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Latest News New Rule Helps Medicare ACOs During COVID-19 Pandemic Jul 1, 2020 | Coding Tips , Coronavirus , COVID-19 , Education , ICD-10 One common element in many value-based programs is risk adjustment using Hierarchical Condition Categories (HCCs) to create a Risk Adjustment Factor (RAF) score. This method ranks diagnoses into categories that represent conditions with similar cost patterns. Part 5: Reasons for AKI Denials and Prevention | AKI Series May 22, 2020 | Acute Kidney Injury (AKI) , Coding Tips , Education , ICD-10 , Kim Carrier Why are so many AKI records being denied? It’s hard to give one answer for why so many AKI records are being denied lately, but most appear to be due to the multiple sets of criteria available for use in determining if a patient has AKI, as well as physician documentation. As stated in Part 3 of this series, there are three main criteria/classifications used to diagnose AKI. Part 4: Is Documentation Present to Report Acute Kidney Injury/Failure? | AKI Series May 20, 2020 | Acute Kidney Injury (AKI) , Coding Tips , Education , ICD-10 , Kim Carrier In previous parts of this series we looked at the definitions of AKI/ARF, causes, coding and sequencing, and the common clinical indicators that patients present with that are diagnosed with this condition. In Part 4, we will look at the documentation that should be present to report the diagnosis without fear of denial, as well as when a query is needed to clarify the diagnosis. Coding Tip: Z Code Reporting for COVID-19 May 19, 2020 | Coding Tips , Coronavirus , COVID-19 , Education , ICD-10 , Patricia Maccariella-Hafey If the facility does a COVID-19 test, and test is negative, do I need a diagnosis code. The answer is yes, you will report a Z-code. The Z-code depends on the record documentation and circumstances of testing. For any patient receiving a COVID-19 test, if negative, there MUST e a Z-code to describe why the test was taken. (Test negative for COVID-19 and MD does not override negative results). Part 3: Clinical Indicators for Acute Kidney Injury/Failure | AKI Series May 18, 2020 | Acute Kidney Injury (AKI) , Coding Tips , Education , ICD-10 , Kim Carrier In the first parts of this series we looked at definitions of AKI/ARF, causes, coding and sequencing. In Part 3, we will look at what clinical indicators would possibly be present to support the diagnosis of AKI/ARF. FY2021 Proposed Rule and Code Changes Highlights May 14, 2020 | Coding Tips , Education , ICD-10 , Patricia Maccariella-Hafey The FY2021 IPPS Proposed Rule is out and here are some highlights from it regarding ICD-10 Code proposals. We will know if these changes are permanent after the public comment period is over on July 10, 2020 and CMS prepares the Final Rule, usually out by August 1. Part 2: Specificity Coding of Acute Kidney Injury (AKI) and Sequencing | AKI Series May 14, 2020 | Acute Kidney Injury (AKI) , Coding Tips , Education , ICD-10 , Kim Carrier As discussed in Part 1 of this series, AKI/ARF is a common diagnosis that coders see daily. In Part 2, we are going to focus on the different types/specificity of AKI/ARF. We’ll learn what they mean, as well as how to code the diagnosis. Part 1: What is Acute Kidney Injury (AKI)? | AKI Series May 12, 2020 | Acute Kidney Injury (AKI) , Coding Tips , Education , ICD-10 , Kim Carrier This is part 1 in a series focused on coding of acute kidney injury (AKI) and/or acute renal failure (ARF). AKI/ARF is reported often, but is also one of the most common diagnosis found in denials. Coding Tip: Covid-19 Diagnosis Coding Common Scenarios May 11, 2020 | Coding Tips , Coronavirus , COVID-19 , Education , ICD-10 , Patricia Maccariella-Hafey With the proliferation of COVID-19 cases, we thought we would put together a quick reference listing of some of the common scenarios that coders have asked about. As with all coding, coders should follow Official Guidelines for Coding and Reporting and the COVD-19 Frequently Asked Questions document by the AHA. Reporting Telehealth Services During the COVID-19 Emergency Apr 29, 2020 | Coding Tips , Coronavirus , COVID-19 , Education , ICD-10 Effective March 1, Medicare will pay physicians for telehealth services at the same rate as in-person visits for all diagnoses, not just services related to COVID-19. This great for providers whose patients are reluctant to visit the office. Coding Tip: What is Single Path Coding? Apr 8, 2020 | Coding Tips , Education , ICD-10 , Patricia Maccariella-Hafey The biggest reasons why some hospital systems are moving to single path coding is to eliminate duplicative processes and to optimize productivity. In addition, costs are reduced when only one coder “touches” the record and completes both types of coding. Coding Tip: Reporting Vaping in ICD-10-CM | Effective on 4/1/2020 Apr 2, 2020 | Coding Tips , Education , ICD-10 , Kim Carrier Effective with 4/1/2020 discharges, ICD-10-CM code U07.0 is used to report vaping -related disorders. ICD-10-CM code U07.0 (vaping related disorder) should be used when documentation supports that the patient has a lung-related disorder from vaping. This code is found in the new ICD-10-CM Chapter 22. U07.0 will be in listed in the ICD-10-CM manual under a new section: Provisional assignment of new disease of uncertain etiology or emergency use. Telehealth and the Coronavirus Mar 25, 2020 | Coronavirus , COVID-19 , Education , Telehealth The US government and public-health officials are urging consumers to utilize telemedicine for remote treatment, fill prescriptions and get medical attention during the new coronavirus pandemic. The goal is to keep people with symptoms at home and to practice social distancing if their condition doesn’t warrant more intensive hospital care. Coronavirus: Tips for Working from Home Mar 24, 2020 | Coronavirus , COVID-19 , HIA News , Staff News , Wellness Coronavirus: Tips for working from home. Companies around the world have told their employees to stay home and work remotely. Whether you’re a new to this concept or a work from home veteran, here’s some tips to staying productive from our #HIAfamily. Part 3: Coder and CDI Communication Example | CDI Series Mar 20, 2020 | CDI , Coders and CDI , Education , Patricia Maccariella-Hafey , Series This is the final part of a three part series in which we address how coders can better interact with Clinical Documentation Improvement (CDI) professionals. In this part, we provide an actual example of an effective communication response to CDI. Part 2: How Coders Can Address Coding Mismatches | CDI Series Mar 18, 2020 | CDI , Coders and CDI , Education , Patricia Maccariella-Hafey , Series This is part two of a three part series in which we address how coders can better interact with Clinical Documentation Improvement (CDI) professionals. In this part, we discuss mismatches and how to best go about resolving them. In part three we will provide a case example of best practice interaction. Part 1: How Cod...