective January 1, 2011, CMS is expanding the number of ICD-9 diagnosis and procedure codes...

Coding postop or post-traumatic infections with OR procedures

  • HIM-HIPAA Insider, Issue 14, April 13, 2010

    RACs already are validating countless MS-DRGs in hospitals nationwide, and the number of eligible...

Consider internal auditing options

  • HIM-HIPAA Insider, Issue 13, April 6, 2010

    Coding managers often conduct internal audits, but other alternatives exist. Some organizations...

Know the coder's role in accurate portrayal of readmission data

  • HIM-HIPAA Insider, Issue 13, April 6, 2010

    The statistic is striking. Nearly 18% of admissions result in readmissions within 30 days of...

Medical Records Briefing, April 2010

  • HIM Briefings, Issue 4, April 1, 2010

    This month's issue includes an article on HIMs role in surviving recovery audit contractor (RAC...

Brush up on sequencing as RAC complex audits begin

  • HIM Briefings, Issue 4, April 1, 2010

    As recovery audit contractors (RAC) begin to roll out complex reviews and request medical record...

Quiz: E code extravaganza

  • HIM Briefings, Issue 4, April 1, 2010

    This month's training tool is a quiz HIM directors can use to test staff members' knowledge of E...

Audit present-on-admission indicators to ensure compliance, data accuracy

  • HIM-HIPAA Insider, Issue 12, March 30, 2010

    Was it present on admission (POA) or did it develop during the patient’s stay? These...

Provider Round Table seeking new members

  • APCs Insider, Issue 12, March 26, 2010

    In 2003 HCPro, Inc., Nimitt Consulting, Inc., and 3M Health Information Systems joined forces to...

Q&A: Coding capillary leak syndrome secondary to biochemotherapy

  • HIM-HIPAA Insider, Issue 11, March 23, 2010

    Q: How should I code capillary leak syndrome secondary to biochemotherapy? Can you provide coding...

Consider centralizing your HIM department: Unexpected benefits may await you

  • HIM-HIPAA Insider, Issue 11, March 23, 2010

    Memorial Hermann Healthcare System (MHHS) in Houston includes nine acute care hospitals, one...

Q/A: Severity of illness and APCs

  • APCs Insider, Issue 11, March 20, 2010

    Q: Does severity of illness affect APC reimbursement under the hospital OPPS as it does under the...

Tips to keep your coding compliance program fresh

  • HIM-HIPAA Insider, Issue 10, March 16, 2010

    Just because your coding compliance program is in place doesn’t mean it’s doing its job...

Heal the divide between HIM and CDI

  • HIM-HIPAA Insider, Issue 10, March 16, 2010

    Divisions between HIM and clinical documentation improvement (CDI) staff members are common. But in...

Coming soon in Medical Records Briefing

  • HIM-HIPAA Insider, Issue 10, March 16, 2010

    In the April issue of MRB, you’ll find the following articles, and more! EHR beat...

Q&A: Coding for Delleman syndrome

  • HIM-HIPAA Insider, Issue 9, March 9, 2010

    Q: What code should I use to report for Delleman syndrome?

Tips to help providers meet new IRF documentation and coverage requirements

  • HIM-HIPAA Insider, Issue 8, March 2, 2010

    CMS is taking a closer look at admissions to inpatient rehabilitation facilities (IRF) thanks to...

Consider implementing a productivity incentive plan for coders and transcriptionists

  • HIM Briefings, Issue 3, March 1, 2010

    Sarah Bush Lincoln Health Center in Mattoon, IL developed a productivity incentive plan for their...

Medical Records Briefing, March 2010

  • HIM Briefings, Issue 3, March 1, 2010

    This month's issue includes an article on EHR meaningful use standards and what hospitals should do...

Audit wound debridement MS-DRGs before your RAC does

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    Coders don't need a RAC audit to tell them that reporting inpatient wound care is particularly...

Understanding circulatory system anatomy will help you prepare for coming conversion to ICD-10-CM/PCS

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    Dust off a medical terminology book and start reviewing anatomy and physiology. This may be the...

Briefings on Coding Compliance Strategies, March 2010

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2010

    In this issue, we detail how to ensure compliance and date accuracy by auditing...

Q&A: Coding for gastric lap band erosion with infection

  • HIM-HIPAA Insider, Issue 7, February 23, 2010

    Q: How should I code gastric lap band erosion with infection? The ICD-9-CM Manual instructs coders...

Tip: Coding for cancer

  • CDI Strategies, Issue 4, February 18, 2010

    Within the Alphabetic Index of ICD-9-CM is a Neoplasm table that assists coders in assigning...

