Bringing Awareness to Kidney Cancer

MRA Cancer Registry, Coding, Outsourcing Leave a Comment

March is kidney cancer awareness month. So what is the role of our kidneys? The kidneys are bean shaped organs located on each side of the mid back. The kidneys are retroperitoneal organs that lie behind the peritoneum that lines the abdominal cavity. The main function of the kidneys are to filter the blood and get rid of excess water …

The Evolving Landscape for Health Information Management

MRA CDI, Coding, Leadership, Outsourcing Leave a Comment

What are the most significant challenges for Health Information Management (HIM) departments?  One of the challenges in 2016 includes the disappearing HIM department; physical downsizing as well as workforce downsizing.  With the workforce downsizing we see technology impacting traditional roles for transcriptionists, documentation specialists and coders. HIM professionals need to manage business, clinical and information systems.  Some of the challenges …

The Principal Diagnosis Effect

Cathie Wilde Coding, Outsourcing 2 Comments

A sixty-nine year old male is admitted with severe abdominal pain and is found to have diverticulitis. He undergoes an open sigmoidectomy with pathology report revealing a peridiverticular abscess. The patient has other secondary conditions such as COPD, hypertension, Stage II chronic kidney disease, hypothyroidism and GERD. The coder codes K57.32 for the diverticulitis figuring the abscess will not make …

ICD-10-PCS Coding For Venous Access Lines and Catheters

C. Matheson Coding, Outsourcing 6 Comments

One challenging coding area with the ICD-10 transition is the coding of venous and arterial lines and catheters. This article aims to provide greater clarity with regard to procedure coding tips for coding of venous catheters. Types of Lines: Central Lines– (CVC)- Central Venous Catheter or central lines are inserted into large veins, typically the jugular, subclavian, or femoral vein. …

Best Practices to Meet Cancer Registry Reporting Deadline

MRA Cancer Registry, Leadership Leave a Comment

Cancer registries are legislatively mandated to collect confidential data on tumor characteristics, monitor cancer trends, aid in epidemiologic research, and collect quality cancer data elements. Abstracting Timeliness and what this means to you: Abstracting timeliness entails the completion of all analytic cases within six months from the date of initial diagnosis must be reported to your state central registry. All …

Cost, Efficiency And Expertise Challenges For Health Information Management Today And In the Future

MRA Leadership, Outsourcing Leave a Comment

The Growth In HIM Roles In just 10 short years, the times have changed and with those changes the challenges facing today’s healthcare organizations are impacted by the speed of technology and continued decreasing revenue margins. When we think back to Health Information Management (HIM) Departments a decade ago, we were focused on managing a medical record that was hybrid, …

Top 10 Best Practices for Outsourcing Coding Services

C. Matheson Coding, Outsourcing 1 Comment

Medical Coding Outsourcing We live in a constantly expanding environment for outsourcing services, and the coding and health information industry is no stranger to outsourcing. Whether it is full department outsourcing, hand-picked silos of outsourcing for specific hard to fill or hard to train services or outsourcing to augment your current staff, utilizing contract labor can prove to be very …

Have You Performed A Case Mix Index Check-up Post ICD-10 Go Live?

MRA Coding Leave a Comment

Organizations did a fantastic job preparing for ICD-10. However, now that the dust has settled, we need to drill down into the data. Specifically, case mix index (CMI). With more than two months’ worth of ICD-10 data, it’s easier to make comparisons and draw logical conclusions. If coding and/or documentation problems exist, they’re likely starting to emerge through your CMI. …

Cancer Registrars: When to Report Class of Case 00 vs. 10

MRA Cancer Registry Leave a Comment

As a cancer registrar, ask yourself this question: Have you ever been involved in a lengthy discussion about the use of Class of Case 00 vs. 10? Is it frequently difficult to determine which Class of Case is more appropriate?  If you answered “yes” to either or both of these questions, you are not alone. Setting The Cancer Registry Stage …

Shared Risk: 3 HIM Challenges and Solutions

Charlie Leadership Leave a Comment

In a previous post, I discussed the healthcare industry’s transition from a volume-based reimbursement system toward a model that is quality driven.  How can organizations ensure that they’ll succeed in this increasingly pay-for-performance environment? One way is to explore shared-risk contracts in non-revenue generating areas of the hospital. A shared risk model allows for a true partnership between the vendor …