Get the most up-to-minute news and information on ICD-10. Join Chuck Buck and Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, every Tuesday as they welcome ICD10monitor contributing editors and special guests to monitor and report on the progress that all healthcare stakeholders are experiencing in their respective implementations of ICD-10. Register to attend live here: https://event.webcasts.com/starthere.jsp?ei=1236510&tp_key=da0e4c0f76
Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore! In this episode, Mary goes over the Comprehensive Cardiology All Access Pass , and why it is an important product for healthcare professionals.
Be sure to join us for the next live edition of Talk Ten Tuesdays, when Karen Bartrom, director of clinical integration and documentation at Cameron Memorial Hospital in Indiana, will report on how Z codes – the social determinants of health (SDoH) and ICD-10-CM codes – can reveal insights related to the health of a community. With the mapping of patient SDoH responses to Z-codes, valuable aggregate data on a community’s health disparities can be validated and measurable. And the capturing of Z-...
Will the United States experience another federal public health emergency (PHE) beyond Jan. 11, 2023? The U.S. Department of Health and Human Services (HHS) on Oct. 13 renewed the PHE for an additional 90 days. Meanwhile, states continue to wait for a 60-day termination warning, as HHS had promised earlier. Joining the broadcast during the next live edition of the popular Internet radio program Talk Ten Tuesdays will be nationally recognized professional coder, auditor, and consultant Terry Flet...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Ultrasound Coder . Listen in to find out why this textbook could be a great addition to add to your essential library.
Our exclusive series on patient safety indicators (PSIs), being produced by ICD10monitor and Talk Ten Tuesdays in association with ChristianaCare, will continue next week. During the next live edition of Talk Ten Tuesdays, Dr. Jennifer Brettler and Kimberly Seery, both from the Delaware-based health system, will give you on a close-up look at AHRQ Patient Safety Indicator 90 – Patient Safety and Adverse Events Composite. Diving deep into the subject, you will also gain critically important infor...
Long-awaited and highly anticipated, the Centers for Medicare & Medicaid Services (CMS) Medicare Physician Fee Schedule Final Rule for 2023 released this past week supports the expansion of access to behavioral health and cancer screening, while promoting health equity. The timing of this Final Rule brings to mind the loss of actor Chadwick Boseman of Black Panther fame. Boseman died in 2020, following his battle with colon cancer – an issue addressed in the Final Rule with a focus on cancer...
Much like urban legends, the recurring tales of Medicare Advantage (MA) plans being accused of manipulating diagnoses and denying care that otherwise would have been covered under traditional Medicare are gaining traction. They are now even being referred to as Medicare “Dis-Advantage” plans because of all the manipulation, much related to the fact that a MA patient is more expensive to the Medicare program than a traditional Medicare patient. The government pays MA insurers a set amount for eac...
Today is the very last day to comment on the recently posted industry practice brief titled Guidelines to Achieving a Compliant Query Practice, co-authored by the American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialists (ACDIS). The updated brief was released on Oct. 10, 2022 and has been open for comments. During the next live edition of the popular and long-running Talk Ten Tuesdays broadcast, Karen Carr, an AHIMA CDI practi...
It takes a village to raise a child, but it took an integrated, multi-discipled team approach to improve patient safety indicators (PSIs) at ChristianaCare – as you’ll learn more about on Tuesday, Oct. 18, during the next live edition of Talk Ten Tuesdays, the popular, long-running Internet radio program produced by ICD10monitor. In cooperation with ChristianaCare, Talk Ten Tuesdays and ICD10monitor are beginning a new series on PSIs, with specific focus on how a team approach is helping physici...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Nuclear Medicine & PET Coder . Listen in to find out why this textbook could be a great addition to add to your essential library.
Long awaited and highly anticipated is the new the Industry Practice Brief Guidelines to Achieving a Compliant Query Practice©, scheduled to released Monday, Oct. 10. The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialists (ACDIS) have co-authored an update to the Industry Practice Brief Guidelines to Achieving a Compliant Query Practice©. Many important elements have been updated and added to the practice brief to meet t...
Important healthcare news is happening at a furious rate and that is why the editorial team at ICD10monitor and Talk Ten Tuesdays is producing a national healthcare news roundup to deliver the news you need to know. During this special 60-minute broadcast you learn the latest coding news, as well as news about updates to the 2023 E&M coding and guideline changes, plus discover how one major health system has created a multi-disciplined team to master patient safety indicators.
The American Medical Association (AMA) has announced significant revisions to Evaluation and Management (E&M) services for 2023. Consultations, inpatient and outpatient consultations, are two of the E&M categories being revised for Jan. 1, 2023. The revisions made to consultations include code deletions, revision to the criteria for E&M level selection and additions to the guidelines. Reporting our lead story during the next live edition of Talk Ten Tuesdays will be Colleen Deighan, ...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of CT/MR Coder . Listen in to find out why this textbook could be a great addition to add to your essential library.