Article of the month: Avoid sequencing oversights

  • CDI Strategies, Issue 4, February 18, 2010

    by Robert S. Gold, MD   Every so often, I come across some coding issues that recall other...

Think twice before assigning codes for surgical complications

  • HIM-HIPAA Insider, Issue 6, February 16, 2010

    CDI programs can greatly enhance documentation, but what happens when a hospital's risk-adjusted...

Use PEPPER reports to stay on top of common coding errors

  • HIM-HIPAA Insider, Issue 5, February 9, 2010

    HIM directors can evaluate their hospital’s potential risk for overcoding and unnecessary...

Brush up on sequencing as RAC complex reviews get under way

  • HIM-HIPAA Insider, Issue 5, February 9, 2010

    As RACs begin to roll out complex reviews and request medical record documentation, compliant...

Coming soon in Medical Records Briefing

  • HIM-HIPAA Insider, Issue 5, February 9, 2010

    In the March issue of MRB, you’ll find the following articles, and more! EHR beat...

Tip: Understand the new codes for soft tissue tumors

  • APCs Insider, Issue 3, January 22, 2010

    The AMA has significantly changed musculoskeletal system codes pertaining to soft tissue and bone...

Know when to report uncertain diagnoses

  • HIM-HIPAA Insider, Issue 3, January 19, 2010

    Coders may often wish they could read physicians’ minds when clinical documentation is...

Renal failure coding tips

  • HIM-HIPAA Insider, Issue 2, January 12, 2010

    Chronic kidney disease (CKD) affects 26 million Americans, according to the National Kidney...

Q&A: Coding for influenza type A

  • HIM-HIPAA Insider, Issue 1, January 5, 2010

    Q: How should we code a diagnosis of influenza type A? Should we report ICD-9-CM code 487.1?

ICD-10 conversion presents opportunities, challenges

  • HIM Briefings, Issue 1, January 1, 2010

    Learn to take advantage of opportunities the conversion to ICD-10 will present, and meet the...

Medical Records Briefing, January 2010

  • HIM Briefings, Issue 1, January 1, 2010

    This month’s 16-page expanded issue includes our four-page quarterly insert that focuses on...

Coding for H1N1

  • HIM-HIPAA Insider, Issue 52, December 29, 2009

    Q: How should we code H1N1?

ICD-10 conversion presents opportunities, challenges

  • HIM-HIPAA Insider, Issue 52, December 29, 2009

    You may think you have plenty of time to get ready for the conversion from ICD-9-CM to...

Editor's note: Correction

  • HIM-HIPAA Insider, Issue 52, December 29, 2009

    Editor’s note: We regret the error in last week’s Q&A on coding anemia due to...

New ICD-9 guidelines for anemia due to antineoplastic chemotherapy

  • HIM-HIPAA Insider, Issue 51, December 22, 2009

    Q: Can you explain the new ICD-9 guidelines for coding anemia due to antineoplastic chemotherapy...

Tip: Use modifier -58 for planned return to the OR

  • APCs Insider, Issue 48, December 11, 2009

    Physicians sometimes decide to perform surgery in stages. These situations involve a planned return...

RAC begins complex DRG validation audits: Medical record documentation requests imminent

  • HIM-HIPAA Insider, Issue 49, December 8, 2009

    Connolly Healthcare has announced the first issues approved for complex RAC review, so providers in...

New E codes require detailed documentation

  • HIM-HIPAA Insider, Issue 49, December 8, 2009

    We’ve all read or seen news reports about horrific accidents that occur when people send text...

Tip: Use procedural modifiers to further describe services

  • APCs Insider, Issue 47, December 4, 2009

    Procedural modifiers can provide a wealth of information to further describe services provided...

Briefings on Coding Compliance Strategies, December 2009

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2009

    Inside: New E codes require detailed documentation OIG focuses on hot-button issues in 2010 Work...

Coding for diabetic breast abscess

  • HIM-HIPAA Insider, Issue 48, December 1, 2009

    Q. A patient presents with breast pain and a physician diagnoses her with a diabetic abscess of the...

Tip: Use 3rd Quarter Coding Clinic to help resolve surgery complication questions

  • CDI Strategies, Issue 24, November 26, 2009

    The American Hospital Association’s Coding Clinic for ICD-9-CM contains official advice from...

Coding from nurses' notes

  • HIM-HIPAA Insider, Issue 47, November 24, 2009

    Q. We have been told that coders are not allowed to code from nurses’ notes. Can anyone tell...

Tip: CPT Chapter 11 codes take precedence in OB/GYN cases

  • APCs Insider, Issue 46, November 20, 2009

    When coding OB/GYN procedures, remember that ICD-9 codes 630–679 in Chapter 11 (Complications...

