News & Analysis

August 1, 2014
Briefings on APCs

Our experts answer questions on coding chronic illnesses, reporting screw removals, E/M denials, and more.

August 1, 2014
Briefings on APCs

"Sometimes the questions are complicated and the answers are simple." ?Dr. Seuss

This quote seemed an appropriate way to begin a discussion about outpatient encounters and ICD-10-PCS.

You see, outpatient procedures will still be coded using CPT®/HCPCS?the HIPAA-approved code set for reporting hospital outpatient procedures?regardless of when ICD-10 is implemented.

August 1, 2014
Briefings on APCs

Coders have only two options for reporting fractures of the patella in ICD-9-CM, closed (822.0) and open (822.1). In ICD-10-CM, that number will jump to more than 400.

Many of these options are the result of separate codes to denote laterality (right or left) in ICD-10-CM. However, the code set also includes options for specific types of fractures, increasing the importance of clear and accurate provider documentation.

July 1, 2014
Briefings on APCs

Editor's note: With the increased specificity required for ICD-10-CM coding, coders need a solid foundation in anatomy and physiology. To help coders prepare for the upcoming transition, we will provide an occasional article about specific anatomical locations and body parts as part of a larger series for ICD-10-CM preparation. This month's column addresses the anatomy of the feet.

July 1, 2014
Briefings on APCs

Our experts answer questions on cyst excisions, observation timing, MUEs, and more.

June 24, 2014
Medicare Insider

This week’s note is about modifier -59. Click the link above for more information and an in-depth analysis.  

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