Wednesday, October 5, 2016

CE Articles

Navigating the 2017 pressure ulcer coding changes

Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, discusses the new documentation requirements for pressure ulcer coding in the 2017 Official Guidelines for Coding and Reporting Guidelines.

Note: To access this free article, make sure you first register for the free content if you do not have a paid subscription.

Ready CDI teams for CMS’ proposed expansion of mandatory ortho episode payment models
Shannon Newell, RHIA, CCS, writes about how certain hospitals will be required to participate in the Comprehensive Joint Replacement Model and a new orthopedic payment model called SHFFT if an August 2 proposed rule is finalized.
Root operations that put in, put back, or move some or all of a body part
Since the physician doesn't need to document a specific root operation, coders cannot rely solely on the terms the physician uses; thus it is important for each coder to fully understand each definition, including the root operations that put in, put back, or move some or all of a body part.
Healthcare News: CMS proposes bundled payment models for cardiac and hip fracture care
CMS recently proposed the development of bundled payment models for cardiac care and hip surgeries to begin July 2017.
Q&A: Sequencing for flu, pneumonia, and asthma

Q: I am never sure of correct sequencing when the admission is for flu, pneumonia, and asthma. The patient presented in the emergency department (ED) with shortness of breath, still tight after nebulizer treatment in the emergency room. The patient was kept for observation for one day, then was admitted.

Documentation includes:

  • Fever 101.8 in ED; respiratory rate (RR) 24; white blood cell count (WBC) 12.6
  • Influenza and upper respiratory tract infection
  • Mild persistent asthma in exacerbation due to the above (wheezing, tachycardia in the ED, 130s); acute hypoxic respiratory failure (PO 90%)
  • Superimposed RLL community-acquired pneumonia (CAP), per chest x-ray

Can you suggest proper sequencing and if queries are needed?

 

New on JustCoding.com

New on JustCoding Platinum!       

Platinum and Platinum Plus members can access an excerpt from the book The Essential CDI Guide to Provider Queries. If you are not a Platinum or Platinum Plus member and you want to upgrade your account, please call customer service at 800-650-6787.

 

Take JustCoding’s medical necessity survey

JustCoding is looking for feedback on a potential product to aid coders and billers regarding medical necessity. Please take this short survey and share your feedback so we can best meet your needs.

 

Free quiz

Test your knowledge with this week’s free quiz, which features ICD-10-PCS Removal codes for the lymphatic and hemic systems.

 

    

SIGN UP | FORWARD | SPONSOR

 
 

Mini Poll

How often do physicians respond to the initial coder queries at your organization?

Click here to share your answer.

 
 
 

Product Spotlight

Pediatric CDI: Tools for Clarifying Respiratory Failure in Pediatric Populations Webinar

Respiratory failure: It’s one of the most challenging diagnoses for those working in pediatric clinical documentation improvement to capture. In the pediatric setting, clinical indicators typically acceptable in the adult population simply don’t apply, and coding rules require specialists to capture documentation that can seem counterintuitive or even alien to pediatricians.

On Thursday, October 20, from 1:00-2:30 p.m. eastern, join expert speakers Valerie Bica, BSN, RN, CPN, and J. Douglas Campbell, MD, FAAP, MHA, as they review the documentation trouble spots and offer tips for educating and querying physicians.

For more information or to register, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

 

Contact Us

Amanda Tyler
Editor
JustCoding News: Inpatient
editor@justcoding.com


HCPro
35 Village Road, Suite 200
Middleton, MA 01949
800-650-6787
http://www.hcpro.com