Q/A: Billing telemetry daily monitoring

  • APCs Insider, Issue 46, November 20, 2009

    Q: Can our hospital code and bill telemetry daily monitoring in conjunction with a chest pain...

Refresh your knowledge of core concepts for coding accuracy

  • HIM-HIPAA Insider, Issue 46, November 17, 2009

    Clinical knowledge is an essential element for capturing severity and MS-DRG assignment, according...

Q/A: Documenting lesion size

  • APCs Insider, Issue 45, November 13, 2009

    Q: A surgeon excises a lesion on a patient’s back, but fails to document its size or the...

Tip: Don't overlook small-dollar savings

  • APCs Insider, Issue 45, November 13, 2009

    When considering ways to reduce revenue loss at your facility, don’t look just for big-dollar...

News: ICD-9 to ICD-10 code conversion conference call slated for Nov. 19

  • CDI Strategies, Issue 23, November 12, 2009

    Implementation of ICD-10-CM/PCS remains three years away. But it is not too soon to find out more...

Q/A: May we bill an E/M code for a wound care first visit

  • APCs Insider, Issue 44, November 6, 2009

    Q.  Several of our facilities that include hospital-based outpatient wound care clinics have...

Complications of surgery, uncertain diagnoses, and more highlight important updates for coders

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    The American Hospital Association’s Coding Clinic for ICD-9-CM is one of the most important...

Update your ICD-9 knowledge

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    Some of the major code groupings undergoing change this year include more specificity to the...

Prepare for ICD-10 with anatomy/physiology education

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    As part of your preparation work for ICD-10, consider ways to offer coders more education on...

Briefings on Coding Compliance Strategies, November 2009

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2009

    Inside: Prepare for ICD-10 with anatomy/physiology education Determine your coders’ need...

Q/A: Calcium gluconate administration: Infusion or hydration?

  • APCs Insider, Issue 43, October 30, 2009

    Q. A patient who has undergone a kidney transplant and has plasmapheresis intravenously receives IV...

Q/A: Proper coding for multiple wounds at different sites

  • APCs Insider, Issue 42, October 23, 2009

    Q: A patient with multiple wounds at different sites receives active wound management at one wound...

Tip: Distinguish between therapeutic and diagnostic tests

  • APCs Insider, Issue 42, October 23, 2009

    Facilities need to have a clear understanding of when a procedure is diagnostic and when it is...

Q/A: Does physician documentation in written reports constitute an official order?

  • APCs Insider, Issue 41, October 16, 2009

    Q: We don’t have the usual written orders for several tests. However, physicians dictate or...

Tip: Appropriately report units in excess of MUE

  • APCs Insider, Issue 41, October 16, 2009

    In FAQ 8736, CMS instructs hospitals how to report units in excess of the medically unlikely edits...

Q/A: Billing for ED services that cross days

  • APCs Insider, Issue 40, October 9, 2009

    Q: Patient arrives in ED September 7 at 23:00. ED clinical staff initiate an IV push and hydration...

Tip: Determine whether a colonoscopy is really a screening procedure

  • APCs Insider, Issue 40, October 9, 2009

    Coding a screening colonoscopy should be relatively straightforward. However, the interpretation of...

Tip: Meet physician supervision requirements for diagnostic services

  • APCs Insider, Issue 39, October 2, 2009

    How can your facility ensure compliance with the physician supervision requirements for diagnostic...

Use the 2010 IPPS final rule to lobby for more coder continuing education funds

  • HIM Briefings, Issue 10, October 1, 2009

    Many hospitals had feared a 1.9% reduction in payment for 2010, but they’ll actually see a...

Update: Know the changes for coding anemia due to chemotherapy

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    In the September BCCS, we published an article with Coding Clinic advice on coding anemia secondary...

Pay attention to the details to avoid upcoding

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Although undercoding is always a concern for facilities, potential upcoding is just as serious a...

Know how code assignment affects data quality and risk adjustment

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Coding has continually evolved over the past 10 years, and it will continue to change with the...

Use productivity benchmarks to set coding standards

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    With audit contractors scrutinizing coding accuracy and an upcoming transition to the ICD-10 coding...

Briefings on Coding Compliance Strategies, October 2009

  • Briefings on Coding Compliance Strategies, Issue 10, October 1, 2009

    Inside: Use productivity benchmarks to set coding standards Roller-coaster fall results in...

Medical Records Briefing, October 2009

  • HIM Briefings, Issue 10, October 1, 2009

    This month’s 16-page expanded issue includes our four-page quarterly insert that focuses on...

