medical coding

Preparing Noncoders for New 2020 Codes

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…

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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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How AI can transform hospital revenue cycle management — 5 thoughts

Scott Becker and Ayla Ellison for Becker’s Hospital Review Artificial intelligence is making big waves across many industries, and healthcare organizations are exploring ways to harness AI’s transformative power. Many hospitals and health systems are already leveraging AI to improve care, support clinical decisions and boost clinician satisfaction. However, the role of AI in healthcare…

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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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21 of the most in-demand jobs in the US — and how much they’ll pay

By Emma Newburger for CNBC If you’re job hunting in certain high-growth fields, you’re not just in luck — you’re in demand. A shortage of skilled workers in some fields is leading to stiff competition as companies hunt for talent. To help workers understand what they’re worth, staffing firm Randstad US recently compiled a special…

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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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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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