Robert S. Gold, MD, gives coding guidance on primary cardiomyopathy, SIRS, sepsis, acute respiratory distress syndrome, and conditions during the perinatal period.
Misusing modifier -25 (significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) can be an expensive proposition. Just ask Georgia Cancer Specialists I, a leading oncology practice in Atlanta.
Our coding experts answer your questions about observation orders, sequencing additional diagnoses, coding for wound care with no-cost skin substitute, and reporting cardiac rehabilitation and physical therapy together.
In this month's issue, we review correct use of modifier -25, walk through observation case studies, discuss the pros and cons of dual coding in preparation for ICD-10, review the supervision decisions of the Hospital Outpatient Payment Panel and CMS, and answer your coding questions.
Most of the odd ICD-10-CM codes, the ones that make us laugh or roll our eyes, live in Chapter 20 (External causes of mortality). Here you will find such gems as: X32, exposure to sunlight (which...
When coding for neoplasms in ICD-10-CM, coders will notice some differences in clinical documentation and sequencing. ICD-10-CM and ICD-9-CM coding for neoplams share some similarities, but ICD-10-CM...
When I first heard that the American Medical Association (AMA) is still fighting against ICD-10 implementation, I thought, “Seriously?” and rolled my eyes. In case you haven’t heard, the AMA’s House...
External cause codes in ICD-10-CM are intended to provide data for injury research and evaluation of injury prevention strategies. Some are humorous and some are confusing. Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC, explains how and when to use these codes.
If you’re worried about getting your physicians trained for ICD-10, you’re not alone. Thea Campbell, MBA, RHIA, Melanie Endicott, MBA/HCM, RHIA, CDIP, CCS, CCS-P, Donna Smith, RHIA, and Sue Belley , MEd, RHIA, CPHQ, offer tips and strategies to educate physicians about the new code sets.
Organizations looking for real-world examples of ICD-10 education can check out the plan created by Ginger Boyle, MD, of Spartanburg Regional Healthcare System in South Carolina.
With the increased specificity required for ICD-10-CM coding, coders need a solid foundation in anatomy and physiology. To help coders prepare for the upcoming transition, JustCoding will provide an occasional article about specific anatomical locations and body parts as part of a larger series for ICD-10-CM preparation. This month’s column addresses the anatomy of the shoulder.
Black Friday marks the beginning of the holiday shopping season—and the holiday injury season at Fix ‘Em Up Clinic. Patients started showing up shortly after the stores opened this morning with...
Over the river and through the woods to the Fix ‘Em Up Clinic we go. Not exactly where our patients want to spend Thanksgiving (and neither do we), but we’re here to coding their holiday mishaps...
Do you find yourself wondering how you will ever learn everything to be ready for the ICD-10-CM/PCS compliance deadline? Does it feel overwhelming with how busy you are? The answer: Keep Calm and...
Hospitals are overturning Recovery Auditor denials nearly 75% of the time, according to recent RACTrac data. That’s why the American Hospital Association adamantly supports a new proposed bill—the Medicare Audit Improvement Act of 2012 —aimed at holding Recovery Auditors accountable for inappropriate denials.
