Posted and filed under Coding, ICD-10.

Are you Ready for the Shift to ICD-10?

On July 31st, 2014, the U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct.1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the international Classification of Disease. ICD-10 will provide an enhancement platform for physician…

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Posted and filed under Coding, ICD-10.

Top 5 Reasons to Get Your ICD-10 Certification

5. If your employer does not currently require ICD-10 proficiency they likely will in the very near future. As we all know, ICD-10 is quickly approaching and it’s being implemented on October 1st. This is the system that everyone is going to be required to use, which is why it’s so crucial that all healthcare…

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Posted and filed under YouBeTheCoder.

You Be The Coder: September

How many physical examination elements can you extract from this documentation? VS: 124/80, Pulse: 74, Weight: 174 pounds CTA A&Ox3 No CCE Answer below:   Answer: Six Constitutional – Vital Signs Respiratory – Clear to Auscultation (CTA) Psych – Alert and Oriented X 3 (A&Ox3). No CCE; (Clubbing, Cyanosis, Edema) Musculoskeletal (Clubbing) Cyanosis (Skin) Edema…

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Posted and filed under Compliance.

Compliance Corner: September

What are the 3 core health activities where a covered entity could disclose a patient’s PHI? Answer: The core health care activities of “Treatment,” “Payment,” and “Health Care Operations” are defined in the Privacy Rule at 45 CFR 164.501.

Posted and filed under YouBeTheCoder.

You Be The Coder: August

What would the correct CPT code assignment be for this scenario? A male patient, 54 years of age, comes in on May 3, 2014 for a scheduled transurethral resection of the prostate (TURP). The patient had an initial TURP back in August 2012 but is still experiencing difficulty voiding. A. 52601 B. 52648 C. 52630…

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Posted and filed under Compliance.

Compliance Corner: August

Define the principle of “minimum necessary”? Answer: a covered entity must make reasonable efforts to use, disclose and request only the minimum amount of PHI needed to accomplish the intended purpose of it’s use

Posted and filed under Coding, Compliance, Healthcare.

How ICD-10 is Like Trying to Eat an Elephant in One Bite

This past week, one of our auditors, Robert Blizzard, presented to the Central Florida Physician’s Alliance in Lakeland.  There were 7 practices represented at this particular presentation.  He was asked “ICD-10 is like trying to eat an elephant in one bite.  If you were to make 3 recommendations for practices to enact right now, what…

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Posted and filed under YouBeTheCoder.

You Be the Coder: July

Test your knowledge The Advanced Beneficiary Notice of Non-coverage (ABN)  A 67 year old Medicare patient comes into the office for a cosmetic skin procedure. The following day the billing office staff checked and found the reason for service was not medically reasonable as per the Local Coverage Determination. The patient had not been made…

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Posted and filed under YouBeTheCoder.
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You Be the Coder: June

38 year old Female presented to the office for scheduled Essure sterilization. Patient identified, local anesthesia administered and the patient was placed in dorsal recumbent position. The physician uses a speculum to open the cervix and then places the hysteroscope to carry the coils into the fallopian tubes. Multiple attempts were taken to place the…

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