NEW E/M OFFICE VISIT GUIDELINES BEGIN JAN. 1, 2021

Charlie Coding, Uncategorized Leave a Comment

It has been almost 30 years since evaluation and management (E/M) office visit documentation and coding has been changed.  These changes take place beginning January 1st, 2021.  The revised guidelines will improve documentation redundancy and support medical necessity.  In the past, the code selection was based on 3 key elements (history, examination, and medical decision making (MDM)) or time spent face-to-face in counseling or coordination …

COVID-19 and Its Impact on Cancer Programs

Charlie Coding, Uncategorized Leave a Comment

As we continue to feel the impact of COVID-19 in the United States and continue canceling meetings to avoid travel and risks of exposure, many families are also concerned about their loved ones currently going through cancer treatment.  And many others are currently being diagnosed with cancer during this worldwide pandemic.  The big question is how does this impact those hospitals with a Cancer Program? …

COVID-19 Coding Implications Beyond U07.1

Charlie Coding, Uncategorized 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 Guidelines for Coding and Reporting.1   Currently healthcare, the private sector, and the government are overwhelming concentrating on “flattening the curve” and …

Telemedicine and COVID-19 Follow Up – Where Are We Now?

Charlie Coding, Uncategorized Leave a Comment

What Does CMS Say?  Congress passed wavier 1135 that states Medicare and other commercial carriers have temporarily expanded services for reimbursement on several telehealth services.  Click here for list of covered services during this Public Health Emergency (PHE) due to COVID-19.  For additional information on COVID-19, click here.  CMS is now releasing News Alerts almost daily since March 31st.  One initiative brought forward is Put Patients Over Paperwork.  …

Are You Ready to Code TeleHealth?

Charlie Coding, Uncategorized Leave a Comment

Making changes on the fly is never easy in any industry, especially healthcare – figuring out what platform to use, training staff and patients on how to operate video conferences, but more importantly, will you get paid? With the Corona Pandemic turning our revenue cycle upside-down due to the cancelling of most elective procedures, it’s more important than ever that …

Three ways to deal with a coding surge from Corona

Charlie Coding, Uncategorized Leave a Comment

In this environment it’s hard to know what tomorrow will bring. If you watch the news, all you’ll see is a lack of hospital beds and overwhelming patient volumes. Meanwhile, hospitals and clinics around the country are laying off staff because elective and non-emergent procedures have been cancelled to clear the decks for COVID patients. To add to the complexity, …

TAVR Procedure

Coding Tips on TAVR Procedure

MRA Coding Leave a Comment

By: Carrie Pfeifle, BS, RHIT | Coding Audit Manager @ MRA Transcatheter Aortic Valve Replacement (TAVR) is also known as Transcatheter Aortic Valve Implantation (TAVI). Medicare officially refers to this as TAVR/TAVI, but either single acronym is correct. TAVR is a transcatheter surgical procedure in which an aortic valve replacement is performed without removing the damaged native valve. In simple …

Top 5 Highlights FY 2020 Coding Changes

Cathie Wilde, RHIA, CCS, AHIMA Approved ICD-10-CM/PCS Trainer Coding, Training Leave a Comment

The FY 2020 IPPS final rule was released by the Centers for Medicare and Medicaid (CMS) on August 2, 2019.[1] Below are five highlights to be aware of regarding changes to ICD-10-CM, ICD-10-PCS, and corresponding official guidelines in FY 2020. ICD-10-CM[2] Effective October 1, 2019 there are 273 new ICD-10-CM codes, 21 deleted ICD-10-CM codes and 30 ICD-10-CM code title …

Ongoing Coding Education

Why Coding Update Education is Important and the Benefits

C. Matheson Coding Leave a Comment

Do you ever feel like by the time your organization and coders get used to one regulation, the rules change?  These frequent changes and the rapid pace of healthcare technology and trends make it critically important to ensure compliance and ongoing training and education is provided for coding professionals.  Judging from the sheer volume of codes can be mind-boggling. There …