7 Points of Focus When Your Revenue Cycle Metric is Low

Heather Chartier, MS, RHIA, CCA Revenue Cycle Leave a Comment

Metrics represent values to measure an organization’s strategy. Leaders should understand that metrics cannot replace strategy. It can lead to behaviors that undermine the very strategy the metrics expect to measure, resulting in negative consequences for all. Remember the severe negative repercussions the banking giant, Wells Fargo experienced when it aggressively pushed...

Spinal Cord Tumors: Reportable or Not?

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

Deciding whether a spinal cord tumor is reportable or not can be a daunting task for even experienced cancer registrars. The decision-making process used for correct case-finding must begin with an understanding of the anatomy, terms and definitions used, and how benign and malignant spinal cord tumors are classified.     Spinal cord tumors are defined by their position...

Metabolic Complications of Diabetes Mellitus

Becky Buegel, RHIA, CDIP, CHP Outpatient Coding Leave a Comment

Diabetes mellitus (DM) Types 1 and 2 are both known to be associated with a variety of complications. Some complications, like kidney disease or ophthalmic problems are, more often than not, related to poorly controlled diabetes. Acute metabolic complications are one of the many different types of complications that can develop in patients with diabetes. These...

Lung Cancer Awareness in November

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Health and Wellness 1 Comment

Lung Cancer Awareness is observed in November of each year and reminds us of some important facts.    Lung cancer is the number one cause of death in the United States for men and women. According to the American Cancer Society (ACS) Cancer Facts and Figures 2021, an estimated 235,760 new lung cancer cases will be diagnosed in the United States in 2021 and 131,880...

Considering Outsourced Services? Choose Wisely

Heather Chartier, MS, RHIA, CCA Revenue Cycle Leave a Comment

Summary   As the world of healthcare becomes more complex, healthcare executives are searching for ways to curb costs quickly and substantially while remaining competitive and profitable. Outsourcing is one way to reduce inefficiencies and eliminate redundancy. Let's explore some of the pain points health systems and hospitals face along with the pros and cons of using...

Dermatology Coding: Utilizing Modifiers to Ensure Accuracy

Caitlin Wham, CCS Outpatient Coding Leave a Comment

Dermatology is one of the more complex specialties in medical billing and coding, with a wide range of procedures that can be performed either in the office or in the same day surgery setting. An in-depth understanding of dermatology CPT codes and the appropriate use of modifiers is crucial to ensure accurate coding and reimbursement. Modifier 59 Modifier 59, Distinct...

CoC Datalinks to be Replaced by QPort in October 2021

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

More changes are coming to the Commission on Cancer (CoC) online portals and how cancer programs access information and resources for accreditation. In a recent news brief the CoC announced that Datalinks, the current online portal, will be replaced by the new ACS Quality Portal, or QPort, as early as late October 2021. Programs in process of resolving a deficiency from a...

Psychoactive Substance Use – Revisited

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

Mental, behavioral and neurodevelopment disorders located in Chapter 5 of the ICD-10-CM Coding Manual were first addressed in the August 10, 2021, MRA Blog (https://www.mrahis.com/blog/chapter-5-coding). Here, we will be specifically discussing the mental and behavioral disorders related to psychoactive substance use which are included in Chapter 5.   Alcohol and...

pTX and pNX Removed from Cancer Staging Protocols

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

After extensive discussion with the American Joint Committee on Cancer (AJCC) the College of American Pathologists (CAP) announced in June, 2021 that use of pTX and pNX will be removed from the cancer staging protocols and no longer listed as an option in printed or electronic cancer staging protocols.   The group’s consensus was “…that of the AJCC as the standard-setting...

MTHFR and Its Role in Homocysteine

C. Matheson, RHIA, CCS HIM Leave a Comment

MTHFR. Sounds almost rude, doesn’t it? However, it is NOT something for which your mother would threaten to wash your mouth out with soap, I promise. MTHFR stands for methylenetetrahydrofolate reductase – so obviously, using the abbreviation is easier than saying that mouthful every time. What, exactly, IS MTHFR? It’s a genetic mutation affecting approximately 30% of the...

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