Coding

Latest Issue of OR Manager
December 2017

More than 800 ICD-10 code changes coming

Editor's Note ChartLogic (Salt Lake City) is reporting that as of August 9, 2017, a total of  419 ICD-10 codes were added, 273 codes were revised, and 123 codes were being deleted, according to the August 15 Becker’s Hospital CFO Report. The changes are slated for implementation on October 1,…

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By: Judy Mathias
August 21, 2017
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Do Medicare’s latest code changes help or hurt ASCs?

Medicare is increasing approval of higher-acuity procedures performed in the ambulatory surgery center (ASC) setting, creating meaningful opportunities for ASCs. At the same time, however, a number of outpatient procedure codes have been deleted, reduced, or are packaged and considered all-inclusive in a case, without additional payment. “Key changes occurred…

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By: Leslie A. Flowers
July 13, 2017
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ACS notifies members of CMS software errors

Editor's Note The American College of Surgeons (ACS) on January 20 notified members that it had received a letter from the Centers for Medicare & Medicaid Services (CMS) saying new moderate sedation codes that took effect January 1 were incorrectly bundled into several surgical procedures codes in CMS payment software.…

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By: Judy Mathias
January 23, 2017
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CMS: ICD-10 grace period ends October 1

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on August 18 announced in its FAQ guidelines that the 1-year grace period for claims using the ICD-10 code set will end October 1. Healthcare organizations will be required to use the correct degree of specificity when coding claims. Unspecified…

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By: Judy Mathias
August 23, 2016
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Help decode ICD-10 for prompt reimbursement

Despite warnings of calamities, implementation of the International Classification of Diseases (ICD)-10 on October 1, 2015, proceeded smoothly, with minimal impact on denied claims. In the fourth quarter of 2015, the percentage of Medicare claims denied was 10%, comparable to the preimplementation figure of 9.9%. But that doesn’t mean OR…

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By: OR Manager
August 8, 2016
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CMS releases alert on new ICD-9, ICD-10 exclusions

Editor's Note The Centers for Medicare & Medicaid Services (CMS) released an alert May 23 on newly excluded ICD diagnosis codes that will no longer be accepted starting January 7, 2017. The codes include: T88.8XXA (Other specified complications of surgical and medical care, not elsewhere classified, initial encounter) T88.8XXD (Other…

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By: Judy Mathias
June 2, 2016
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Make it your business to grow a healthy bottom line

In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…

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By: OR Manager
May 16, 2016
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More than 5,000 new codes will be added to ICD-10 in FY 2017

Editor's Note The Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention announced March 9 that about 1,900 diagnosis codes and 3,651 hospital inpatient procedure codes will be added to the ICD-10 coding system in FY 2017, AHA News Now reports. The large number of…

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By: Judy Mathias
March 15, 2016
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CMS issues ICD-10 assessment toolkit

Editor's Note The Centers for Medicare & Medicaid Services has released a toolkit to help healthcare providers track and respond to ICD-10 performance indicators. The toolkit includes tips and resources for: assessing ICD-10 progress using key performance indicators to identify potential issues that could affect productivity or cash flow addressing…

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By: Judy Mathias
March 9, 2016
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ICD-10 conversion uneventful in the ambulatory setting, despite worries

With several months of experience using an updated version of the International Classification of Diseases-10 (ICD-10) diagnosis coding system, most US healthcare providers, including ambulatory surgery centers (ASCs), are finding their worst fears have yet to materialize.   ‘Lights would go out’ Although Medicare has not yet released data, insurance…

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By: OR Manager
February 19, 2016
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