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By Andria Jacobs, RN, MS, CEN, CPHQ for AJMC Andria Jacobs, RN, MS, CEN, CPHQ, chief operating officer for PCG Software, discusses 3 billing and claims issues facing the health care industry in the wake of the COVID-19 pandemic. Rightfully so, the coronavirus pandemic has shone the spotlight on front-line medical professionals who continue to…
Morgan Haefner for Becker’s Hospital Review In its proposed Physician Fee Schedule for 2021, CMS outlined changes to how office and outpatient evaluation and management visits will be coded. Four things to know: 1. CMS proposed a refinement to clarify the times when prolonged office and outpatient E/M visits can be reported. The department proposed revaluing…
By Angie Stewart for Becker’s Hospital Review CMS published 11 Current Procedural Terminology Category III codes that took effect July 1 in the ASC payment system. The agency also made updated payment rates available for download. The new codes: 0594T. Humerus osteotomy with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments,…
By Scott E. Rupp for For the Record Take the long view and—despite recent job losses—coding remains a strong career path. So far, the first year of the second decade of the 21st century has brought a lot of uncertainty—to say the least. Through April, more than 30 million people had filed for unemployment as…
CONCORD, Ohio, July 9, 2020 (Newswire.com) – Dolbey is a leading provider of medical coding and billing software that drives greater accuracy and high productivity in medical coding by using Artificial Intelligence and Machine Learning. KLAS Research has awarded Dolbey the Category Leader designation for Computer-Assisted Coding for four straight years. Prior to COVID-19, the…
Morgan Haefner for Becker’s Hospital Review From January to April, the three most common primary care services didn’t change, even during the COVID-19 pandemic, according to Fair Health, a healthcare cost data organization. Here are the three most common primary care billing codes, and their ranking, for January through April 2020: Office outpatient visit, 15 minutes…
By Revenue Cycle Advisor CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging of various organs. It also released the FY 2021 ICD-10-PCS Official Guidelines for Coding and Reporting. The new ICD-10-PCS code set take effect…
Morgan Haefner for Becker’s Hospital Review The Inpatient Prospective Payment System proposed rule released May 11 calls for 47 diagnosis codes to be revised for 2021. Here are the 47 diagnoses CMS wants to revise codes for: View a full list of the revised diagnosis codes in Table 6E. If approved, changes would take effect Oct. 1. D57.411,…
The American Hospital Association’ Central Office on ICD-10-CM/PCS and American Health Information Management Association answer commonly asked questions about ICD-10-CM coding for COVID-19. Click the link to see their answers:
By Alba Kuqi, MD, CICA, CCS, CDIP, CCDS, CRCR, CSMC for ACDIS CDI Blog Codes for symptoms, signs, and ill-defined conditions from Chapter 18 of the ICD-10-CM coding manual cannot be used as principal diagnosis or reasons for outpatient encounters when related diagnosis has been established, they may be assigned as an additional diagnosis. Examples…