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Trouble viewing? See it online! Wednesday, August 1, 2018
 

CE Articles
On the outside looking in: Ocular anatomy and coding for retinal repairs, corneal diseases

ICD-10-CM and CPT coding for glaucoma and retinal detachment requires a detailed understanding of coding guidelines as well as ocular anatomy and terminology. Explore the anatomy of the eye and review coding guidance for conditions that affect our view of the outside world.

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2019 MPFS proposed rule: CMS addresses E/M subjectivity by simplifying code processes
The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule includes significant potential updates to E/M coding and reporting. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, reviews the proposed changes and their potential impact on coding and billing for office visits and other outpatient services in 2019.
CMS responds to denials related to physician orders and signatures
A common error and audit finding affecting providers is the lack of a physician order or physician signatures on medical documentation. Kimberly A. H. Baker, JD, CPC, reviews CMS guidance for physician signatures on medical documentation.
2019 OPPS proposed rule: CMS continues push for site-neutral reimbursement and lower drug payments
CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions for drugs purchased under the 340B discount pricing program by nonexcepted PBDs.
Q&A: CPT coding for the management of time-consuming radiation procedures
Q: When is it appropriate to bill CPT code 77470 (special treatment procedure [e.g. total body irradiation, hemibody radiation, per oral or endocavitary irradiation]) for a special treatment procedure?
 

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JustCoding’s August Member Spotlight

This month we are pleased to introduce Lisa R. Reilly, RHIA, CCS, who has 20 years of experience as a coder and who currently works as the director of health information management (HIM) at Beebe Healthcare in Lewes, Delaware.
 

SelectCoder Tip of the Week

Pneumonia should be coded to the specific causative organism using a combination code when a specific ICD-10-CM code is available. Evaluate all available clinical documentation and assign the most specific diagnosis code for pneumonia. When the causative organism of bacterial pneumonia is known but no combination code exists, assign code J15.8 (pneumonia due to other specified bacteria).

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2019 OPPS Proposed Rule: Respond to CMS' Newest Proposed Policies

Each year CMS issues an OPPS proposed rule, which details the proposed changes to Medicare outpatient coding and billing. Feedback on the proposed rule is due within 60 days of its release, and finalized changes must be implemented by January 1.

During this 90-minute program, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the proposed rule and deliver a comprehensive program to update you on the major changes proposed for 2019 under OPPS and how you can respond.

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

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Sarah Gould
Editor
JustCoding News: Outpatient
editor@justcoding.com


HCPro
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JustCoding's Member Spotlight

This month we are pleased to introduce Lisa R. Reilly, RHIA, CCS, who has 20 years of experience as a coder and who currently works as the director of health information management (HIM) at Beebe Healthcare in Lewes, Delaware.

What has been your biggest professional challenge?

Going from paper charts to an electronic medical record (EMR). Also, the conversion to ICD-10.

What has been most rewarding about your job?

The learning experience and the ability to learn all aspects of coding, which impact outpatient and inpatient records.

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 Sarah Gould at sgould@hcpro.com
 

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