Tip: Stay up to date with quarterly Coding Clinic releases

  • CDI Strategies, Issue 20, October 1, 2009

    The most recent Coding Clinic, third quarter 2009, contains an entry on glioblastoma with vasogenic...

Coding conditions as "acute" versus "chronic"

  • HIM-HIPAA Insider, Issue 39, September 29, 2009

    Question: A patient came into the ER with complaints of a headache and facial pain. The ER...

Tip: Understand medically unlikely edits

  • APCs Insider, Issue 38, September 25, 2009

    CMS created medically unlikely edits (MUEs) to ensure that providers don’t report excessive...

Effectively research your ICD-9-CM coding questions

  • HIM-HIPAA Insider, Issue 38, September 22, 2009

    Follow these steps when researching an ICD-9-CM coding question.

Q/A: Billing for items used with DME

  • APCs Insider, Issue 37, September 18, 2009

    Q: We understand that we cannot charge for the use of equipment, but can we charge for the soft...

Tip: Understand Q status indicators

  • APCs Insider, Issue 37, September 18, 2009

    Under the 2009 OPPS final rule, bundling is now subdivided into status indicators Q1, Q2, and Q3.

Coding acute blood loss anemia due to patient noncompliance

  • HIM-HIPAA Insider, Issue 37, September 15, 2009

    QUESTION: A patient undergoes outpatient surgery and is subsequently admitted due to acute blood...

Coding incidental versus ectopic pregnancy

  • HIM-HIPAA Insider, Issue 36, September 8, 2009

    Q: What does an incidental pregnancy (code V22.2) mean? Is it related at all to an ectopic...

Ensure compliant coding for ARF

  • HIM-HIPAA Insider, Issue 36, September 8, 2009

    The following ICD-9-CM codes denote acute respiratory failure (ARF): 518.81, ARF...

Q/A: Reporting code 96372 for one dose administered via two injections

  • APCs Insider, Issue 35, September 5, 2009

    Q. A physician orders one dose of a medication to be administered intramuscularly (IM) or...

Tip: Know the general definiation of 'immediately available' for physician supervision

  • APCs Insider, Issue 35, September 4, 2009

    In its 2010 OPPS proposed rule, CMS acknowledges never having specifically defined...

Clarification: Anemia documentation and coding presents communication hazards

  • CDI Strategies, Issue 18, September 3, 2009

    Editor’s note: The following Q&A first appeared in the August 20, 2009, edition of CDI...

What's the accuracy of your POA indicators?

  • HIM Briefings, Issue 9, September 1, 2009

      Just because coders have been reporting the present-on-admission (POA) indicator for nearly...

Illinois hospital ensures one-day stay compliance to avoid RACs

  • HIM Briefings, Issue 9, September 1, 2009

    The final phase of the national Recovery Audit Contractor (RAC) rollout began last month, and...

Medical Records Briefing, September 2009

  • HIM Briefings, Issue 9, September 1, 2009

    This month’s issue covers a wide variety of topics of interest to HIM directors. Our cover...

Briefings on Coding Compliance Strategies September 2009

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009

    In this issue, we dissect the final 2010 IPPS rule, plus discuss the three new NCDs for never...

CMS delays documentation and coding adjustment, reduces payment for common MS-DRGs

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009

    CMS delayed a payment reduction, but changed MS-DRG weights.

Coders need specific details before coding anemia secondary to chemotherapy

  • Briefings on Coding Compliance Strategies, Issue 9, September 1, 2009

    Our coding experts provide three questions to ask before reporting anemia secondary to chemotherapy.

New ICD-9-CM codes increase specificity

  • APC Payment Insider, Issue 9, September 1, 2009

    ICD-9 code changes increase specificity to provide more information.

Q/A: Coding for incomplete stent placement

  • APCs Insider, Issue 32, August 21, 2009

    Q: How should we code the following scenario: A patient arrives at the catheterization laboratory...

Q/A: Limits on PET scans

  • APCs Insider, Issue 31, August 13, 2009

    Q: Is there a limit on how frequently patients may receive PET scans, such as 78815 (Tumor...

Q/A: Report modifier -59 for EKGs performed before or after cardiac catheterization

  • APCs Insider, Issue 30, August 7, 2009

    Q. An APC edit states that 93005 (electrocardiogram, routine EKG with at least 12 leads; tracing...

Tip: Look for injuries sustained during military service

  • APCs Insider, Issue 30, August 7, 2009

    Coders need to be aware of a new set of E codes that detail injuries sustained by military...

CMS releases FY 2010 IPPS final rule

  • HIM-HIPAA Insider, Issue 31, August 4, 2009

    Though many hospitals had feared a 1.9% reduction in payment for 2010, they will actually see a...

