CODING YESTERDAY'S NOMENCLATURE TODAY-GENERAL PERINATAL RULES FOR ICD-9 CM & ICD-10 CM | Coding Yesterday's Nomenclature Today
According to World Health Organization (WHO) in 2009 there were 2.6 million stillbirths globally with more than 8200 deaths daily (WHO, 2014). Half of these stillbirths occurred during the intrapartum period (WHO, 2014). Furthermore, among 133 million babies born alive annually, 2.8 million die in the first week of life (WHO, 2014). Therefore, the patterns of these deaths are crucial in efforts to reduce these shocking numbers. The plans of WHO to assist countries in providing integrated, evidence-based and cost-effective care for mothers and babies that begin before conception and goes through pregnancy, childbirth and the postpartum period can only be accomplished if the patterns surrounding the mortalities of newborns are accurately captured. Therefore, medical coding becomes a critical part of the process.
The Perinatal Period for the purposes of medical coding is considered to be before birth through the first 28 days after birth even though death or morbidity occurs later. Therefore conditions which have their origin during the Perinatal Period have unique codes created specifically for this time period. These codes are found in Chapter 15, Certain Conditions originating in the Perinatal Period (760-779) in ICD-9 CM and Chapter 16, Certain Conditions originating in the Perinatal Period (P00-P96) in ICD-10 CM. Perinatal codes are NEVER used on the maternal record and codes for the obstetric chapters are NEVER used on the newborn record. The codes, however, CAN be used be throughout the patient’s life regardless of age as long as the condition(s) is still present. Codes from other chapters may be used to further describe a condition. The Perinatal code must be sequenced first. If signs and symptoms are the only available information provided to describe a condition; it is permissible to use the signs and symptoms code only.
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11/4/14
Stress less, code more: Simplify ICD-10 for providers #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Stress less, code more: Simplify ICD-10 for providers - Action For Better Healthcare
03 Nov 2014healthcare policy, healthcare reform by Steven Robinson
Ever take a foreign language class in high school or college? Then you know learning a new language can be a challenge, because language is a complex system made up of many parts and small details. It can seem overwhelming at first and it’s easy to get discouraged.
ICD-10 is a new language for us, and documentation accuracy is dependent on you. But many have concerns about ICD-10’s ambition in documentation specificity.
So how do we support our physicians and other healthcare providers to learn a new language?
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
03 Nov 2014healthcare policy, healthcare reform by Steven Robinson
Ever take a foreign language class in high school or college? Then you know learning a new language can be a challenge, because language is a complex system made up of many parts and small details. It can seem overwhelming at first and it’s easy to get discouraged.
ICD-10 is a new language for us, and documentation accuracy is dependent on you. But many have concerns about ICD-10’s ambition in documentation specificity.
So how do we support our physicians and other healthcare providers to learn a new language?
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
What's the ICD-10 code for being shocked by the AMA? #ICD10 #ICDRemediator #ICD10Matters #HealthIT
What's the ICD-10 code for being shocked by the AMA? | ICD10 Watch
Posted on Mon, Nov 03, 2014 - 08:00 am
How was your Halloween? Did you dress up as your favourite healthcare IT professional on Friday? I must confessed I was shocked last week. Not by a ghost or monster ringing by door bell. But by the American Medical Association (AMA).
Yes, the AMA is usually considered scary by ICD-10 advocates. But they pleasantly shocked me with a bit of relative whimsy by publishing some ICD-10 examples of injuries sustained during Halloween activities — including being bitten by a vampire. It wasn't all whimsy because half the post was used to explain the AMA opposes ICD-10 implementation because of the cost and a pitch to buy AMA ICD-10 resources.
OK, none of that really shocked me. What shocked me was the following scenario:
"If one of your patients is unlucky enough to cross paths with a surly black cat, ICD-10 allows you to code for a bite from a cat (W55.01). The equivalent ICD-9 code didn’t allow for distinction by animal, so potential complications from a bite could be easier to monitor under the new code set."
Let me repeat the shocking part: "Potential complications from a bite could be easier to monitor under the new code set."
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Posted on Mon, Nov 03, 2014 - 08:00 am
How was your Halloween? Did you dress up as your favourite healthcare IT professional on Friday? I must confessed I was shocked last week. Not by a ghost or monster ringing by door bell. But by the American Medical Association (AMA).
Yes, the AMA is usually considered scary by ICD-10 advocates. But they pleasantly shocked me with a bit of relative whimsy by publishing some ICD-10 examples of injuries sustained during Halloween activities — including being bitten by a vampire. It wasn't all whimsy because half the post was used to explain the AMA opposes ICD-10 implementation because of the cost and a pitch to buy AMA ICD-10 resources.
