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, …

MRA and YES HIM Consulting®, Partner to Deliver Expert Coding Education

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MRA and YES HIM Consulting have partnered to delivery coding education to healthcare organizations across the United States. For over 30 years, MRA is known for delivering operational efficiency, service excellence to organizational integration to Revenue Cycle, HIM, Compliance and Cancer Registry areas in healthcare organizations. YES HIM Consulting is a premier Health Information Management (HIM) auditing, coding, and education …

Building on MRA’s Revenue Cycle and HIM Strength – Mike Hodgson Joins the Senior Management Team

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MRA is known for delivering operational efficiency, service excellence to organizational integration to HIM, Compliance and Cancer Registry areas in healthcare organizations. MRA continues to drive expansion by adding Mike Hodgson to the Senior Management team as Executive Vice President, Sales and Marketing. Mike Hodgson has served in various executive positions including tenures with Panacea, CareerStep, Medical Staffing Network, QuadraMed …

Understanding the Difference: Swan-Ganz Catheterization vs. Right Heart Catheterization

Cathie Wilde, RHIA, CCS, AHIMA Approved ICD-10-CM/PCS Trainer Coding, Outsourcing, Uncategorized 7 Comments

Let’s first look at what a Swan-Ganz catheterization is and how the procedure is performed. The Swan-Ganz catheter is synonymous with a pulmonary artery catheterization. It was named in honor of its inventors who were Jeremy Swan and William Ganz from Cedars-Sinai Medical Center in 1970. It is a flow-directed catheter with a balloon tip that is inserted via an …