One of the things that I like about the ICD-10-CM manual is use of the vertical gray bars in the Volume II “Alphabetical Listing for Diseases.” This greatly enhances the ability to see how far the...
Certification in this day and age has become a vital part of obtaining and proving proficiency in coding and other related fields. Many years ago, coders did not have to be certified to secure...
Just when I thought that ICD-10 would resolve those annoying coding guideline and definition inconsistencies, I have discovered that some will still exist in ICD-10, too. Oh no—say it ain’t so! The...
Small rural facilities that haven’t yet started planning for ICD-10-CM/PCS shouldn’t panic yet, but they also shouldn’t delay much longer, says Jeff Wieters, RHIA, senior technical advisory...
I have been doing this workout program called P90X. It’s a challenge, and I’m not nearly as faithful to it as I should be. There is one segment called “Ab Ripper X,” during which our fearless leader...
CMS will host a national provider teleconference, "CMS ICD-10 Conversion Activities," on May 18, 1 - 2:30 p.m. EST. Presenters will discuss the ICD-10 conversion process currently taking place within...
When teaching ICD-9-CM coding, I often use a little ditty, “sprains and strains are the same,” to remind myself that when a physician documents “strain,” I need to start with the main term of “sprain...
Many of the speakers at the AHIMA’s ICD-10 Summit April 11-12 in Baltimore stressed the importance of working together. Physicians, coders, and information technology folks all need to work together...
Getting clinicians onboard and trained for the transition to ICD-10-CM/PCS will be one of the biggest challenges for most facilities, according to Patricia A.C. Hildebrand, MSN, RN, AHIMA-approved...
Coding productivity will decrease at least initially with the switch to ICD-10-CM/PCS. But do you know how productive your coders are now? If the answer is no, consider following the example of Mary...
As most people in the healthcare industry know, the conversion to ICD-10-CM/PCS isn’t the only initiative organizations are trying to implement. So where does the ICD-10 conversion fit within your...
When it comes to training staff members for the upcoming transition to ICD-10-CM/PCS, not everyone has the same needs or characteristics. They don’t even belong to the same group of shareholders...
The current versions of the X12 Version 4010/4010A1 transaction standards lack certain functionality that are pertinent to the healthcare industry. By now, health plans, healthcare clearinghouses,...
Coders are discussing whether they need to be trained in ICD-10-CM only or should they also receive training in ICD-10-PCS. Well, the answer may depend on what setting you are currently employed in,...
One of the things I have always liked about ICD-9-CM is that no matter how poor the documentation, if a code requires a fourth and/or fifth digit the manual always gives what I call the “out” by...
The 2011 ICD-10-CM Official Guidelines include several changes relating to the correct coding for neoplasms. Chapter 2 of the ICD-10-CM contains the codes for most benign and all malignant neoplasms...
I saw a question posted recently regarding the inclusion or exclusion of Workers Comp, property, casualty, and auto under the CMS mandate to implement ICD-10. My first reaction was why wouldn’t they...
HCPro is conducting research into how organizations are assessing their ICD-10 readiness. Click the link below to participate. http://www.zoomerang.com/Survey/WEB22C5AE44S33/
The American Health Information Management Association (AHIMA) recently posted on its ICD-10 webpage a Top 10 List: Phase One . In early 2011, Phase I (first quarter 2009–second quarter 2011) of the...
ICD-10-CM/PCS now has guidelines for reporting conditions that are present on admission (POA). As part of the 2011 guidelines updates, CMS and the National Center for Health Statistics added Appendix...
As we work toward the implementation of ICD-10 in 2013, strategic opportunities for change abound. Remember all those items that have remained static on your operational wish list? Perhaps you can...
As a regulatory specialist, I find myself asking my students, fellow coders, and other colleagues (e.g., clinical documentation improvement specialists) where they are in terms of preparation for ICD...
The Centers for Disease Control (CDC) posted the new 2011 guidelines for ICD-10-CM on its website. You won’t find many significant changes to conventions, general coding guidelines, and chapter...
CMS has posted two new frequently asked questions (FAQs) about ICD-10 national provider teleconferences and the partial code freeze. To access these FAQs, please visit the CMS ICD-10 webpage , click...
Before you can think about implementing ICD-10, you need to be sure your numerous Hospital Information Systems (HIS) and Practice Management Systems (PMS) are upgraded for the change. It can be a...
