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 Leave a 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: ...

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