With some major changes in look and form-but generally adhering to existing guidelines-coding for neoplasms serves as a microcosm of the changes providers will face when the transition to ICD-10-CM occurs October 1, 2014.
Coders select E/M levels based on criteria developed by their organization. CMS has proposed a significant change to E/M coding-replacing the current 20 E/M levels for new patients, existing patients, and ED visits with three G codes-but that change would only apply to Medicare patients and only to the facility side.
To comply with the HIPAA omnibus final rule, healthcare organizations need to revise their risk assessment process to determine whether they must notify affected individuals of a breach.
The July 2013 MRB article I wrote discussed the importance of competency and skills testing in the workplace relative to new and evolving roles in the HIM department. In this issue, we discuss "not knowing what you don't know." In other words, there is a significant knowledge gap about the importance of EDMS in EHRs.