As many of you know, before we switch to ICD-10-CM/PCS, we first will be transitioning to HIPAA Version 5010. In fact, that date is less than one year away. By January 1, 2012, providers need to be...
This series of entries will not follow a random bi-weekly topic but will focus on the chronological transition to ICD-10 readiness. My intent is to dispel myths and compare real-world experience in...
CMS recently posted agendas for what will be the last ICD-9-CM Coordination & Maintenance Committee meeting to address code updates for ICD-9 and ICD-10 before the partial code freeze is...
A common question I have been asked lately is whether coders should receive ICD-10 training now, or should they wait until much closer to the implementation date of October 1, 2013? Comments by some...
I was talking with a friend of mine recently about the transition to ICD-10. He is a very good doctor who prefers to leave the “administrative details” to his capable office manager. Although he...
In previous versions of the ICD-10-CM Draft Manual , we were all under the impression that certain conditions, such as malignant versus benign hypertension and uncontrolled versus not stated as...
CMS included nine topics related to ICD-10-CM/PCS on its tentative agenda for the ICD-9-CM Coordination and Maintenance Committee meeting March 9-10. This is the final meeting to address ICD-9-CM and...
So you still think you have plenty of time before the switch to ICD-10-CM/PCS happens, right? After all it’s still too early to start learning the codes. But what have you done to prepare? According...
Physicians who are part of a practice do go to the hospital to deliver babies, provide consults, and perform surgeries. So does that mean coders in a physician’s office will need to learn ICD-10-PCS...
We should all be in the middle of our plans to transition from ICD-9-CM to ICD-10-CM and ICD-10-PCS. From planning and budgeting to training and auditing to process and technology changes, the...
I know there are some of you out there who missed the recent CMS national provider call. For anyone looking to catch up on this recent information session, CMS posted to its ICD-10 webpage a...
You can expect ICD-10 updates to follow the same timeline that you are already accustomed to for ICD-9—almost. An ICD-9-CM Coordination and Maintenance Committee Meeting was held September 15-16,...
When coders are looking at scenarios in ICD-10-CM/PCS, where the X is located within the code matters. When X is in the fifth and/or sixth character, X is a placeholder. ICD-10-CM codes can be up to...
As many may be aware, laterality has been added in ICD-10-CM to increase specificity. Codes assigned for conditions such as fractures, burns, and pressure ulcers will indicate right side versus left...
On November 23, 2010, the North Carolina Healthcare Information & Communications Alliance (NCHICA) and the Workgroup for Electronic Data Interchange (WEDI) published what they call an "...
Can’t wait to learn more about ICD-10? Want to get some basic training and experience in using ICD-10? Not enough money in the budget to go get training? Take a look at the World Health Organization’...
CMS will host a national provider teleconference January 12 at 1 p.m. that will focus on ICD-10 implementation in 2011. CMS representatives will discuss implementation strategies for this year...
As the New Year starts, where are you at in terms of your ICD-10 implementation plans? This might be a good time to sit down and identify any gaps in your preparation to ensure a smooth transition to...
Expert predictions for industry costs for the upcoming move to ICD-10-CM/PCS vary from $6 billion to $14 billion (Robert E. Nolan Company), to $1.15 billion (RAND Corporation). Regardless of where...
CMS has released the 2011 versions of the ICD-10-CM/PCS crosswalks, also known as the General Equivalence Mappings (GEM) on its ICD-10 website . In addition, CMS also posted a document titled “ICD-10...
It may come as a surprise, but CMS has an excellent website to help with the transitions to 5010 and ICD-10. This site is actually easy to use and fairly comprehensive compared to some of their...
ICD-10. The biggest change to happen in health information management in more than 20 years is on your doorstep. You’ll need a step-by-step plan to educate and train staff across multiple departments...
At the annual American Health Information Management Association's (AHIMA) convention in September, AHIMA practice resources managers Kathy DeVault, RHIA, CCS, CCS-P, and Ann Zeisset, RHIT, CCS, CCS-...
One of the challenges in ICD-9 is teaching the difference between coding for adverse effects and poisonings. You have to understand the difference between the two, and you have to also understand the...
The meanings of the seventh character for ICD-10-CM codes vary across chapters and categories. Fracture codes include additional information that can be provided by the extension. When coding for a...
