Cancer and the Covid-19 Pandemic

Topacio Garrido, MS, CTR Oncology Leave a Comment

On January 20th, 2020, the first confirmed case of Covid-19 in the United States was reported. It was a time in history that led to fear, confusion, and many unanswered questions for millions of Americans. It presented a new fear for those who are immunocompromised or those who had family members with chronic diseases. It was a rough time around the world with millions of...

Digital Tools Provide Solutions to Post-Pandemic Problems

Heather Chartier, MS, RHIA, CCA Covid-19 Leave a Comment

Digital technologies play an important role in meeting the challenges of the post-pandemic world. Top agenda items for health systems moving out of the pandemic involve developing virtual care models, methods for coping with the financial aftermath, and crisis management lessons learned. Developing Virtual Care Covid-19 caused businesses and health systems to pivot...

OIG Work Plan Additions: Malnutrition and Telehealth

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The Office of Inspector General (OIG) “Work Plan” is a roadmap to many compliance focused areas across healthcare. In addition, the Work Plan can serve as an audit plan for many healthcare settings identifying where compliance risks of overpayments are from federally funded programs. With the focus on specific Health and Human Services (HHS) programs, the OIG Work Plan is...

ICD-10-CM Code Updates for FY2022: Key Changes and Additions

Caitlin Wham, CCS Covid-19 1 Comment

In 2021, CMS released the fiscal year 2022 code descriptions, tables, index and addendum which went into effect October 1st. The updates included 32 deleted codes, 20 revised codes, and 159 new codes. Although key changes will be highlighted in this article, be sure to review both the guidelines and code updates in their entirety to ensure proper coding and reporting. ...

OIG HHS Semiannual Report to Congress is Released

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS CDC Leave a Comment

The Fall 2021 Office of Inspector General (OIG) Health and Human Services Semiannual Report to Congress describes work identifying significant risks, problems, abuses, deficiencies, remedies, and investigative outcomes relating to the administration of HHS programs and operations that were from the reporting period of April 1, 2021, through September 30, 2021. The HHS...

Latest and Greatest 2022 COVID-19 Code Updates

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

On December 8, 1941, President Franklin D. Roosevelt declared, “… December 7, 1941 – a day that will live in infamy….” when the USA was suddenly attacked by Japan. Many died from the attack itself and the ensuing world war into which America was thrust. On March 11, 2020, WHO declared COVID-19 a global pandemic (an infectious disease that has spread, in this case,...

April 2022 Brings new COVID-19 CM and PCS Codes

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer Covid-19 Leave a Comment

When the final rule for the FY2022 Inpatient Prospective Payment System (IPPS) came out, it included the statement that we will now have clinical coding updates twice a year for ICD-10-CM and ICD-10-PCS, once in April and the usual large update in October. Keeping with their statement, the Centers for Medicare and Medicaid Services (CMS) announced that three (3) new...

AMA COVID-19 J&J Booster Vaccine Code Released

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The American Medical Association (AMA) announced the addition to the Current Procedural terminology (CPT® ) code set of a new COVID-19 booster for the Janssen Pharmaceutical Companies of Johnson & Johnson vaccine. The October 27, 2021, AMA press release explains that this vaccine is added to the other booster vaccine doses from both Pfizer and Moderna. The new CPT code...

New Codes for COVID Booster

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The Food and Drug Administration’s (FDA) took action in the month of August 2021 to authorize an additional dose of COVID-19 vaccine for immunocompromised individuals, referred to as a “COVID Booster”. Both Pfizer and Moderna have been approved for this the third COVID-19 vaccine. Administration of the COVID-19 booster will first be provided to those with...

CPT Releases New COVID-19 Vaccine Code

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

We all are aware of the currently available COVID-19 vaccines from AstraZeneca, Janssen (Johnson & Johnson), Moderna and Pfizer and their unique CPT® codes. These medical codes allow for each vaccine and immunization administration to be clinically distinct, allows for better tracking, reporting and analysis (i.e., utilization data). The American Medical Association has...