Know the adverse effects of atrial fibrillation

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2009

    A few months ago, I wrote a description of how atrial fibrillation (AF) with rapid ventricular...

Quick list: Eight tips to better understand CMS’ GEMs

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2009

    To help facilities prepare for ICD-10, CMS has pub¬lished two fact sheets that provide general...

Briefings on Coding Compliance Strategies, August 2009

  • Briefings on Coding Compliance Strategies, Issue 8, August 1, 2009

    Inside: What would you do? Know your ethical obligations Improve documentation with strong CDI...

Q/A: Physical and occupational therapy in the outpatient department

  • APCs Insider, Issue 29, July 31, 2009

    Q: What are the guidelines for physician supervision for physical therapy/occupational therapy and...

Q/A: Facility guidelines for E/M levels

  • APCs Insider, Issue 28, July 24, 2009

    Q: I work in a hospital outpatient clinic setting. Has CMS issued a deadline for developing...

Tip: Ensure medical necessity to curb outpatient revenue loss

  • APCs Insider, Issue 28, July 24, 2009

    Providers must ensure the medical necessity of procedures they perform. To reduce revenue loss...

Know where to look in the medical record when assigning the POA indicator

  • HIM-HIPAA Insider, Issue 29, July 21, 2009

    Certain areas of the patient’s record will most likely provide important clues to the coder...

Q/A: Use of modifier -25

  • APCs Insider, Issue 28, July 17, 2009

    Q: We know we should append CPT modifier –25 to the visit level when one of our EDs or...

Tip: Consider non-coding tasks when setting coder productivity goals

  • APCs Insider, Issue 28, July 17, 2009

    When setting productivity goals, don’t forget to include non-coding responsibilities when...

Q/A: Coding for blood glucose checks

  • APCs Insider, Issue 27, July 10, 2009

    Q: Which CPT code is appropriate for blood glucose monitoring with a device such as...

Q/A: Appropriate use of code 96376

  • APCs Insider, Issue 26, July 3, 2009

    Q: My question pertains to CPT code 96376 (therapeutic, prophylactic, or diagnostic injection...

Clinically Speaking: Demand a code for demand myocardial infarction

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009

    Each year, the Cooperating Parties make changes to various ICD-9 code sets. Most recent changes...

Is your hospital owed money for PACTs?

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009

    The job of the recovery audit contractors (RAC) is twofold: Identify overpayments to recoup excess...

Uncover this helpful GEM to assist with ICD-10 transition

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009

    Despite the fact that ICD-10 implementation is nearly three years away, CMS is ramping up its...

Briefings on Coding Compliance Strategies, July 2009

  • Briefings on Coding Compliance Strategies, Issue 7, July 1, 2009

    The transition to ICD-10 and preparing for recovery audit contractors are two big issues for...

Medical Records Briefing, July 2009

  • HIM Briefings, Issue 7, July 1, 2009

    This month’s expanded issue includes our 4-page quarterly insert about electronic health...

Use a change-of-status form to ensure compliance when reporting condition code 44

  • HIM-HIPAA Insider, Issue 26, June 30, 2009

    A change-of-status form will help ensure that a hospital meets all of the criteria for reporting...

Tip: Don't forget to monitor coding productivity standards

  • APCs Insider, Issue 25, June 26, 2009

    Establishing coding productivity standards is a necessary and challenging aspect of managing an...

Q/A: Critical care coding

  • APCs Insider, Issue 24, June 19, 2009

    Q: My question pertains to critical care provided in an ER at a Level 1 Trauma Center. If a patient...

CMS issues supplemental fiscal year 2010 proposed rule for long-term acute care hospitals

  • HIM-HIPAA Insider, Issue 24, June 16, 2009

    Q: Where can I find more information about Medicare payments proposed for long-term acute care...

2010 ICD-9 code updates now available online

  • HIM-HIPAA Insider, Issue 24, June 16, 2009

    The new and revised ICD-9 codes that take effect October 1 are now available online. Learn more...

Perspectives on chronic left ventricular heart failure: A coder and a physician team up to offer guidance

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009

    Selecting a code for a patient with heart failure used to be fairly straightforward; fewer codes...

2010 IPPS proposed rule brings historic payment lows, few coding changes

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009

    When CMS released its May 1 proposal, hospitals received a mixed bag of news: There are minimal...

Briefings on Coding Compliance Strategies, June 2009

  • Briefings on Coding Compliance Strategies, Issue 6, June 1, 2009

    Later than usual, CMS finally released the IPPS proposed rule for fiscal year 2010. The biggest...

