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New Credential-VOTE- New Human Trafficking Codes

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MEET THE SPEAKER: Linda Hyde, RHIA

Linda Hyde, RHIA Presents Case Studies and Advanced ICD-10-CM! Linda is a consultant currently participating in projects related to electronic data collection for performance measurement and other initiatives. As a terminology analyst for these projects she regularly works with various classification and terminology systems including ICD9, ICD10, RxNorm, LOINC and SNOMED CT. She has extensive knowledge of data standards and [...]

MEET THE SPEAKER: Luisa DiIeso, MS, RHIA, CCS

Luisa DiIeso, MS, RHIA, CCS, returns by popular demand with Case Studies and Advanced ICD-10-PCS! The goal of the PCS training session is to work with a cross-section of redacted procedure reports submitted by a variety of local members.  In addition to the practical coding portion of the session, we'll review and reinforce some key PCS coding guidelines; all applicable [...]

CODING TIP: Periprosthetic Fracture

By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC Periprosthetic Fracture Two codes are required when a patient has a periprosthetic fracture. These are not considered complications of the prosthesis as the prosthesis, itself is not fractured but the area around the prosthesis is fractured). The fractures can occur as a result of trauma or a [...]

CODING TIP: Chronic CHF

By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC Here are some common coding situations which have Coding Clinic references but for which I often find are missed. When a patient has a diagnosis of a known history of systolic CHF - how is this coded? This is coded to chronic systolic CHF (I50.42) due to [...]

CODING TIP: Sick Sinus Syndrome

Sick Sinus Syndrome By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC Here are some common coding situations which have Coding Clinic references but for which are often missed:   If a patient has a pacemaker in place for sick sinus syndrome (SSS), should the SSS (I49.5) be coded because it is being treated with the [...]

VENDOR CONTRIBUTION

5 Benefits of Year-Round HCC Charge Capture Let’s face it, risk season is chaotic. From July to December, sometimes even into January, everyone is scrambling to find quality coders with the unique qualifications needed to effectively code for risk adjustment (RA) and hierarchical condition categories (HCC). If you are lucky enough to find coders, you still have the stress of [...]

CODING TIP

Code Assignment For Uremic Encephalopathy Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer Manager QA/Education Clinical Documentation Coding Integrity Boston Medical Center Per Coding Clinic response to query, Unspecified encephalopathy due to other conditions is classified to G94, Other disorders of brain in diseases classified elsewhere, and unless the condition is specifically documented as (toxic) metabolic encephalopathy, you would [...]

CODING TIP: Diagnostic vs. Therapeutic Excisions

Diagnostic vs. Therapeutic Excisions By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC When a pathological specimen is removed during an operative procedure and is sent to the lab, is the procedure considered diagnostic and/or therapeutic? Is excisional biopsy therapeutic or diagnostic? The most important factor in determining the procedure as diagnostic and/or therapeutic is to [...]

CODING TIP: Hemorrhage of Thyroidectomy

What is the code for hemorrhage occurred in the surgical bed (deeper than the skin and subcutaneous tissue) of a total thyroidectomy? According to Coding Clinic response, assign code E89.810 Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedure. Happy coding! Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer Manager QA/Education Clinical Documentation Coding [...]

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