William Haik, MD, FCCP, CDIP, director of DRG Review, Inc., and Cheryl Ericson, RN, MS, CCDS, CDIP, AHIMA-approved ICD-10-CM/PCS Trainer, clinical documentation improvement education director at HCPro, Inc., answered these questions about physician queries as part of the HCPro webcast, Physician Queries: Comply With the New ACDIS/AHIMA Guidance.
This sample chapter from JustCoding’s ICD-10-PCS Medical and Surgical Root Operations Training Handbookcovers root operations that can be described as “others.” They don’t have a common theme, like always needing a device. They really don’t fall under any of the other root operations classifications, so they end up here. Depending on your case mix, you may never need these root operations, but it’s still good to be familiar with them.
Jillian Harrington, MHA, CPC, CPC-I, CPC-P, CCS, CCS-P, MHP, regulatory specialist and Boot Camp instruct for HCPro, a division of BLR, in Danvers, Massachusetts, provides coding examples for reporting diabetes diagnoses in ICD-10-CM.
Coders frequently struggle with reporting modifier -59 (distinct procedural service) with drug administration services. This excerpt, from JustCoding's Injections and Infusions Coding Handbook, reviewed by Jugna Shah, MPH, covers how to report the modifier for injections and infusions and includes a Q&A for common questions.
Coders often struggle with injection and infusion coding, even though the codes themselves have not changed. These four case scenarios provide a look at some simple and complex situations for coding injections and infusions. The answers are based on the 2012 CPT codes. The case examples are adapted from a presentation by Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC.
In this position paper, Brian Murphy, director of the Association of Clinical Documentation Improvement Specialists, seeks to clarify the role of the clinical documentation improvement specialist (CDIS) and provide guidance in developing appropriate policies, procedures, and job descriptions for CDI departments. The CDIS role is complex and requires expert knowledge of clinical care and applicable coding guidelines, as well as an ability to communicate effectively with the clinical care team.
The Centers for Medicare and Medicaid Services (CMS) began the process of clarifying the level of physician supervision for hospital outpatient services in 2008, continuing with further clarifications and regulatory changes through the CY 2012 outpatient prospective payment system (OPPS) final rule. In this white paper, Kimberly Anderwood Hoy, JD, CPC, director of Medicare and compliance at HCPro, Inc, in Danvers, MA, will explain the current requirements for supervision of hospital outpatient services, as well as the recent clarification in the CY 2012 final rule.
Kimberly Anderwood Hoy Baker, JD, director of Medicare and Compliance for HCPro, a division of BLR, in Danvers, Massachusetts, provides examples for using modifier –L1 when reporting laboratory services in the ED.
These 10 questions are a sample of the 100 questions contained inThe ICD-10 Competency Assessment for Coders: ICD-10-CM & ICD-10-PCS. This selection of questions comes from the Genitourinary system, infectious diseases, and integumentary system sections of the assessment. The questions and answers developed to help you kick off your programs and see where your coding and HIM staff need focused training efforts. You'll identify key areas of your staff members' foundational learning that your programs will need to address.
