Identify environmental and socioeconomic factors in health to improve the overall care of the patient population. At a local Blue Cross carrier conference I recently attended, J. Nwando Olayiwola, MD, chief clinical transformation officer at RubiconMD, spoke eloquently about the challenges of identifying social determinants of health (SDOH) — a term we should all start ...
In Coding
Feb 27th, 2019
When diagnoses are linked by “with,” ICD-10-CM presumes a causal relationship, but should you? There are 11 possible definitions of the word “with,” according to Merriam-Webster’s dictionary. In ICD-10-CM, “with” has a single, specific meaning that must be applied with care. This may create a challenge when coding causal relationships because you are taught to ...
In Coding
Dec 2nd, 2018
In addition to updated guidelines summarized in November’s Healthcare Business Monthly (“Change Is Here: Review the 2019 ICD-10-CM Guideline Updates,” pages 32-36) the 2019 ICD-10-CM code book gains 279 new codes, revises 143 codes, and deletes 51 codes. To help you prepare for the year ahead, here’s a quick, chapter-by-chapter rundown of the notable changes. ...
In Coding
Sep 10th, 2018
When the World Health Organization (WHO) released ICD-11 in June, AAPC received a bunch of questions about how quickly we’d all have to learn the new code set. Some members worried if they’d be ready when ICD-11 replaced ICD-10; and we were asked if exams would change this year. We can all take a deep ...
In Coding
Aug 9th, 2018
Follow both ICD-10 Official Guidelines and AHA Coding Clinic guidance to meet MACRA performance requirements. Diagnostic coding accuracy is a lot more important than it used to be. Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Centers for Medicare & Medicaid Services (CMS) has increased physician accountability for reporting a patient’s ...