In Coding
Aug 6th, 2019
Alert coders of Excludes1 conflicts to help you catch problems in problem lists and avoid costly denials and rework. By Rebecca Caux-Harry, CPC In April’s Healthcare Business Monthly (pages 56-57), in the article “Take the Problem Out of Problem Lists,” authors Mary Wood, CPC, CPC-I, and Michael Warner, DO, CPC, CPCO, CPMA, AAPC Fellow, include ...
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 CMS
May 3rd, 2019
Social determinants of health (SDOH). You’ve probably been hearing that term a lot lately. Karen DeSalvo, MD, MPH, MSc, spoke on social determinants at HEALTHCON in Las Vegas (April 28 – May 1); and the American Medical Association and UnitedHealthcare recently announced a collaboration to standardize data collection on SDOH with new ICD-10-CM codes. What ...
In Billing
Apr 29th, 2019
One of the hot topics that just happened at the 2019 HEALTHCON was “Gender Identity: Coding EMRs and Insurance Barriers,” presented by Danielle Erickson, CPC, CCS, and Litriana Shimano, CPC, CMDP, CCP, PCS, AHIMA Approved ICD-10-CM/PCS Trainer. It was a full session that many medical coders and payers attended because transgender medical services are difficult ...
In Coding
Apr 8th, 2019
A doctor notes in a patient’s medical record, “C. auris.” How do you code this? Hopefully, you’ll never come across this diagnosis in a chart beyond this hypothetical scenario, but the odds you will are increasing. The Centers for Disease Control and Prevention (CDC) considers C. auris an emerging pathogen because increasing numbers of infections ...