Wednesday, October 19, 2016

CE Articles

Understanding COPD and pneumonia sequencing

With all the hoopla over sepsis, pressure ulcers, and diabetes coding, there’s a little gem of coding advice that has been overlooked since ICD-10 was released: pneumonia and chronic obstructive pulmonary disease. Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, writes about these changes and helps to decipher the new guideline changes.

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A new sepsis definition: Finding coding compliance at a crossroads
This October celebrates the eight month anniversary of the February release of the controversial third international consensus definitions for sepsis and septic shock. James S. Kennedy, MD, CCS, CDIP, tackles this new sepsis definition in part one of his two-part series. 
The ‘new’ DRG denial strategy
Trey La Charité, MD, writes about how he feels the days of merely maintaining compliance with published coding guidelines are gone, and suggests ways to protect a facility and appeal audits. 
Healthcare News: MOON requirement delay nearing 90 day mark
In early August, hospitals got a last-minute reprieve from the Medicare Outpatient Observation Notice (MOON) notification requirement. CMS detailed the need for additional time to revise the standardized notification form that hospitals will need to use to notify patients about the financial implications of being assigned to observation services; and, as of now, the requirement is still in delay.
Q&A: Clarifying ICD-10-PCS coding for an esophagogastroduodenoscopy
Q: What is the correct procedure code for an esophagogastroduodenoscopy? Our coder coded 0DQ68ZZ (Repair, stomach, via natural or artificial opening, endoscopic), which groups to DRG 326, the same as an esophagectomy. The relative weight is 5.45. This does not seem right. Could you please clarify?
 

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JustCoding News: Inpatient
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