In Coding
Mar 8th, 2018
On World Kidney Day, March 8, take a moment to refresh your understanding of chronic kidney disease (CKD) and how to properly code this unfortunate diagnosis. One in seven Americans has CKD — more women than men: CKD affects 16 percent of women and 13 percent of men, according to the National Institute of Diabetes and ...
Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...
Aug 1st, 2012
By Holly J. Cassano, CPC Proper hierarchal condition category (HCC) classification depends on a plan’s ability to obtain accurate diagnostic HCC information and report that information accurately to the Centers for Medicare & Medicaid Services (CMS). If a plan focuses solely on disease management to decrease costs (neglecting to develop an effective HCC strategy), it ...
Oct 1st, 2011
Use severity, condition, classification, and sequencing to help clean up your claims. By Michelle A. Green, MPS, RHIA, CPC, FAHIMA End stage renal disease (ESRD) is the most severe form of chronic kidney disease (CKD). At this stage, kidney function is so impaired that patients must receive regular hemodialysis to remove waste from the body, ...
Jul 1st, 2011
The Food and Drug Administration (FDA) released a safety announcement June 24 informing health care professionals of modified recommendations for more conservative dosing of erythropoiesis-stimulating agents (ESAs) in patients with chronic kidney disease (CKD). FDA has made these recommendations because of data showing increased risks of cardiovascular events with ESAs in this patient population. ...