Enhance your working relationship to reach your common goal. All clinical documentation improvement (CDI) departments have challenges. A common issue seen in the industry is the lack of CDI and coder collaboration. Some facilities may even describe friction between the two departments — and often there are good reasons why. At a high level, when ...
In CMS
Oct 29th, 2019
Wondering where all the ICD-10-CM, CPT, HCPCS Level II, Bill Type, and Revenue codes disappeared to in local coverage determinations (LCDs)? A provision of the 21st Century Cures Act required codes to be removed from LCDs and communicated through local coverage articles. Medicare Administrative Contractors (MACs) began the conversion at the beginning of the year ...
In Coding
Oct 24th, 2019
Official diagnosis coding guidance for 2019 healthcare encounters and deaths associated with e-cigarette, or vaping, product use associated lung injury (EVALI) was released Oct. 17. Until we have more specific codes, we are instructed to “Assign as many codes, as appropriate.” According to this ICD-10-CM Official Coding Guidelines – Supplement “Coding encounters related to E-cigarette, ...
In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
In Coding
Oct 9th, 2019
Part 2: Strengthen your ICD-10-PCS coding for lumbar spinal fusion procedures. Coding spinal fusion in an outpatient or ambulatory surgery center (ASC) setting with CPT® is very different than coding spinal fusion in the inpatient setting with ICD-10-PCS. For example, as illustrated in Figure 1, CPT® divides the spine into three columns: Anterior (anterior two-thirds ...