Construct and maintain a hospital-specific coding manual

  • HIM-HIPAA Insider, Issue 20, May 19, 2009

    Every hospital should develop and maintain its own internal coding manual. It’s an essential...

OIG Work Plan: Still time to prepare

  • HIM-HIPAA Insider, Issue 20, May 19, 2009

    Your hospital’s HIM department has more to think about than ever before. President Obama has...

Q/A: Global payment structure and scheduled ED visits

  • APCs Insider, Issue 19, May 15, 2009

    Q: A patient is seen in the ED for laceration repair and then returns for suture or staple removal...

Understand inpatient wound care coding for RAC audits

  • HIM-HIPAA Insider, Issue 19, May 12, 2009

    During the three-year RAC demonstration project, payment for several inpatient debridement...

CMS issues FY 2010 proposed rule for inpatient rehabilitation facilities

  • HIM-HIPAA Insider, Issue 18, May 5, 2009

    On April 28, CMS issued a proposed rule for inpatient rehabilitation facilities (IRF) for FY 2010.

ICD-9 code for cerebral occlusion, thrombotic with cerebral infarction and hypertensive cardiovascular disease

  • HIM-HIPAA Insider, Issue 18, May 5, 2009

    Q: What code should I report for a cerebral occlusion, thrombotic with cerebral infarction and...

CMS issues FY 2010 IPPS proposed rule

  • HIM-HIPAA Insider, Issue 18, May 4, 2009

    The long-awaited fiscal year (FY) 2010 Inpatient Prospective Payment System (IPPS) proposed rule is...

Coding advice about a couple colonitises

  • Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009

    A variety of codes apply to certain dis┬Čeases of the large bowel, so it?s important to understand...

The quick list: Eight sepsis coding tips

  • Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009

    Sepsis, septicemia, bacteremia and Systemic Inflamma¬tory Response Syndrome (SIRS) are...

Understand inpatient wound care coding for RAC audits

  • Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009

    Two ICD-9 codes denote debridement in relation to wound care: 86.22, excisional debridement of...

Briefings on Coding Compliance Strategies, May 2009

  • Briefings on Coding Compliance Strategies, Issue 5, May 1, 2009

    Across the country, hospitals are focusing more time and energy on improving quality of care, not...

CMS pilot program targets hospitals readmissions

  • HIM-HIPAA Insider, Issue 17, April 28, 2009

    On April 13, CMS announced a pilot project to reduce rates of hospital readmissions. The Care...

Ensure compliance when coding nonphysician documentation

  • HIM-HIPAA Insider, Issue 17, April 28, 2009

    In most cases, coders should not assign codes based on documentation that does not come from a...

Tip of the week

  • APCs Insider, Issue 16, April 17, 2009

    Everyone knows that an immense amount of teamwork is necessary for a CDI program to truly be...

Championing the compliance cause

  • APCs Insider, Issue 16, April 17, 2009

    Christina Benjamin, MA, RHIA, CCS, CCS-P, presents several compliance traps that coders should...

Coding Shone's syndrome with subaortic stenosis and coarctation

  • HIM-HIPAA Insider, Issue 15, April 14, 2009

      Q: How should I code Shone’s syndrome with subaortic stenosis and coarctation...

Clearly document when sepsis or SIRS is POA

  • APCs Insider, Issue 14, April 3, 2009

    Never assume that sepsis is present on admission (POA). Sepsis or severe sepsis may be present on...

Straight talk about uncontrolled diabetes

  • Briefings on Coding Compliance Strategies, Issue 4, April 1, 2009

    We’ve been in the medical record documentation business a long time, and we’ve heard...

Championing the compliance cause: A coder's perspective on avoiding seven potential coding traps

  • Briefings on Coding Compliance Strategies, Issue 4, April 1, 2009

    Coders have a moral and ethical responsibility to judiciously avoid reimbursement fraud and abuse...

Countdown to ICD-10: Devise a four-year training plan

  • HIM Briefings, Issue 4, April 1, 2009

    Although coders need not put their nose to the ICD-10 grindstone for another few years, that...

Medical Records Briefing, April 2009

  • HIM Briefings, Issue 4, April 1, 2009

    This month?s issue is full of time-saving tips and guidance related to Joint Commission changes...

ICD-9-CM Coordination and Maintenance Committee meeting information available

  • HIM-HIPAA Insider, Issue 12, March 24, 2009

    If you haven’t already viewed the handouts from the ICD-9-CM Coordination and Maintenance...

Falls, spills, and other uncodable events

  • HIM-HIPAA Insider, Issue 12, March 24, 2009

    By Robert S. Gold, MD Patient falls account for nearly a half-million inpatient days spent in the...