OK, none of that really shocked me. What shocked me was the following scenario:
"If one of your patients is unlucky enough to cross paths with a surly black cat, ICD-10 allows you to code for a bite from a cat (W55.01). The equivalent ICD-9 code didn’t allow for distinction by animal, so potential complications from a bite could be easier to monitor under the new code set."
Let me repeat the shocking part: "Potential complications from a bite could be easier to monitor under the new code set."
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Top Opportunities to Reduce Wasteful Healthcare Spending #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Top Opportunities to Reduce Wasteful Healthcare Spending
Author Jennifer Bresnick | Date November 3, 2014
How can providers change their workflows and technologies to cut wasteful spending and improve the quality of care?
Reducing the amount of wasteful spending is one of the highest priorities for any financial officer in the healthcare setting, but identifying opportunities for improvement can be a difficult task. Few departments in a hospital or health system will ever say that they are adequately funded for their mission, yet simple process improvements, workflow adjustments, and a higher reliance on health IT can help organizations make better use of what they already have in hand.
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Author Jennifer Bresnick | Date November 3, 2014
How can providers change their workflows and technologies to cut wasteful spending and improve the quality of care?
Reducing the amount of wasteful spending is one of the highest priorities for any financial officer in the healthcare setting, but identifying opportunities for improvement can be a difficult task. Few departments in a hospital or health system will ever say that they are adequately funded for their mission, yet simple process improvements, workflow adjustments, and a higher reliance on health IT can help organizations make better use of what they already have in hand.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Expect Piecemeal ACA Reform if Senate Goes GOP #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Expect Piecemeal ACA Reform if Senate Goes GOP
Published: Nov 3, 2014 | Updated: Nov 4, 2014
By Joyce Frieden, News Editor, MedPage Today
WASHINGTON -- If Republicans end up controlling both the House and Senate after Tuesday's election, expect healthcare reform and Medicare to be high on the agenda, say experts.
The first thing a Republican-controlled Senate would do is attempt to repeal the Affordable Care Act (ACA), said Chet Speed, vice president of public policy at the American Medical Group Association in Alexandria, Va.
He noted that such a move would be a "largely symbolic" gesture, since any piece of legislation targeting the ACA would be immediately vetoed by President Obama. But it would be "a nod to folks that helped them to retake the majority," said Speed.
From a more practical standpoint, Republicans in the Senate would likely use a process known as "reconciliation" to try to pass certain pieces of a healthcare agenda. Reconciliation requires only 51 votes, and would be used to go after certain aspects of the ACA, such as "the individual mandate, the employer mandate, and the medical device tax," said Speed. In particular, the medical device tax is universally unpopular, and repealing it might even garner support from the other side of the aisle as well.
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Published: Nov 3, 2014 | Updated: Nov 4, 2014
By Joyce Frieden, News Editor, MedPage Today
WASHINGTON -- If Republicans end up controlling both the House and Senate after Tuesday's election, expect healthcare reform and Medicare to be high on the agenda, say experts.
The first thing a Republican-controlled Senate would do is attempt to repeal the Affordable Care Act (ACA), said Chet Speed, vice president of public policy at the American Medical Group Association in Alexandria, Va.
He noted that such a move would be a "largely symbolic" gesture, since any piece of legislation targeting the ACA would be immediately vetoed by President Obama. But it would be "a nod to folks that helped them to retake the majority," said Speed.
From a more practical standpoint, Republicans in the Senate would likely use a process known as "reconciliation" to try to pass certain pieces of a healthcare agenda. Reconciliation requires only 51 votes, and would be used to go after certain aspects of the ACA, such as "the individual mandate, the employer mandate, and the medical device tax," said Speed. In particular, the medical device tax is universally unpopular, and repealing it might even garner support from the other side of the aisle as well.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Reporting may explain rise in Danish autism cases #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Trying to report things not covered in the specification caused Denmark to mis-report cases, this is why we need ICD-10
Reporting may explain rise in Danish autism cases - News - KFGO The Mighty 790AM - Fargo Moorhead, ND
Monday, November 03, 2014 4:06 p.m. CST
By Kathryn Doyle
NEW YORK (Reuters Health) - More than half of the apparent increase in childhood autism cases in Denmark between 1980 and 2011 may be due to changes in how those cases are reported, according to a new study.
Researchers from Aarhus University and the Initiative for Integrative Psychiatric Research in Denmark studied nearly 678,000 children born there between 1980 and 1991. By December 2011, 3,956 of the children had been diagnosed with autism spectrum disorder.
Between 1980 and 1993, 192 kids were diagnosed with autism, compared to 100 between 1994 and 1995 and 3,664 between 1996 and the end of the study.
