Part 2: Applying appropriate modifiers and assigning medically necessary diagnosis codes aids claim reimbursement. Delivering quality care while ensuring effective clinical documentation and compliant medical coding is an ongoing challenge in a fast-paced emergency department (ED). This two-part series reviews best practices for optimizing coding compliance and reimbursement of ED claims. Last mont...
In Coding
Jun 12th, 2018
The ICD-10-CM code set for 2019 includes 279 additions, 51 deletions, and 143 revised codes —for a grand total of 71,932 codes, compared to this year’s 71,701 codes (an additional 228 codes). Codes Get Even More Specific Most of the changes, which go into effect October 1, provide more specificity than in existing codes. For ...
Don’t let billing these services strike with a thunderclap of pain. The thunderclap headache heralding reversible cerebral vasoconstriction syndrome (RCVS) is described by sufferers as just that: a thunderclap. There is no warning before the unimaginable pain brings you to your knees. Inside the head, arteries supplying the brain with blood constrict or dilate. The ...
As a Certified Risk Adjustment Coder (CRC™), you’re an advocate for payers, providers, and patients. By Richard “Rik” Salomon, CPC, CRC HCC (hierarchical condition category) coding affects payers, providers, and patients in every setting. But capturing HCC codes in the emergency department (ED) is complicated because of the urgency to process patients quickly. Primary care ...
Encounter codes require knowing sequencing guidelines and Medicare exceptions. When applied correctly, Z codes improve claims accuracy and specificity, and help to establish medical necessity for treatment. That’s reason enough to get to know them better. The Importance of Z Codes Z codes, found in Chapter 21: Factors Influencing Health Status and Contact with Health ...