Blog

With the Right Preparation ICD-10 Updates Can Increase Revenue

Posted by Samantha Champagnie on Jul 18, 2016 10:00:34 AM

The next wave of the ICD-10 transition may help Organizations increase revenue through higher level of specificity in claim submission.  The key to this success is driven by continuous monitoring of coding accuracy.

Topics: ICD-10, Coding, Audit

Rise of the Super Coder: HIM Professionals in Clinical Documentation Improvement

Posted by Pamela Hess on Jun 27, 2016 10:10:00 AM

In today’s shifting healthcare landscape, the evolving disciplines of HIM, clinical documentation improvement and healthcare informatics are merging.  The recent implementation of ICD-10 offers additional opportunities to further specify the patient’s condition that enhances provider communication as well as accurate reimbursement.  As risk base insurance models increase, many organizations are in the process of expanding their clinical documentation improvement efforts in order to drive optimized revenue and compliance.

Topics: ICD-10, Coding, CDI

himagine CEO Michael DiMarco Talks Coding and the Third-Party Option

Posted by Mike Taylor on Jun 20, 2016 10:12:38 AM

The following information comes from the June 2016 issue of For the Record  magazine. 

As outsourcing models gain a foothold, health care organizations weigh the pros and cons.

Outsourced models are increasingly recognized as an attractive and viable option for a number of operational areas within health care organizations.  In line with this trend, many organizations are considering the potential of moving either some or all of the coding function to a third-party service provider.

Topics: Coding, Outsourcing

ICD-10 QUICK TIPS: General Surgery Pearls of Wisdom

Posted by Melissa McLeod on Jun 13, 2016 9:52:24 AM

Hello to everyone in ICD-10 land!  In my past blogs I have focused on the specialty specific areas of coding where confusion exists, but let's face it, a large part of what we code every day is in the area of General Surgery, which poses its own set of unique challenges.  So many guidelines and let’s not forget the selection of the root operation, body system, body part, device, biopsy and the list goes on.  I am a big advocate of getting back to the basics so let’s start there and review some starting points.

Topics: ICD-10, Coding

Coder Communication: Tips and Best Practices

Posted by Janetta Butler on May 18, 2016 9:29:05 AM

Over the last couple years coding has been influenced by the transition to ICD-10, Quality Indicators, and Data Analytics causing coding roles to change tremendously.  One aspect of change has been substantially increased email communication with other health information teams (CDI, QA, Case Management) related to clinical documentation and coding accuracy. 

Topics: Coding

ICD-10 QUICK TIPS: OB/GYN Multiple Gestations

Posted by National Compliance and Quality Audit Team on May 2, 2016 10:15:00 AM

Last month, we discussed OB/GYN coding as part of our ICD-10 Quick Tips blog series.  This week, we will continue our discussion of OB/GYN coding and focus on coding of multiple gestations.  In our past life (ICD-9!) we did not have too many options to capture this data, but ICD-10 certainly took care of that for us!  We now have new coding concepts to address and apply, so let’s take a look at one of the biggest changes involving multiple gestation coding.  Once again, I want to start with some basic information which is critical for understanding this concept of coding.

Topics: ICD-10, Coding

Case Study: The Impact of Coder Performance Improvement

Posted by Samantha Champagnie on Apr 25, 2016 10:30:00 AM

For HIM professionals and the providers they work for, ongoing education plays an important role in data accuracy.  Coding guidelines are frequently updated and coders must adapt to new rules while meeting quality and productivity standards.  With just a few months to go before the continued expansion of the ICD-10 coding set, providers must think strategically about implementing solutions that will minimize coding errors while maximizing reimbursement.

Topics: Coding, Audit, Quality

ICD-10 QUICK TIPS: OB/GYN Episodes of Care and Complications

Posted by National Compliance and Quality Audit Team on Apr 19, 2016 10:15:00 AM

As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10.  We are sharing these insights with the broader HIM Community through our bi-weekly blog series "ICD-10 Quick Tips." 

The subject matter for this series is currated based on the trending topics in our online question and answer system which services over 1,200 of our HIM professionals.  Our Subject Matter Experts have an average of 20 years of experience and are considered leaders in their field. 

This week's post comes from National Compliance and Quality Audit Manager, Melissa McLeod, CDIP, CCDS, CCS, CPC, CPC-1, and AHIMA Approved ICD-10 Trainer. 

Topics: ICD-10, Coding

ICD-10 QUICK TIPS: Neurology Coding Snippets!

Posted by National Compliance and Quality Audit Team on Apr 4, 2016 10:15:00 AM

As the largest outsource coding provider in the country we have identified trends and gained unique insights from our coders throughout the transition to ICD-10.  We are sharing these insights with the broader HIM Community through our bi-weekly blog series "ICD-10 Quick Tips." 

The subject matter for this series is currated based on the trending topics in our online question and answer system which services over 1,200 of our HIM professionals.  Our Subject Matter Experts have an average of 20 years of experience and are considered leaders in their field. 

This week's post comes from National Compliance and Quality Audit Manager, Melissa McLeod, CDIP, CCDS, CCS, CPC, CPC-1, and AHIMA Approved ICD-10 Trainer. 

Topics: ICD-10, Coding

CASE STUDY: Navigate New Code Sets with Managed Coding

Posted by Andrea Romero, RHIA, Chief Operating Officer on Mar 30, 2016 11:59:36 AM

April 1st officially marks six months since the transition to ICD-10.  While we’ve had six months to adapt to the effects of the new coding set, we only have six more before the continued expansion of the ICD code set takes effect when the partial freeze on updates implemented by CMS is lifted.  This expansion will introduce another 1,900 diagnostic codes, 3,651 inpatient procedure codes, and 487 revised code titles.  Come October 1st 2016, the HIM industry will again experience sweeping changes in medical coding making highly trained medical coders more desirable and the “great coder shortage” more daunting.  

Topics: ICD-10, Coding, Outsourcing