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Reporting may explain rise in Danish autism cases - News - KFGO The Mighty 790AM - Fargo Moorhead, ND
Monday, November 03, 2014 4:06 p.m. CST
By Kathryn Doyle
NEW YORK (Reuters Health) - More than half of the apparent increase in childhood autism cases in Denmark between 1980 and 2011 may be due to changes in how those cases are reported, according to a new study.
Researchers from Aarhus University and the Initiative for Integrative Psychiatric Research in Denmark studied nearly 678,000 children born there between 1980 and 1991. By December 2011, 3,956 of the children had been diagnosed with autism spectrum disorder.
Between 1980 and 1993, 192 kids were diagnosed with autism, compared to 100 between 1994 and 1995 and 3,664 between 1996 and the end of the study.
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Creating a Common Baseline for Practice Management System Assessments #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Creating a Common Baseline for Practice Management System Assessments
Written by Lee Barrett | Monday, 03 November 2014 00:00
No other technology has the power to impact a healthcare practice’s financial health like its practice management system (PMS). The PMS is the epicenter of all activities related to revenue generation and cost containment, and it will be the key to a successful transition to ICD-10. But historically, there have been few ways for practices to thoroughly assess these systems to ensure that they have the capacity to not only handle the job at hand, but also produce compliance with the myriad rules and regulations governing the practice’s activities.
The industry’s long-standing push for a PMS accreditation process that will help make these assurances possible has finally come to fruition. And being as providers currently face mounting pressure to increase quality while maximizing cash flow and reducing costs (in addition to preparing for the conversion to ICD-10), it couldn’t have come at a more crucial time.
The Practice Management System Accreditation Program (PMSAP) was formally launched at the fall conference of the Workgroup for Electronic Data Interchange (WEDI). At the conference, and at the co-located Healthcare Administrative Technology Association (HATA) national meeting, I led two panel discussions with industry leaders to talk about the significance of the program and the impact it will have on the industry.
For the first time, vendors that develop software to handle the administrative side of a physician practice — including everything from scheduling to revenue cycle management to monthly report generation — will be able to test their systems against standards developed by industry peers.
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#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Written by Lee Barrett | Monday, 03 November 2014 00:00
No other technology has the power to impact a healthcare practice’s financial health like its practice management system (PMS). The PMS is the epicenter of all activities related to revenue generation and cost containment, and it will be the key to a successful transition to ICD-10. But historically, there have been few ways for practices to thoroughly assess these systems to ensure that they have the capacity to not only handle the job at hand, but also produce compliance with the myriad rules and regulations governing the practice’s activities.
The industry’s long-standing push for a PMS accreditation process that will help make these assurances possible has finally come to fruition. And being as providers currently face mounting pressure to increase quality while maximizing cash flow and reducing costs (in addition to preparing for the conversion to ICD-10), it couldn’t have come at a more crucial time.
The Practice Management System Accreditation Program (PMSAP) was formally launched at the fall conference of the Workgroup for Electronic Data Interchange (WEDI). At the conference, and at the co-located Healthcare Administrative Technology Association (HATA) national meeting, I led two panel discussions with industry leaders to talk about the significance of the program and the impact it will have on the industry.
For the first time, vendors that develop software to handle the administrative side of a physician practice — including everything from scheduling to revenue cycle management to monthly report generation — will be able to test their systems against standards developed by industry peers.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Linda Reed on ICD-10: Prepare and don't get caught short - #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Linda Reed on ICD-10: Prepare and don't get caught short - FierceHealthIT
November 3, 2014 | By Dan Bowman
Despite yet another delay in the transition to ICD-10, providers still must remain focused and alert to ensure that, should implementation go forward on Oct. 1, 2015, cash flow remains uninterrupted. That was the message last week from Linda Reed (pictured right), vice president and CIO at Morristown, New Jersey-based Atlantic Health System.
"Many [CIOs] were embarrassed because we were adamant about the fact that ICD-10 was going to happen in 2014," Reed, who also serves on FierceHealthIT's Editorial Advisory Board, said at the College of Healthcare Information Management Executives fall forum in San Antonio, Texas, last week. "We said to our boards--we said it to everyone--'yes, it's going to happen,' and then they pulled the rug out from under us, so we looked a little silly. Today, we still have board members asking if 'is it going to happen?' Not one of us wants to say yes."
However, she said, that's not an option; instead, productivity and revenue must be viewed in a synergistic manner when keeping ICD-10 needs in mind.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
November 3, 2014 | By Dan Bowman
Despite yet another delay in the transition to ICD-10, providers still must remain focused and alert to ensure that, should implementation go forward on Oct. 1, 2015, cash flow remains uninterrupted. That was the message last week from Linda Reed (pictured right), vice president and CIO at Morristown, New Jersey-based Atlantic Health System.
