Failing to thoroughly document signs and symptoms, assessments, and treatments of chronic diseases creates a ripple effect of misfortune. First, all relevant codes are not captured; this leads to improper payment (not to mention, an injustice to the patient). The next thing you know, the claim fails a Risk Adjustment Data Validation (RADV) or Office ...
Prevent the spread of misguided MRSA claims with these tips for precise ICD-10-CM coding. Although the precision of code descriptions makes it harder to miscode an infection in ICD-10-CM, there are three tricks to coding Methicillin-resistant Staphylococcus aureus (MRSA) to prevent claims denials or questions. 1. Make Notes in ICD-10-CM About Four MRSA Codes The ...
Be sure documentation proves the device is necessary, and determine the proper diagnosis code. Medicare defines the requirements for coverage of an implantable cardioverter-defibrillator (ICD) insertion in National Coverage Determination (NCD) 20.4, Implantable Automatic Defibrillators. The coverage falls into two major categories: primary prevention of sudden cardiac death and secondary prevention...
ICD-11 is in the works, but you can bet your favorite watch there’s plenty of time before it comes to fruition. What’s happening with ICD-11? As ICD-10 implementation loomed last summer, many who were opposed to it argued we should wait until ICD-11 was available. It would give us time to implement true interoperability, and ...
In CMS
Jul 24th, 2015
With ICD-10 quickly approaching, now is the time to clear up misconceptions. There are many myths about ICD-10, so the Centers for Medicare & Medicaid Services (CMS) has developed a short video to clear up any confusion and to promote their 100-day countdown campaign. It contains 10 simple facts about the new code set and transition. Check out ...