Documentation and coding for toxic metabolic encephalopathy

  • HIM-HIPAA Insider, Issue 10, March 10, 2009

    Q: I need further clarification regarding documentation of toxic metabolic encephalopathy. I have...

Coding an infected lumbar wound

  • HIM-HIPAA Insider, Issue 9, March 3, 2009

    Q: I report ICD-9 code 876.1 for an infected lumbar wound. However, when I report this code, the...

The coder’s new role in the revenue cycle

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2009

    Without complete and ac¬curate code assignment in conjunction with timely cod¬ing and...

New guidance for coding BMI and pressure ulcers

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2009

    Hospitals around the country face a new challenge: teaching coders that they can, in certain...

Briefings on Coding Compliance Strategies, March 2009

  • Briefings on Coding Compliance Strategies, Issue 3, March 1, 2009

    At long last, CMS announced an implementation date for ICD-10: 2013. Thought that may seem far...

ICD-10 effective October 1, 2013

  • Briefings on APCs, Issue 3, March 1, 2009

    Start your transition now. The moment HIM departments nationwide have awaited for years has arrived.

Assigning a POA indicator for diabetes that progresses from controlled to uncontrolled during a hospital stay

  • HIM-HIPAA Insider, Issue 6, February 10, 2009

    Q: When a patient presents with controlled diabetes that progresses to uncontrolled during a...

Low Vision Awareness Month

  • Coding Educator, Issue 2, February 9, 2009

    February is Low Vision Awareness Month, so I would like to take the opportunity to share a bit...

Coding a full-thickness burn of the colon wall with serosal irritation following a colon popectomy

  • HIM-HIPAA Insider, Issue 5, February 3, 2009

      Q: How do you code a full-thickness burn of the colon wall with serosal irritation...

Falls, spills, and other uncodable events 

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2009

    Seek clarification regarding etiology  by Robert S. Gold, MD  Patient falls account for...

Take another look at observation 

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2009

    Revisit definitions, condition code 44, and the connection to inpatient status

Callers comment on HACs during special CMS session

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2009

    For more than a year, coders have reported the present-on-admission (POA) indicator for most...

Don't leave money on the table: Report eligible procedures under OPPS

  • Briefings on Coding Compliance Strategies, Issue 2, February 1, 2009

    Effective January 1, coders can report HCPCS code C9899 when providers implant a prosthetic device...

Ensure compliance when it comes to verbal queries

  • HIM-HIPAA Insider, Issue 4, January 27, 2009

    Verbal queries have the greatest liability from a legal standpoint and because they are a common...

RAC appeals on the rise according to new CMS statistics

  • HIM-HIPAA Insider, Issue 2, January 13, 2009

    CMS revised its July 2008 RAC appeal update to include appeals statistics through August 31, 2008.

Q&A: Querying for CHF using prior documentation

  • CDI Strategies, Issue 1, January 8, 2009

    Question: Part of our clinical support for determining the presence of congestive heart failure...

Take ownership of patients’ background health risks

  • HIM Briefings, Issue 1, January 1, 2009

    We all do a great job in documenting our patients’ history and physical exams. We all...

National Birth Defects Prevention Month

  • Coding Educator, Issue 1, January 1, 2009

    Birth defects are the leading cause of death in the first year of life, and approximately one in 33...

Update physician query policy in light of new AHIMA practice brief

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009

    Editor’s note: Last month in BCCS, we offered an overview of AHIMA’s new query brief...

Guidelines for reporting CRT-D pacemaker implantation

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009

    Be aware of new Coding Clinic advice Cardiac resynchronization therapy defibrillator (CRT-D...

Accurately document hemorrhage severity

  • Briefings on Coding Compliance Strategies, Issue 1, January 1, 2009

    Get to know your bleeds to ensure proper coding by Robert S. Gold, MD Consider the following...

Coding oxygen therapy

  • HIM-HIPAA Insider, Issue 51, December 30, 2008

    Q: I am new to the inpatient coding world and looking for information about when to code oxygen...

Coding a sprained ankle

  • HIM-HIPAA Insider, Issue 49, December 16, 2008

    Q: A patient is walking quickly on an icy, unsalted sidewalk so she doesn’t miss her bus. The...

Coding secondary diabetes

  • APCs Insider, Issue 50, December 12, 2008

    Coder understanding of the origin of secondary diabetes is important to help ensure coding...

Q&A: Coding using suspected, probable diagnoses

  • CDI Strategies, Issue 25, December 11, 2008

    Where can I find documentation that says that suspected or probable diagnoses have to be in the...