"Many [CIOs] were embarrassed because we were adamant about the fact that ICD-10 was going to happen in 2014," Reed, who also serves on FierceHealthIT's Editorial Advisory Board, said at the College of Healthcare Information Management Executives fall forum in San Antonio, Texas, last week. "We said to our boards--we said it to everyone--'yes, it's going to happen,' and then they pulled the rug out from under us, so we looked a little silly. Today, we still have board members asking if 'is it going to happen?' Not one of us wants to say yes."
However, she said, that's not an option; instead, productivity and revenue must be viewed in a synergistic manner when keeping ICD-10 needs in mind.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
ICD-10 Delay Gives Clinicians Time To Address Issues #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Pain Medicine News - ICD-10 Delay Gives Clinicians Time To Address Issues
Chicago—The mandatory implementation deadline for the International Classification of Diseases, 10th Revision (ICD-10) coding system has been moved back from Oct. 1, 2014, to Oct. 1, 2015, easing pressure on clinicians who have not yet started the change. But this may be the only opportunity to catch up. For clinicians who continue to delay, there is strong potential for chaos and perhaps lost income from a poorly planned transition.
“It is fairly simple: If you are not billing with ICD-10 codes for services provided on or after October 1, 2015, you will not be paid,” said David Harano, MBA, executive director of Gastro One, a large gastroenterology practice in Germantown, Tenn. Speaking at 2014 Digestive Disease Week (DDW), Mr. Harano warned that implementation of ICD-10 codes “will cost you” in more staff hours for billing and perhaps less time with patients. All the potential problems are likely to be magnified with a head-in-the-sand approach, he added.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Chicago—The mandatory implementation deadline for the International Classification of Diseases, 10th Revision (ICD-10) coding system has been moved back from Oct. 1, 2014, to Oct. 1, 2015, easing pressure on clinicians who have not yet started the change. But this may be the only opportunity to catch up. For clinicians who continue to delay, there is strong potential for chaos and perhaps lost income from a poorly planned transition.
“It is fairly simple: If you are not billing with ICD-10 codes for services provided on or after October 1, 2015, you will not be paid,” said David Harano, MBA, executive director of Gastro One, a large gastroenterology practice in Germantown, Tenn. Speaking at 2014 Digestive Disease Week (DDW), Mr. Harano warned that implementation of ICD-10 codes “will cost you” in more staff hours for billing and perhaps less time with patients. All the potential problems are likely to be magnified with a head-in-the-sand approach, he added.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
Federal health plan ID not as needed as ICD-10 | #ICD10 #ICDRemediator #ICD10Matters #HealthIT
Federal health plan ID not as needed as ICD-10 | Government Health IT
November 03, 2014 | Anthony Brino, Associate Editor
All HIPAA-covered health organizations, and especially insurers, have been handed a small victory in the war of administrative simplification, as federal regulators once again back off a policy change long in the making.
The Department of Health and Human Services is delaying enforcement, until further notice, of health plan enumeration and the unique health plan identifier system, regulations stemming from the Health Insurance Portability and Accountability Act that were finalized in the fall of 2012 and set to take effect in the coming years.
The agency’s decision comes after an HHS advisory board, the National Committee on Vital and Health Statistics, recommended not requiring a new ID system in administrative transactions.
In September, the NCHVS told the agency it should “rectify in rulemaking that all covered entities not use the HPID in the HIPAA transactions,” over concerns of the operating standard’s costs and benefits among healthcare payers, providers and HIPAA-covered technology purveyors.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
November 03, 2014 | Anthony Brino, Associate Editor
All HIPAA-covered health organizations, and especially insurers, have been handed a small victory in the war of administrative simplification, as federal regulators once again back off a policy change long in the making.
The Department of Health and Human Services is delaying enforcement, until further notice, of health plan enumeration and the unique health plan identifier system, regulations stemming from the Health Insurance Portability and Accountability Act that were finalized in the fall of 2012 and set to take effect in the coming years.
The agency’s decision comes after an HHS advisory board, the National Committee on Vital and Health Statistics, recommended not requiring a new ID system in administrative transactions.
In September, the NCHVS told the agency it should “rectify in rulemaking that all covered entities not use the HPID in the HIPAA transactions,” over concerns of the operating standard’s costs and benefits among healthcare payers, providers and HIPAA-covered technology purveyors.
Click the link above for access to the article
#ICD10 #ICDRemediator #ICD10Matters #HealthIT
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