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The proposed changes found in the fiscal year (FY) 2019 IPPS proposed rule that would impact ICD-10-CM/PCS codes are summarized in this week's free article.
Trouble viewing? See it online! Wednesday, July 25, 2018
 

CE Articles
FY 2019 IPPS proposed rule: Tackling proposed changes to MDCs

Adriane Martin, DO, FACOS, CCDS, summarizes the proposed changes found in the fiscal year (FY) 2019 IPPS proposed rule, broken down by Major Diagnostic Category (MDC), that would impact ICD-10-CM/PCS codes.

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The risks and rewards of hospital discharge status codes
William E. Haik, MD, FCCP, CDIP, AHIMA-approved ICD-10-CM/PCS trainer, Jonathan Besler, CPA, MA, and Mary Devine, RN, write that while it is well-known that ICD-10-CM/PCS code assignment impacts hospital reimbursement and compliance, there is an additional code that often flies under the radar for inpatient coders and has a huge impact on reimbursement: the discharge status code.
Dissecting pediatric dysphagia for better ICD-10-CM code assignment
Amy Sanderson, MD, says that the term “dysphagia” has many synonyms used by providers in medical documentation. However, not all of these symptoms are able to describe the diagnosis with enough specificity so that it can be translated into its corresponding code assignment.
Healthcare News: Fourth edition of the universal definition of MI to be released
In June, an article detailing the upcoming release of the fourth edition of the universal definition of myocardial infarction (MI) was published in the American Journal of Medicine.
Q&A: Reporting ATN after kidney transplant in ICD-10-CM
Q: Our coding team is currently debating how to report acute tubular necrosis (ATN) in ICD-10-CM for a patient after a renal transplant. Can you provide any guidance?
 

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SelectCoder Tip of the Week

When the clinical record reports rheumatic valve disease and the valve affected is not specified and the record provides no information to support more than one valve affected, then this can be reported by assigning ICD-10-CM code I08.9 (rheumatic multiple valve disease, unspecified).

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JustCoding News: Inpatient
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JustCoding's Member Spotlight

This month, we are pleased to introduce Kathy Dorich, RN, CCDS, CHPQ, who has over 30 years of acute care experience and 10 years of experience in CDI.

Why did you get into this line of work?

After working in quality department of an acute care hospital, I was asked to lead a team of nurses who specialize in CDI. The hospital saw the value of CDI and decided to expand the team and formalize the program.

Continue reading the member spotlight here.

JustCoding is always looking for more members to feature in this section. If you’d like to share your coding story, please email editor Amanda Norris at anorris@hcpro.com.
 

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