Coders need to code. This much you know. But with the transition to ICD-10-CM/PCS occurring perhaps as soon as October 1, 2014, they'll need to know a bit more than just raw coding. Now is a good time to review and update current coding descriptions, procedures, and job titles to streamline and reengineer your coding team's work flow, says Luisa DiIeso, RHIA, MS, CCS.
Coding accuracy in postoperative complications impacts a facility's Medicare claims profile, error rate, and physician profiles on hospital watchdog websites that monitor performance.
Our coding experts answer your questions about coding for hysteroscopy prior to ablation, appending modifier -59 for MRI and MRA, charging for venipunctures, therapy caps under OPPS, reporting limits for Provenge®, modifier -59 and infusion therapy, Reporting TEE pre- and post-operativley, coding for toxic metabolic encephalopathy
When the AMA revised the instructions for reporting ancillary services with critical care in 2011, facilities knew they wouldn't see an immediate increase in payment. CMS determines payment amounts through use of claims data from two years earlier, meaning the earliest facilities could expect additional reimbursement is 2013.
