Mycosis Fungoides: CS-Ext and CS-SSF1

C. Matheson, RHIA, CCS Cancer Registry 1 Comment

Mycosis fungoides (9700/3), also known as Alibert-Bazin syndrome, is the most common type of primary cutaneous T-cell lymphoma.  The name Mycosis fungoides loosely means “mushroom-like fungal disease.” It is so named because the skin tumors, particularly of severe cases, have mushroom-like appearance.   However, it is not a fungal infection but rather a type of...

Word of Caution for Hospital CFOs

Charlie Saponaro - CEO Leadership Leave a Comment

Ignore HIM at Your Own Risk Medical records are going electronic at record-breaking speed. Spurred by meaningful use incentives, EHRs are being rapidly installed and core HIM functions quickly automated. Many HIM functions are already outsourced and hospital leaders plan to offload even more HIM tasks in the year ahead. For example, a recent survey of 650 hospital...

Eight Tips to Win Coding Denials

Cathie Wilde, RHIA, CCS - Director, Coding Services Auditing Leave a Comment

How to Successfully Navigate Appeals Even with the temporary suspension of RAC reviews, hospitals continue to deal with insurance denials from a multitude of third party payers. Cathie Wilde, CCS Vice President of Coding Responding to these coding denials is time consuming. HIM, revenue cycle and coding professionals are further frustrated when they believe their...

Cancer Registry – Start Your Engines!

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Cancer Registry Leave a Comment

Are you ready to report cancer cases diagnosed in 2014?  Summer brings races. Running races, bike races, boat races, and of course automobile races. While NASCAR and Indy Car drivers start their engines, cancer registries are revving up to report their 2014 cases. Elizabeth Patena, M.D., CTR VP of Cancer Registry But before you start abstracting and coding cases...

Coding Quality Points to Ponder

C. Matheson, RHIA, CCS Medical Coding Leave a Comment

Nothing is more dangerous than an incorrect code. Whether in ICD-9, ICD-10 or CPT, your organization’s coding practices must be ethical, complete, accurate and compliant. So how are you measuring coding quality today? Which of the following best practices do you use? Lynn Salois, RHIT, CCS, CDIP Director of Coding Perform periodic internal coding quality audits. ...

The ICD-10 Verdict is in…7 strategies from MRA

Cathie Wilde, RHIA, CCS - Director, Coding Services Medical Coding Leave a Comment

ICD-10 Implementation Process Every lesson learned is a step forward. This past week’s decision by the Senate certainly provided a few new lessons for hospitals. First and foremost, we are reminded to “never say never”. And secondly, we can now take a breath and contemplate how to respond. Serious questions now emerge for everyone. The first of these being, when will the...

MRA Thought of the Day – Do You Always Have to Code Grade Path Value and Grade Path System?

C. Matheson, RHIA, CCS Cancer Registry Leave a Comment

Elizabeth Patena, M.D., CTR VP of Cancer Registry For cases January 1, 2010 and forward, Grade Path Value records the numeric grade reported in the pathology report. It documents the numerator or first number of a tumor grade reported in a two, three, or four grade system. It supplements but does not replace the data item Grade/Differentiation. Grade Path System...

MRA Thought of the Day – When is GIST A Reportable Case?

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Cancer Registry Leave a Comment

Gastrointestinal stromal tumors (GIST) may occur anywhere along the entire length of the gastrointestinal tract (GIT), as well as in extravisceral locations, which include the omentum, mesentery, pelvis, and retroperitoneum. Typically, they arise from the wall of the GIT and extend inward toward the mucosa, outward toward the serosa, or in both directions. Lesions that...

MRA Thought of the Day – Myocardial Infarctions: Differences in ICD-10

Cathie Wilde, RHIA, CCS - Director, Coding Services Medical Coding Leave a Comment

Cathie Wilde, RHIA, CCS, Director of Coding Services Myocardial Infarction Coding Aside from the obvious code changes, a coder needs to be aware of some fundamental differences in guidelines for the coding of myocardial infarctions. The ICD-9 fifth digit designation of unspecified, initial episode or subsequent episode of care is no longer applicable The time frame...

MRA Thought of the Day – 2-Midnight Rule Update

Cathie Wilde, RHIA, CCS - Director, Coding Services Medical Coding Leave a Comment

Cathie Wilde, RHIA, CCS, Director of Coding Services On January 31, 2014 CMS extended the “Probe & Educate” review process for implementation of the 2-midnight benchmark for an additional 6 months through September 30, 2014. What does this mean? The 2-midnight benchmark is still the rule for FY 2014 in determining the patient’s admission status. However, through...

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