Hospital inpatient denials continue at a furious pace. And there is strong evidence of a pattern of denied claims with a principal or secondary diagnosis of sepsis, a principal or secondary diagnosis of acute respiratory failure and denied hospital inpatient claims with the secondary diagnosis of malnutrition. When it comes to denials for a diagnosis of malnutrition, there appears to an additional focus on ICD-10-CM code of E43 Unspecified Severe Protein-Calorie Malnutrition . Finding the root c...
Extensive changes are coming your way for hospital observation and inpatient services. And the time to prepare is now and this upcoming live edition of the long-running Talk Ten Tuesday broadcast is the place to begin to grasp the breadth and depth of these revisions from the American Medical Association. Colleen Deighan, senior consultant with 3M, will continue the second in her multi-series of reports as she discusses the two evaluation and management (E&M) categories including guideline c...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Peripheral & Cardiology Coder . Listen in to find out why this textbook could be a great addition to add to your essential library.
The American Medical Association (AMA) revised the criteria for evaluation and management (E&M) services for the Office Visit categories of New and Established patients. For 2023, similar revisions have been approved for the remainder of the E&M section. Revisions were also made to services for emergency, observation, inpatient, consultations, nursing, home and residence and prolonged care. During the next live edition of Talk Ten Tuesday, Colleen Deighan, senior consultant with 3M, will...
Are you a healthcare telecommuter? Is your workspace HIPAA compliant? While there are advantages of working remotely, there’s a monstrous risk for those who are obligated to comply with HIPAA: keeping patients’ protected health information (PHI) protected. Not convinced it’s a big deal? The U.S. Department of Health and Human Services (HHS) has the authority to levy hefty financial penalties when entities fail to properly manage their telecommuters’ access and protection of PHI. During the next ...
The Centers for Medicare & Medicaid Services will continue using PSI-04, Death Rate among Surgical Inpatients with Serious Treatable Complications, in its Hospital Inpatient Quality Reporting program. Be advised. This affects your facility’s reputation and reimbursement through fiscal year (FY)2028. Unlike other PSIs, PSI-04 does not exclude cases based on the Present on Admission indicator of the applicable secondary diagnoses that include shock/cardiac arrest, sepsis, pneumonia, gastrointe...
The U.S. Department of Health and Human Services (HHS) of the Office of Civil Rights (OCR) is warning healthcare providers about the mandatory compliance with the HIPAA Right of Access promulgated in the 21st Century CURES Act. So far, enforcement actions bring to 38 the number of financial penalties against HIPAA-covered entities for failing to provide patients with timely access to their medical records. During the next live edition of the long-running Talk Ten Tuesdays, nationally recognized ...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Essentials of Interventional Radiology Coding . Listen in to find out why this textbook could be a great addition to add to your essential library.
Coders, clinical documentation integrity specialist and revenue cycle professionals will be the beneficiaries next Tuesday during the live edition of Talk Ten Tuesdays when healthcare attorney and litigator Brianna J. Santolli returns to the broadcast and cuts through the legal jargon to warn of tactics deployed by some Medicare Advantage Organizations (MAO) to preserve profits by inappropriately denying prior authorizations. Using a recent case conducted by U.S. Department of Health and Human S...
Controversy, confusion and contradiction are obfuscating the reporting of telehealth services, especially now during the recently extended public health emergency. There is so much inconsistency with how to report telehealth right now, between what Medicare determines you can do, and what the mix of commercial payers declare is appropriate. And then there are individual state executive orders. What is the reality of telehealth rules like place of service, modifiers, and audio and video versus au...
With the recent announcement of the 2023 Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) remains committed to encouraging and incentivizing cost efficiency by providers. Physicians electing to participate in the CMS Merit-Based Incentive Payment System (MIPS) will experience +/-9 percent impact in their traditional Medicare reimbursement based on their performance, 30 percent (2.7 percent of the total) of which is derived from cost efficiency based solely on claims...
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Cardiac Rhythm Management Coder . Listen in to find out why this textbook could be a great edition to add to your essential library.
As expected, the American Medical Association (AMA) has updated the guidelines for E&M services, starting in 2023. These relate to hospital services, emergency department visits, nursing facility services, home visits, and prolonged care services. Just as important, the AMA has deleted some observation care codes, the annual nursing facility assessment code, along with the domiciliary and rest home codes. Some of the existing prolonged services care codes and level one consultation codes wil...
2022 ICD-10-CM/PCS Coding Clinic Update, Spinal Fusion ICD-10-PCS Coding, 2022 Telehealth Tune-up are discussed by Dr. John Zelem and Chuck Buck who analyze these two essential webcasts produced by ICD10monitor.
Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore! In today's episode, Mary explains the importance of Coding Essentials for Laboratories . Listen in to find out why this textbook could be a great edition to add to your essential library.
Gas prices are heading straight to the stratosphere. Inflation is the elephant in the room. And there’s a growing concern in Medicare when it comes to physician payments. Here’s why: Medicare cuts are pending, including the PAYGO 4 percent, starting in 2023. What’s more, deductions from reinstated sequestrations are on the rise. There’s also an expected lowering of the 2023 conversion factor, the possible ending of the public health emergency (PHE) windfall of telehealth payment parity, as well ...
