ICD-10

Final physician payment rule keeps E/M code changes

By Ron Shinkman for Healthcare Dive Dive Brief: CMS on Friday issued its 2020 final rules for the Physician Fee Schedule, including a streamlining of evaluation and management services (E/M) reporting that was rolled back from an earlier proposal in a change providers applauded. The final rule, which is mostly unchanged from the proposed rule…

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The Qualification Question

By Selena Chavis for For the Record On what side of the clinical validation argument do HIM professionals fall? Are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record? This question was posed on a Talk Ten Tuesdays podcast last year, and the robust response received…

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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?

By Shannon Wiggins for HIT Consultant In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along…

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ICD-10-PCS changes: 20 codes added for FY 2020

By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10 Procedure Coding System updates for fiscal year 2020 that include 734 additions. Here are 20 of the added codes: 3E0M30Y Introduction of hyperthermic antineoplastic into peritoneal cavity, percutaneous approach 3E1U48X Irrigation of joints using irrigating substance, percutaneous endoscopic approach, diagnostic 3E1U48Z Irrigation of joints using irrigating…

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Poor documentation training cited as one reason for possible hospital closure

Published July 2019 from CDI Strategies on acdis.org   Citing severe financial difficulties, Hahnemann University Hospital in Philadelphia will close its doors in early September of this year with inpatient admissions ceasing in July, according to a FAQ on the hospital’s website. Since its purchase by the California-based American Academic Health System in January 2018,…

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3 steps to prepare for the transition to ICD-11

By Kelly Gooch for Becker’s Hospital Review The 11th edition of the International Classification of Diseases was presented at the World Health Assembly in May and is slated to take effect in January 2022. To prepare for the transition from ICD-10 to ICD-11, softwareadvice.com recommended that healthcare providers: Become familiar with new ICD-11 codes and chapters,…

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20 proposed billing codes for nonmedical health needs

By Kelly Gooch for Becker’s Hospital Review The American Medical Association and UnitedHealthcare said they are collaborating to support 20 new ICD-10 codes related to social determinants of health. The codes aim to more effectively address nonmedical issues, such as food, housing, transportation and the ability to afford medicine, utilities and other services. The proposal…

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AHIMA Goes to Capitol Hill

By Lesley Kadlec, MA, RHIA, CHDA for For the Record HIM professionals from across the country recently brought their many years of skills and expertise to Capitol Hill during AHIMA’s 2019 Advocacy Summit in Washington, D.C. The Advocacy Summit is an opportunity for AHIMA members to advocate for the interests of HIM professionals. The summit…

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ICD-10-CM changes: The 21 codes deleted for FY 2020

By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10-CM coding updates for fiscal year 2020 that include 273 additions 21 deletions and 30 revisions, according to the American Health Information Management Association. The 21 deletions for the fiscal year beginning Oct. 1, 2019, and ending Sept. 30: D813 Adenosine deaminase [ADA] deficiency H8141…

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