Review the provider documentation and operative report and consider the ICD-10-CM and ICD-10-PCS codes to be reported. See the answers and rationale to check your answers.
The amount of energy it takes to stay up to date on all the relevant payment and coding updates can be overwhelming, taking valuable time away from daily record review duties and activities.
As clinicians and coders invested in ICD-10-CM/PCS documentation and coding compliance, we’ve seen it all as it relates to the various approaches different hospital systems use to “optimize” or “maximize” their DRG-based case-mix index (CMI) or risk adjustment factor (RAF) scores based on Hierarchical Condition Categories (HCC).
Did you know there is a coding competition? The second annual ICD-10 Coding Contest, sponsored by Central Learning, took place last summer, recruiting coders from all over the nation to participate in coding a total of 1,636 real-life medical cases.
