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Archive for Health Information Management

Nov
17

Refresh your knowledge of core concepts for coding accuracy

Posted by: HIM Connection | Comments (0)
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Clinical knowledge is an essential element for capturing severity and MS-DRG assignment, according to Gloryanne Bryant, RHIA, CCS, CCDS, regional managing director of HIM at Kaiser Permanente in Oakland, CA. “When we’re talking about DRG changes and coding changes, it’s important to enhance clinical knowledge,” she said.
 
Additionally, refresh your knowledge of the following core concepts for coding accuracy:
  • Case-mix index. Track this monthly and look for changes. What is your highest-volume DRG, primary diagnosis, and secondary diagnosis?
  • Accurate and complete coding. Know the Uniform Hospital Discharge Data Set definition of principal diagnosis: “that condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care.”
  • Physician documentation. This is key to accurate code assignment. Have your clinical documentation improvement specialist determine where improvements are needed.
  • Coding audits. Perform audits regularly to evaluate accuracy and potential over- or undercoding.
“These are great actions to take to ensure accuracy in documentation, case-mix index, and certainly your MS-DRGs,” Bryant said.
 
Editor’s note: This tip is adapted from the November 2009 issue of Briefings on Coding Compliance Strategies.
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Nov
12

Revenue Cycle Institute posts free coding tool

Posted by: The RAC Report | Comments (0)
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Each month the Revenue Cycle Institute publishes a free sample tool or form for readers. We hope you find this month’s tool—a chart of the new ICD-9 codes, including E and V codes—helpful in ensuring you’re on top of the code changes for 2010.
 
Editor’s note: Access the free tool via by clicking on “Tools.”  The chart originally appeared in the October issue of Medical Records Briefing.
 
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Nov
10

Prepare for miscellaneous costs that may arise during the transition to ICD-10

Posted by: HIM Connection | Comments (0)
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Despite an HIM director’s best efforts to prepare for a smooth transition to ICD-10, there may be unforeseen challenges along the way, says Tori Sullivan, RHIA, MHA, PMP, manager of Capgemini Government Solutions in Reston, VA. Having money in reserve is always a good idea. “Set aside money in case you don’t get reimbursed or can’t process claims for a period after go-live,” she advises. Use your hospital’s highest average daily reimbursement and multiply that amount by five. Set aside this amount for reserve in the event of claims submission errors or denials, she says.
 
One potential challenge for critical access hospitals is the likelihood that ICD-10 will require an encoder, an extra expenditure for hospitals that don’t have one, says Debbie
Mackaman, RHIA, CHCO, regulatory specialist at HCPro, Inc., in Marblehead, MA. “[An encoder] will make things so much easier for coders who are trying to work out of books because it will do an automatic crosswalk for them,” she says.
 
Editor’s note: This tip is adapted from the December 2009 issue of Medical Records Briefing.
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Sep
30

2009 JustCoding.com Coder Salary Survey

Posted by: JustCoding News | Comments (0)
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JustCoding.com is conducting its annual coder salary survey, and we would appreciate your input. Please take a few moments to complete this survey. Only participate in the survey if you are a coding professional. If you are not a coding professional, please forward the survey to one of your coding colleagues. Note that the survey should take less than 5 minutes to complete. We appreciate your time! If the click-through does not work, please cut and paste this URL into the address bar of your browser: www.zoomerang.com/Survey/?p=WEB229JMJLMWKC 

Thank you for your time and assistance.

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Sep
22

Effectively research your ICD-9-CM coding questions

Posted by: HIM Connection | Comments (0)
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Follow these steps when researching an ICD-9-CM coding question:

  1. Start with the ICD-9-CM Manual. You can resolve many ICD-9-CM coding questions by carefully studying the ICD-9-CM Manual itself, paying particular attention to typographical conventions and the various notes included throughout the Manual.
  2. Review the official guidelines. The Public Health Service and CMS jointly publish the Official ICD-9-CM Guidelines for Coding and Reporting. The following organizations helped develop and approve these guidelines:
    • American Hospital Association (AHA)
    • AHIMA
    • CMS
    • National Center for Health Statistics
  3. Review Coding Clinic. Coding Clinic is a newsletter published by the AHA. Representatives from the four organizations listed above review and approve each issue of Coding Clinic. You can order a subscription or back issues of Coding Clinic from the AHA by calling 800/AHA-2626.

This tip was adapted from the handbook, Coding and You: What Every Healthcare Professional Should Know. For ordering information, visit the HCMarketplace.

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Mar
24

HHS names health technology coordinator

Posted by: HIM Connection | Comments (1)
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The Health and Human Services (HHS) department has named Dr. David Blumenthal as the national coordinator for health information technology, according to a March 20 Associated Press/Miami Herald news release. Blumenthal, who had most recently been the director of the Institute for Health Policy at The Massachusetts General Hospital/Partners HealthCare System, will help determine how to spend the $19 billion outlined in the American Recovery and Reinvestment Act of 2009 that President Obama signed into law on February 17.