Though larger facilities may have had CDI programs for years that work in conjunction with the inpatient coders—some for over a decade—others are only starting now.
Cornelia de Lange syndrome is a genetic disease that could be misdiagnosed due to its rarity. Yvette DeVay, MHA, CPC, CPMA, CIC, CPC-I , reviews symptoms, procedural treatments, and ICD-10-CM coding for the condition.
Q: A patient presents to the emergency department with chest pain. The physician orders multiple services along with a subsequent infusion without a stop time. What CPT codes would be used to report these services?
The Centers for Disease Control and Prevention released the fiscal year 2019 ICD-10-CM code changes on Monday, June 11. The update includes 279 code additions, 143 revisions, and 51 deletions.
Provider documentation must meet required standards to support the level of care provided. Rose Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS , reviews payer guidelines and medical necessity requirements under Medicare for services performed in the outpatient setting.
Understanding when and how to report hospital modifiers is critical to ensuring compliant billing. Review CPT guidelines for modifiers -25, -50, and -59, as well as case studies and denial numbers by specialty, to reduce your risk from audits. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Spinal surgery is big business. The global market was expected to reach $9.3 billion by 2017, according to Global Industry Analysts . Coders can certainly attest to the frequency of these procedures.
CMS has released the FY 2019 ICD-10-PCS code updates and accompanying coding guidelines. The number of ICD-10-PCS codes for 2019 will total 78,881, in comparison to the 78,705 available for FY 2018.
Q: If a patient is immobile or comatose for an extended period of time in the hospital and develops a stage 3 or 4 pressure ulcer of the left upper back, would this be considered a hospital-acquired condition (HAC)?
Allen Frady, RN-BSN, CCDS, CCS, CRC, reviews proposed changes applicable to coding and CDI teams within the fiscal year (FY) 2019 IPPS proposed rule including HIV disease, ARDS, and CC/MCC changes.