Adriane Martin, DO, FACOS, CCDS, says that knowledge of coding guidelines and Coding Clinic advice, as well as an understanding of the spine anatomy and the spinal fusion procedure itself, can go a long way toward helping put together the pieces of the fusion puzzle.
Chris Simons, MS, RHIA, details way to improve querying across health information management (HIM), coding, and CDI departments since querying providers is a key strategy for improving documentation. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
Numerous Briefings on Coding Compliance Strategies (BCCS) advisory board members will be presenting at the 2018 AHIMA Convention and Exhibit in Miami, Florida, from September 22–26. The advisory board members will cover topics including ICD-10-PCS accuracy basics, surgical complications, and HIM leadership.
As I sit down to summarize the proposed fiscal year (FY) 2019 ICD-10-CM update, the number of changes proposed are significantly less than the prior two years. This makes me think we’re getting back to the norm of expected yearly changes.
As with many diagnoses in the inpatient setting, acute kidney disorders can be confusing for coders to report due to multiple abbreviations and varying clinical criteria. Although the ICD-10-CM codes for the genitourinary system may seem straightforward, they don’t always line up precisely with the provider’s documentation in the medical record.
Amy Sanderson, MD, says that the term “dysphagia” has many synonyms used by providers in medical documentation. However, not all of these symptoms are able to describe the diagnosis with enough specificity so that it can be translated into its corresponding code assignment.
Adriane Martin, DO, FACOS, CCDS, summarizes the proposed changes found in the fiscal year (FY) 2019 IPPS proposed rule, broken down by Major Diagnostic Category (MDC), that would impact ICD-10-CM/PCS codes. Note : To access this free article, make sure you first register here if you do not have a paid subscription.
William E. Haik, MD, FCCP, CDIP , AHIMA-approved ICD-10-CM/PCS trainer, Jonathan Besler, CPA, MA , and Mary Devine, RN , write that while it is well-known that ICD-10-CM/PCS code assignment impacts hospital reimbursement and compliance, there is an additional code that often flies under the radar for inpatient coders and has a huge impact on reimbursement: the discharge status code.