Understand payment implications of the POA indicator

  • HIM-HIPAA Insider, Issue 48, December 9, 2008

    In Medlearn Matters SE0841, CMS outlines payment implications for each of the present on admission...

Q&A: Coding from documentation other than that of the attending physician

  • CDI Strategies, Issue 24, December 4, 2008

    When a clinical condition suggests a more specific diagnosis, and a physician from a different...

Diagnosis code for rejection of a kidney transplant

  • HIM-HIPAA Insider, Issue 47, December 2, 2008

    Q: A physician admits a patient for rejection of a kidney transplant the physician performed four...

CMS offers RAC details despite temporary program halt

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    Officials answer questions during special ODF By now, one point remains clear: CMS has halted the...

New guidance may create additional query opportunities

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    Coders and CDI specialists now have concrete guidance regarding when, how, and to whom they should...

MS-DRGs on OIG radar: Ensure compliant coding

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    Since October 1, 2007, providers have been adapting to a revised hospital inpatient reimbursement...

CMS discusses RAC expansion, ICD-10, and never events

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    CMS discusses RAC expansion, ICD-10, and never events CMS hosted a Hospital & Hospital Quality...

CMS issues updated payment rates and wage indexes for FY 2009: Know how to apply the new data files

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    Hospitals have been waiting for finalized wage indexes and standardized payment rates since CMS...

Go back to the source when coding secondary diabetes

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    As of October 1, coders began reporting new codes for secondary diabetes. To maintain coding...

Work with physicians to obtain clear-cut documentation for pressure ulcers

  • Briefings on Coding Compliance Strategies, Issue 12, December 1, 2008

    by Robert S. Gold, MD Applying the present-on-admission (POA) indicator to pressure ulcers is no...

Assigning a POA indicator for pressure ulcers that progress from one stage to the next during a hospital stay

  • HIM-HIPAA Insider, Issue 45, November 18, 2008

    Q: What present on admission (POA) indicator should we assign when a patient presents to the...

Q&A: Pressure ulcer POA code confusion resolved

  • CDI Strategies, Issue 23, November 13, 2008

    What present on admission (POA) indicator should we assign when a patient presents to the hospital...

How to code common winter ailments

  • HIM Briefings, Issue 12, November 7, 2008

    Scenario 1 A patient does not properly insulate her hands (i.e., wear gloves) while shoveling her...

Get a bloody good understanding of GI hemorrhage

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Gastrointestinal (GI) bleed and its manifestations can be confusing without some insight into...

Clear up morphology and neoplasm code confusion

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    The ICD-9-CM Manual provides many helpful tools you can use to your advantage. For example, despite...

Brush up on the 2009 ICD-9-CM carcinoid codes

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Most surgeons find carcinoid tumors incidentally, either during the postmortem exam when a patient...

Examine postoperative condition coding

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Just because a physician documents a condition during the postoperative period doesn’t mean...

One-day stays

  • Briefings on Coding Compliance Strategies, Issue 11, November 1, 2008

    Forty percent of Medicare admission denials relate to improper one-day stays. If this statistic...

Coding for seizures during National Epilepsy Awareness Month

  • Coding Educator, Issue 11, November 1, 2008

    November, which is National Epilepsy Awareness month, is a great time to find out more about...

Domestic Violence Awareness Month

  • Coding Educator, Issue 10, October 1, 2008

    Every year, when the month of October arrives, my thoughts return to a time years ago when a young...

Avoid encoder traps

  • Briefings on APCs, Issue 9, September 1, 2008

    Encoders are among the most valuable coding resources on the market, but software is just one tool...

Transition to ICD-10 to include HIPAA electronic transaction standards update

  • HIM-HIPAA Insider, Issue 35, September 1, 2008

    On August 22, HHS announced a proposed regulation to replace the ICD-9 code sets now used to report...

National Sickle Cell Awareness Month: Can you code it?

  • Coding Educator, Issue 9, September 1, 2008

    September is National Sickle Cell Awareness Month and this is the perfect opportunity to address...

Outpatient coders not exempt from the FY 2009 ICD-9 code changes

  • Briefings on APCs, Issue 8, August 1, 2008

    The National Center for Health Statistics (NCHS) released its annual ICD-9-CM code changes May 30...

Q&A: OIG considers "unbundling" fraudulent

  • APCs Insider, Issue 22, May 30, 2008

    Part 2 of a 2-part series. See the May 23, 2008 APCs Weekly Monitor for the CMS stance on...

Q&A: CMS considers "unbundling" fraudulent

  • APCs Insider, Issue 21, May 23, 2008

    Do CMS and the Office of Inspector General (OIG) consider the intentional unbundling of codes to be...