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By Johanne Brautigam, RN, BSN, CCDS and Mindy Davis, RHIT, CDIP, CCS, CCDS for ACDIS Blog There are a few key strategies for communication between CDI and coding. Most important, communicate to coding leadership and the coding staff that having a strong working relationship between CDI and coding is a priority. Back this statement up…
By Shannon Muchmore for Healthcare Dive Dive Brief: In the first two years diagnostic codes specific to social determinants of health were available in Medicare fee-for-service claims, they were used for only 1.4% of the total beneficiary population, according to a new report from CMS. Use of the Z codes, first implemented for Medicare FFS…
By Rachel Popa for Becker’s ASC Review Six key revenue cycle from ASC experts: 1. Find causes of denials. Surgery centers can improve claims denial management by adopting proactive strategies, including identifying the root causes of denials, according to Mnet Health, a financial technology firm specializing in healthcare. Root causes may include flawed internal processes…
By Ayla Ellison for Becker’s Hospital Review Physician specialties that generate the most revenue for hospitals and Medicare payment rules were among the healthcare revenue cycle management topics that piqued the interest of readers this year. Here are the five most popular revenue cycle management stories published by Becker’s Hospital Review in 2019: 1. These…
By Nathan Eddy for Healthcare IT News The American Medical Association issued a checklist for the transition to fundamental changes in evaluation and management (E/M) services, a medical coding process in support of medical billing which practicing healthcare providers must use to be reimbursed by Medicare, Medicaid programs or private insurance. The checklist provides a…
Tom Davenport for Forbes Thomas H. Davenport and Steven Miller The coding of medical diagnosis and treatment has always been a challenging issue. Translating a patient’s complex symptoms, and a clinician’s efforts to address them, into a clear and unambiguous classification code was difficult even in simpler times. Now, however, hospitals and health insurance companies…
From the AAP Division of Health Care Finance New guidance on coding for health care encounters related to e-cigarette, or vaping, product use associated lung injury (EVALI) has been released by the Centers for Disease Control and Prevention’s National Center for Health Statistics. The guidance details the use of International Classification of Diseases, Tenth Revision,…
By Michelle Mangino for Athena Health For those reading this ICD-10 series for the first time, you haven’t missed too much, as we just kicked it off in October. For those that did join us, I hope you were able to make it through Halloween without having to use ICD-10 code W22.02XD or W50.1xxS. (Yes, this is a…
By Kelly Gooch for Becker’s Hospital Review With documentation queries to providers, it is important for coding professionals, clinical documentation improvement professionals and other healthcare professionals to know the most appropriate times to query, according to a post on the American Association of Professional Coders website. The post — written by Vicky Schack, compliance program…
By Maureen Kelly and Fred Wulf for For the Record In August, the Centers for Medicare & Medicaid Services (CMS) published the Final Rule for fiscal year 2020’s inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS) code set changes. IPPS updates take effect for discharges occurring from October 1, 2019, through September…