Coding Clinic , Fourth Quarter 2017, which became effective October 1, has interesting morsels affecting ICD-10-CM/PCS documentation and coding compliance.
Yes, I’ll admit it: I used to be one of those people. Before finding a great fit on a CDI dream team, I worked as a medical review examiner for a Medicare Administrative Contractor (MAC). During that time, I reviewed Part A claims for inpatient stays, therapy reviews, medications, and Recovery Auditor (RA) appeals—to name a few. Not only did I gain experience working with Medicare hospital claims, but I also got to see a little bit of how different facilities approach their denials.
The newness and specificity of ICD-10 has ushered in a stronger focus on clinical coding audits. From internal reviews to external inpatient coding audits, healthcare organizations nationwide are revisiting tried-and-true audit practices with ICD-10 coding quality in mind.
According to the American Cancer Society, skin cancer is by far the most common type of cancer . Exposure to harmful ultraviolet (UV) rays from the sun without protection can cause skin cancer. UV rays can come from other sources as well, such as tanning beds and sun lamps. The number of skin cancer diagnoses has increased in the past few years.
A Comprehensive Error Rate Testing (CERT) study showed insufficient documentation causes most improper payments for arthroscopic rotator cuff repairs, according to the October 2017 Medicare Quarterly Compliance Newsletter .
The new ICD-10-CM codes for FY 2018, effective October 1, represent significant changes in some hospital documentation and coding practices. James S. Kennedy, MD, CCS, CDIP, CCDS , reviews some of the most significant revisions to the ICD-10-CM guidelines for 2018.
Documentation is crucial for the development of data reflecting the healthcare needs of domestic violence victims. Yvette DeVay, MHA, CPMA, CPC, CIC, CPC-I , explains how to properly screen for and code incidents of domestic violence.
Whether big or small, crooked or straight, the nose is a vital component of the human respiratory system. There will be extra focus on nasal anatomy in 2018, as the CPT® codes for nasal endoscopies were revised. Brush up on nasal anatomy to prepare for reporting these new codes. Note: To access this free article, make sure you first register here if you do not have a paid subscription.
