ICD-10 Articles : Medical Billing Blog

All ICD-10 Articles Added to Our Blog

This is the archive containing links to all ICD-10 articles written in our blog.

Click any of the article links below to read the entire article or browse another section to the right to read articles on another subject.

Five ways interoperability plays a role in addressing the coronavirus epidemic

HealthIT Answers has an article outlining five ways data interoperability can play a pivotal role in addressing the epidemic… “Even as capacity restrictions force organizations to work without barriers—via drive-thru screenings, make-shift tents or by way of telehealth—real-time access to data can help streamline care management, whether fast tracking admissions or empowering patients at home through online portals. Here are five ways data interoperability can play a pivotal role in addressing the epidemic: Coordination of Care: COVID-19 provides a sobering reminder of just how much a fully integrated, scalable and interoperable healthcare infrastructure is needed. Coordination among first responders, public health officials, labs, acute, and post-acute facilities will be critical

By: Melissa Clark, CCS-P, RT - CEO
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Tips for Running Your Medical Practice during the Coronavirus Crisis

“At one large practice in Bergen County, New Jersey, the waiting room is empty — but its patients are still receiving care. As of mid-March, the practice is still operating, thanks to the group’s willingness to adapt its work flow, sometimes radically, to mitigate the threat of the COVID-19 pandemic. For example, patients now call the receptionist from their vehicles when they arrive, and wait there until receiving a call back telling them the clinician is ready. The practice has also started using telemedicine for the first time, to the extent it can be adopted in a hurry, and some clinicians are working from home on tasks such as medication

By: Melissa Clark, CCS-P, RT - CEO
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7 things to consider when billing and coding for Coronavirus

Becker’s Hospital Review shows us 7 things to consider when billing and coding for Coronavirus…   1. CMS developed Healthcare Common Procedure Coding System code U0001 to allow laboratories and healthcare providers to bill for using the CDC’s RT-PCR Diagnostic Test Panel. Healthcare organizations should use HCPCS code U0002 to bill for validated, in-house developed COVID-19 diagnostic tests, according to CMS. 2. Beginning April 1, laboratories and healthcare providers can bill Medicare and other health insurers using codes U0001 and U0002 for services provided on or after Feb. 4. 3. Local Medicare Administrative Contractors will develop the payment amount for claims received for codes U0001 and U0002 in their respective

By: Melissa Clark, CCS-P, RT - CEO
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3 EHR Usability and Optimization Fixes That Address Burnout

“There are many positives associated with EHRs. However, EHR usability is a common negative among EHR users, which leads to clinician burnout. As the calendar flips to 2020, technological advancements in the EHR are key to addressing this epidemic that makes its way around medical facilities throughout the country. According to a study completed in a partnership between the Mayo Clinic and the American Medical Association (AMA), researchers found that EHR usability was largely graded an “F” when evaluated on a traditional letter grade scale, and that failing grade was strongly tied to high clinician burnout scores. “A new study issued today found electronic medical records (EHRs) – as currently

By: Melissa Clark, CCS-P, RT - CEO
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How to Choose Between Modifiers 25 and 57

When reporting an evaluation and management (E&M) service on the same claim with another service or procedure, you must append either modifier 25 “Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the same day of the procedure or other service,” or modifier 57, “Decision for surgery” to the E&M service code. Modifier Identifies Separate Nature of E&M Service A minimal patient evaluation is necessary to determine that a prescribed treatment is appropriate to manage the patient’s condition. For example, if a patient presents for a previously scheduled injection, the provider will briefly evaluate the patient to confirm that the injection remains

By: Melissa Clark, CCS-P, RT - CEO
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You Should Worry about Medical Coding Guidelines Changing

Changes are coming with Evaluation and Management (E&M) coding guidelines. I will use this space to explain why these changes will be both a good thing and a challenge to physicians, particularly those who derive much of their income from office visits. CHANGE IS OVERDUE It has been 20 years since the 1997 E&M guidelines were promulgated. They were confusing to most physicians then and remain confusing today. One study from the Journal of Family Practice showed that physicians are accurate in their E&M coding only 55 percent of the time, yet Mitchell King, MD provided a fascinating follow-up investigation in the Archives of Internal Medicine that showed certified coding

By: Melissa Clark, CCS-P, RT - CEO
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2018 ICD-10-PCS Code Changes

The U.S. Department of Health & Human Services (HHS) has released the code changes for ICD-10-PCS coding system. ICD-10-PCS codes were adopted under HIPAA for hospital inpatient healthcare settings to use for reporting procedures. Their guidelines help healthcare providers and coders to accurately identify procedures to be reported on healthcare claims. The 2018 updates will reflect services from Oct. 1, 2017 through Sept. 30, 2018, so be sure to update your medical records to account for the changes. There were 75,789 codes in 2017. In 2018, the number jumps to 78,705…   Continue reading this article  

By: Melissa Clark, CCS-P, RT - CEO
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Capitol Hill is paying a lot of attention to ICD-10…

“Capitol Hill is paying a lot of attention to ICD-10 implementation” is a great article by Carl Natale on ICD-10 Watch that talks about a big week in ICD-10 implementation…   Excerpt: “The U.S. House Energy & Commerce Subcommittee on Health, chaired by Rep. Joe Pitts (R-PA), has scheduled a hearing on “Examining ICD-10 Implementation” for 10:15 a.m. Wednesday. There isn’t a list of witnesses yet. But expect representatives from Centers for Medicare and Medicaid Services (CMS), American Health Information Management Association (AHIMA) and American Medical Association (AMA) at least.   There are plans to livestream it at http://energycommerce.house.gov/.   This comes a day after the Coalition for ICD-10 sponsors

Mentioned By: Melissa Clark, CCS-P, RT - President and CEO
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