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With its proposed changes to payments and documentation for office visits, the agency is effectively forcing providers to reckon with a longstanding, oft-disputed problem. By Tony Abraham for Healthcare Dive Most healthcare players agree the evaluation and management billing codes used by CMS need an overhaul, but few like the manner to do so proposed…
By Karla VonEschen, CPC for For the Record Correct use of unlisted CPT codes is one of the more confusing aspects of CPT coding for both coders and physicians alike. Although unlisted codes are used only when no code exists to accurately describe a procedure or service, these codes serve an important purpose. With advancements…
By Chris Simons MS, RHIA for ACDIS Blog As the coder or CDI specialist reviews the documentation, he or she will identify opportunities to clarify diagnoses or even to identify conditions that were not previously documented but may be possible given the patient’s presentation. By querying the physician while the patient is still in the…
By Angie Stewart for Becker’s Hospital Review Carevoyance compiled a list of unusual ICD-10 codes to highlight the level of specificity ASCs, hospitals and medical practices must capture, according to Chief Commercial Officer Katie Vahle. Here are 15 highly unusual ICD-10 codes: 1. W5621XA: Bitten by Orca, Initial Encounter 2. X52XXXA: Prolonged Stay in Weightless…
By James P. Fee, MD, CCS, CCDS, AHIMA-approved ICD-10-CM/PCS trainer for ACDIS Blog Risk is the new buzzword in healthcare, right up there with denial. In fact, CDI programs often deploy physician advisors to assist with shared risk payment models, denial prevention, and improved outcome performance. However, a CDI physician advisor without proper training and…
By Beth Jones Sanborn for Healthcare Finance While a majority of patients say they would consider the technologies to diagnose cancer and recommend treatment, they still fear costs. What Happened A new survey from McKesson and Ipsos revealed widespread openness toward AI and genetic testing as a solution for cancer diagnosis, but concern about cost…
By Kelly Gooch for Becker’s Hospital Review In June, the CDC published 29 ICD-10 codes to help providers document sex and labor exploitation. The human-trafficking-related codes are a collaboration between Englewood, Colo.-based Catholic Health Initiatives, the American Hospital Association’s Hospitals Against Violence initiative and clinicians at Boston-based Massachusetts General Hospital’s Freedom Clinic. They will take effect in…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog I think we’re all familiar with the Law of Unintended Consequences. That’s the concept that something begun with the best of intentions can wind up going horribly awry. Examples include “New Coke” and anything ending in the word “Kardashian.” (Although I’m not sure anything the…
By Jasmine Morgan for Technology Networks Medical records are some of the richest and most under-utilized data sources. Imagine if you could search medical records in the same way you search Google. This would require that all the information was properly categorized and tagged. Such a tool would offer all members of the medical staff…
By Megan Knowles for Becker’s Hospital Review Physicians experiencing burnout were more likely to report medical errors — and burnout may be to blame for more errors than unsafe workplace conditions, a study published in Mayo Clinic Proceedings found. “If we are trying to maximize the safety and quality of medical care, we must address…