The FY2022 Proposed Inpatient Prospective Payment System (IPPS) Rule Is Released

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Revenue Cycle Leave a Comment

With the last 14 months being impacted by the COVID-19 public health emergency (PHE), we experienced significant changes and revisions to policies across the continuum of healthcare. It’s time once again for the Inpatient Prospective Payment System (IPPS) proposed rule for the coming fiscal year 2022 (FY2022). Here are “some” highlights from the CMS proposed IPPS rule: ...

Post-COVID-19 Signs and Symptoms – Sequelae Continues

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The daily news surrounding COVID-19 includes information and facts from those individuals who were diagnosed with COVID-19 but they now are in the recovery stage and have “Post-COVID-19” signs and symptoms. A recent study in Nature Medicine (March 22, 2021), titled, “Post-Acute COVID-19 Syndrome”, states the following: Acute COVID-19 usually lasts until 4 weeks from the...

JAMA: Public Health Body Weight Changes During Pandemic-Related Shelter-in-Place in a Longitudinal Cohort Study

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Health and Wellness Leave a Comment

A recent study was published in the Journal of the American Medical Association (JAMA) on March 22, 2021 titled, “Body Weight Changes During Pandemic-Related Shelter-in-Place in a Longitudinal Cohort Study”. This study takes a look at the impact of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) or COVID-19 public health emergency (PHE) regarding “...

JAMA: A COVID-19 Study on Respiratory and Psychological Sequalae

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

A January 27, 2021 research publication titled: Respiratory and Psychophysical Sequelae Among Patients With COVID-19 Four Months After Hospital Discharge, was released in the Journal of the American Medical Association (JAMA) with a focus on the post-acute phase of the SARS-COV-2 infection. We continue to hear and learn about a variety of COVID-19 sequelae, the type often...

COVID-19 and Cancer-Directed Surgery

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Covid-19 Leave a Comment

Elective surgeries were largely postponed or stopped entirely as the COVID-19 pandemic bore down on us. But as incidence and infection rates begin to taper off, the focus in many hospitals and surgery centers is turning to how they will “ramp up” to prepare for elective surgeries again. Understanding the current protocols, e.g., beds, testing, operating rooms (ORs) and...

Cancer Screening During a Pandemic

Suzanne Neve, RHIA, CTR - Director, Cancer Registry Covid-19 Leave a Comment

More than 600,000 people in the United States died from cancer in 2020 according to the American Cancer Society.   The National Cancer Institute (NCI) reported that an additional 10,000 deaths will occur in the next date due to pandemic-related delays in screening and treatment in patients diagnosed with breast and colorectal cancers. Given this we can ascertain that the...

Surviving Sepsis Campaign Continues – COVID-19 Clinical Guidelines in the ICU

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

Understanding the anatomy, physiology and disease process is a significant part of our daily work and competencies as Health Information Management (HIM) coding and Clinical Documentation Integrity (CDI) professionals. Thus, keeping on top of clinical information like that of Sepsis and COVID-19 is particularly important as it can certainly aid in determining when to...

AHIMA/AHA COVID-19 FAQ Updated 3/1/2021

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The American Health Information Management Association (AHIMA) and the American Hospital Association (AHA) have been publishing COVID-19 ICD-10-CM/PCS information and guidance since March 20th, 2020, last year. The most recent update occurred on March 1st, 2021 and is worth a detailed review. The COVID-19 coding FAQ (Frequently Asked Questions) covers both “CM”...

COVID-19 Vaccination and CPT Coding Resources

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

We are all hearing and seeing news and information daily about the efforts to vaccinate the United States population against COVID-19 and progress is being made. With this medical effort there is a wealth of published guidance and facts that have been developed by the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC),...

