Quality Payment Program 2020: Changes and Requirements (Part II)
Part II: MIPS Quality Performance Category in 2020 Editor’s note: This article is the first part of a five-part series
Read moreAuthor: manojvarkala
Coronavirus: What Every Medical Coder Needs to Know
On Dec. 31, 2019, as many of us here in the U.S. were celebrating New Year’s Eve, a pandemic quietly
Read moreCDC Releases Interim Coding Guidance for Coronavirus
By Matt Schlossberg The Centers for Disease Control and Prevention’s National Center for Health Statistics (CDC/NCHS) will implement a new
Read moreHow will the impending Information Blocking Final Rule shape HIM?
By Mary Butler The government’s plan to advance information sharing in healthcare will come into sharp focus next month as
Read more7 Top Tips for Mastering ICD-10-CM 7th Characters
Diagnosis coding brings the unique challenge of knowing when to use a 7th character on your ICD-10-CM code and then
Read moreTune Up Your Heart Knowledge in February
Since 1963, February has been “American Heart Month,” and the American Heart Association has been leading its awareness. The goal
Read moreWhat is Lobar Pneumonia?
Lobar pneumonia references a form of pneumonia that affects a specific lobe or lobes of the lung. This is a
Read moreCheck Your FESS Claims for Improper Payment Adjustments
MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the
Read moreOvercome Gender Identity Barriers in Healthcare
Part 3: Look out for insurance roadblocks and instill policies to ensure coverage for needed healthcare. Over the last couple
Read moreTexas Physician Guilty in $325M Fraud Case Involving False Diagnoses
A Texas physician was found guilty Jan. 15 for his role in a $325 million healthcare fraud scheme that involved
Read moreHealthcare billing fraud: Five Latest Settlements – Revenue Cycle E-Newsletter
Here are five healthcare organizations that entered into settlements to resolve billing fraud allegations in the past two months. You
Read moreNCVHS Recommends Government Actions to Prepare for US Adoption of ICD-11
By Sue Bowman, MJ, RHIA, CCS, FAHIMA In a letter sent to the Secretary of Health and Human Services (HHS)
Read moreQuality Payment Program 2020: Changes and Requirements (Part I)
Part I: MIPS Updated Requirements for Eligible Providers in 2020 Editor’s note: This article is the first part of a
Read moreAligning Governance, Risk, and Compliance
By Ty Greenhalgh, HCISPP Operational systems in healthcare have a lifecycle. The analysis and design of niche software solutions automate
Read moreUntangling CPT Critical Care Coding
By Ticia Selmon, RHIA, CCS The American Medical Association’s (AMA) Current Procedural Terminology (CPT) defines critical care the same way
Read moreCoders Helping Coders
By Mary Butler It may take a hospital coder a few minutes to code an appendectomy with the assistance of
Read moreCY 2020 Hospital Outpatient Prospective Payment System Updates
By Melissa Koehler, RHIA, CHDA, CDIP, CCS, CCS-P, CCDS Just as the new year brings in resolutions, procedural code updates,
Read moreAuditing CDI: Pros, Cons, and Everything in Between (Part 2)
By Rachel Mack, RN, MSN, CCDS, CDIP, CCS, and Gloryanne Bryant, RHIA, CDIP, CCS, CCDS **Editor’s Note: This article is
Read moreWho Are You? The Quest for a Unique Patient Identifier
By Mary Butler Patient identification and matching (PIM) errors carry consequences that range anywhere from frustration due to relatively minor
Read moreFebruary 2020
February 2020 “Who Are You? The Quest for a Unique Patient Identifier” In the Issue Cover Story Features Departments “Aligning
Read moreCoding Concussions
A concussion is a type of traumatic brain injury caused by a blow, bump, or jolt to the head or
Read moreGI Coding: Why Is Modifier 53 on the Medicare Physician Fee Schedule?
The Medicare Physician Fee Schedule (MPFS) includes special pricing for four colonoscopy codes when you append modifier 53 (Discontinued procedure).
Read moreUse New Vaping ICD-10-CM Code U07.0 Starting April 1, 2020
Diagnosis coding for vaping-related disorders has been a hot topic lately. It’s so hot, that you’re getting a new ICD-10-CM
Read moreYour Step-by-Step Guide to ICD-10-CM Coding of Orbital Fractures
ICD-10-CM 2020 added dozens of new codes for orbital fractures, which are breaks in the bones surrounding the eye. To
Read moreE/M 2021: Grasp the Future Roles of Time and MDM for Accurate Coding
Evaluation and management (E/M) code descriptors for office and other outpatient visits will look a lot different in the 2021
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