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Morgan Haefner for Becker’s Hospital Review As the U.S. responds to a growing threat of the 2019 novel coronavirus, CMS and other organizations are clarifying how to code for testing and treatment of the disease. Six things to know: CMS created a new Healthcare Common Procedure Coding System code for providers and labs testing patients…
By Cheryl Ericson, RN, MS, CCDS, CDIP and Cathy Farraher, RN, MBA, CCM, CCDS for ACDIS CDI Blog Clinical validation is a process in which diagnoses already written in the chart are reviewed by a clinical documentation specialist to ensure the corresponding clinical indicators and treatment exist alongside them, thereby “validating” the diagnoses. It is…
By Mackenzie Bean for Becker’s Hospital Review The CDC’s National Center for Health Statistics will add a new diagnosis code for vaping-related illnesses to ICD-10 on April 1, reports AHA News. CMS updated its software for inpatient prospective payment system claims to accommodate the new code, U07.0. The CDC is rolling out the new diagnosis…
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,…