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By Paul Cadorette, CPC, COC, CPC-P, COC, CASCC, Director, Training and Education, Coding, and Alison Kuley, CPC, Senior Spine Coder, National Medical Billing Services for Becker’s ASC Review Much like the spine itself, medical coding constitutes the backbone of your revenue cycle. As more spinal procedures are performed on an outpatient basis in ambulatory surgery…
By Laura Dyrda for Becker’s Hospital Review Insurers and health systems across the U.S. have been at odds during the most recent cycle of contract negotiations, and terminated contracts are affecting thousands of patients. As hospitals continue to recover financially from the COVID-19 pandemic and deal with higher supply costs and employee wages, many organizations…
From the ACDIS CDI Blog Because every chart is coded before being sent to payers, it’s important that CDI specialists have a working knowledge of code sets and coding rules. The inpatient prospective payment system (IPPS) final ruling, traditionally updated annually, has been changed to update twice a year on April 1 and October 1 beginning…
By Angela Lima, BS, CCS, CDIP, CIC, COC for For the Record Libman Education’s survey found that 87% of respondents plan to increase their coding expertise. As you read this article, you’re probably sitting in your home office, drinking your third (or fourth) cup of coffee, and perhaps even wearing your favorite pair of slippers. That’s…
By Jonathan Rubenstein, MD, Mark Painter for Urology Times “As always, document well and use the modifiers when appropriate,” advise Jonathan Rubenstein, MD, and Mark Painter. Can you explain the difference and appropriate use of modifier -57 vs -25? Although this may seem like a basic question for many coders, some do not fully understand the difference…
By Jonathan Rubenstein, MD, Mark Painter for Urology Times New and updated codes encompass balloon continence devices, hypospadias Current Procedure Terminology (CPT) codes are continuously being updated. New and updated Category I and III codes will become active on January 1, 2022. In addition, some other Category III codes may be released on July 1 of…
By Kelly Sutton, RN, BSN, MHL, CCDS for ACDIS CDI Blog The transition into CDI from other avenues can be filled with overwhelming thoughts and emotions. In my experience as division educator, almost every CDI specialist will, at some point, have doubts about their career change. In the CDI specialist role, the relationships with physicians…
By Marlene Goodwin-Esola, MSN, CV-BC, NE-BC for ACDIS CDI Blog When I first entered the CDI field, I received feedback from someone who left this specialty expressing that her reason for leaving was that CDI was “too sad.” Her rationale was that as a CDI specialist, you might be reviewing a chart of a patient…
By Howard Rodenberg, MD, MPH, CCDS for ACDIS CDI Blog In one of my recent efforts for the ACDIS Blog, I mentioned that there were times when it might be better not to query. I’ve also mentioned that before one sends a query, one needs to take into account the entire context of the patient encounter. I’d like…
ACDIS Journal Excerpt from The ACDIS CDI Blog No matter the level of training and preparation you put into implementing a new technology, you’ll likely still encounter some struggles along the adoption journey. Inevitably, regardless of the project, there will always be a few troublesome providers, according to Vaughn Matacale, MD, CCDS, director of the CDI advisor…