AMA Releases Additional CPT for Johnson & Johnson COVID Vaccine

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS Covid-19 Leave a Comment

The American Medical Association (AMA) released on January 19th, 2021 new CPT codes for the COVID vaccine administration and the vaccine by Johnson and Johnson, which is still pending approval by the FDA.  This COVID-19 vaccine was under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT codes are: 91303    Severe acute respiratory...

Repost: 4 Factors Affecting the Post-COVID Cancer Care Landscape

Charlie Saponaro - CEO Covid-19 Leave a Comment

Four Factors Affecting the Post-COVID Cancer Care Landscape by  Lijo Simpson, MD Like many healthcare providers, my practice at Atlanta Cancer Care has seen significant changes in most areas due to the COVID-19 pandemic. When the virus emerged earlier this year, we had to move fast to ensure our patients were protected from infection while delivering the best possible...

COVID Coding in 2021

Mary Chelucci, RHIA, CCS Covid-19 Leave a Comment

We have all been keeping up with COVID-19 and the code and guideline changes that have evolved since original coding advice came out in February of 2020. The advent of code U07.1 was a “game changer”. This code was created and made effective after April 1, 2020. The coding directive in this code states: Use additional code to identify pneumonia or other manifestations. ...

Coding Audits in the time of COVID: How Audits are Poorly Effecting Healthcare

C. Matheson, RHIA, CCS Auditing Leave a Comment

COVID-19 Related Coding Audits How Audits in the time of COVID are effecting healthcare institutions. In healthcare, audits, no matter how unpleasant they are, come with the territory. However, with the advent of the COVID-19 outbreak, audits have taken on a whole new level of dreadfulness. Read on to explore subjects related to the combination of Medicare’s medical...

Like the NeverEnding Story – COVID-19 Coding Continues to Evolve

Stacy Hartstine, RHIT, CCS Covid-19 Leave a Comment

Coding for pneumonia continues to be problematic for most coders. There are many types of pneumonia and documentation is often insufficient for coding to the level of specificity available in our current ICD-10 structure. Some of the specific types of pneumonia codes available include aspiration, bacterial, lobar, pneumonia due to influenza, ventilator associated...

Coding COVID-19 Infection in Newborns

C. Matheson, RHIA, CCS Covid-19 Leave a Comment

Coding COVID-19 Infection in Newborns With the 2021 updates to the ICD-10-CM code classification came 14 new chapter specific guidelines. All but one of these guidelines is related to the coding of COVID-19 infection. Needless to say, COVID-19 is a big deal, and getting the coding for this condition correct has implications for both payment considerations and statistical...

Coding in the Time of Covid: CMS releases 12 New ICD-10-PCS

C. Matheson, RHIA, CCS Covid-19 Leave a Comment

During this time of year in the coding world we are preparing for the October 1st ICD-10-CM and PCS coding updates, but we were recently surprised with an announcement on July 30th from The Centers for Medicare and Medicaid (CMS). Twelve new ICD-10-PCS procedure codes concerning Covid-19 therapeutics became effective August 1, 2020.  Per the CMS website announcement on...

Coding Pulmonary Diagnoses, COVID-19, and Bronchoscopy Procedures in 2020

Jennifer Jones, RHIT, CCS, CCDS Covid-19 Leave a Comment

Coding for pneumonia continues to be problematic for most coders. There are many types of pneumonia and documentation is often insufficient for coding to the level of specificity available in our current ICD-10 structure. Some of the specific types of pneumonia codes available include Aspiration, bacterial, Lobar, pneumonia due to influenza, Ventilator Associated...

COVID-19 Coding Implications Beyond U07.1

Cathie Wilde, RHIA, CCS - Director, Coding Services Covid-19 Leave a Comment

The current pandemic has prompted the World Health Organization (WHO) to take the unusual step of establishing a unique ICD-10 code for COVID-19 cases, U07.1 five months prior to the traditional U.S. implementation date for new codes. The use of the code became effective with April 1, 2020 discharges and was accompanied by updated coding guidance to the ICD-10-CM Official...

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