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The fiscal year (FY) 2019 IPPS final rule contains extensive changes pertaining to MS-DRGs.
Trouble viewing? See it online! Wednesday, September 5, 2018
 

CE Articles
A comprehensive look at FY 2019 MS-DRGs changes

The fiscal year (FY) 2019 IPPS final rule contains extensive changes pertaining to MS-DRGs. This article details some of the most notable MS-DRG updates including revisions to epilepsy with neurostimulators and pacemaker insertion classifications.

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Brush up on ICD-10-PCS coding for abdominal aortic aneurysms
Adriane Martin, DO, FACOS, CCDS, writes that abdominal aortic aneurysms (AAA) are the most common type of aortic aneurysm, and the complexities surrounding AAAs make reporting procedures related to them difficult for even the most skilled inpatient coder.
APR-DRGs: Reviewing documentation for improved LOS data
Cathy Farraher, RN, BSN, MBA, CCCM, CCDS, details the basics of the All Patient Refined Diagnosis Related Groups (APR-DRG), a system developed to allow for a more specific analysis of outcomes in the non-Medicare population, and shows coders and CDI teams how to better capture quality metrics through documentation.
Healthcare News: Fourth edition of the universal definition of MI published
The European Heart Journal recently published the fourth universal definition of myocardial infarction (MI). The newest definition, which supersedes all previous versions, includes new and updated clinical concepts as well as new sections of guidance.
Q&A: Determining MS-DRG match rates
Q: If a CDI specialist doesn’t enter the queried diagnosis in his or her working DRG, but the physician responds favorably to the queried diagnosis at the time of coding (or during the retrospective query process), would you consider this in the reconciliation process? If yes, how would we capture this type of data?
 

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SelectCoder Tip of the Week

ICD-10-CM code K22.6 (gastro-esophageal laceration-hemorrhage syndrome) should be assigned only for patients diagnosed with Mallory-Weiss syndrome or esophageal laceration and bleeding due to Mallory-Weiss tears. When esophageal bleeding is documented as due to esophageal varices, assign a code from category I85.- (esophageal varices).

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JustCoding's Member Spotlight

This month we are pleased to introduce Mary Ann Polantz, RHIT, CCS, CCDS, who has 34 years of experience in coding and 45 years of experience in the healthcare industry. Mary Ann is currently a consultant at CBIZ KA Consulting Services, LLC, located in East Windsor, N.J.

What has been your biggest professional challenge?

My biggest challenge was probably the transition from working in a hospital setting to working in the consulting environment.

What has been most rewarding about your job?

Working with our clients to ensure accurate ICD-10-CM/PCS coding while recovering the revenue they may be leaving on the table.

Continue reading the member spotlight here.
 

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