The latest information to keep updated for advanced coding.
Hypertensive CrisisDefinition: HTN: Systolic blood pressure (SBP) of 130mm Hg or more and/or diastolic blood pressure (DBP) of more than 80mm Hg HTN Crisis: Generic term to describe hypertensive urgency or hypertensive emergency, typically seen with elevated blood...
Medicare Advantage is on the brink of a significant restructuring as it transitions from V24 to V28 of the hierarchical condition categories (HCCs) risk adjustment model. In a recent Journal of AHIMA article, I partnered with Jeanie Heck, BBA, CCS, Education...
Respiratory FailureDefinition: Syndrome where the respiratory systems fail in either or both the gas exchange function or oxygenation and carbon dioxide elimination. Recognized as either hypoxemic or hypercapnic.Coding Considerations:Review the circumstances of...
The first part of the series, “Medicare Advantage HCC Model Changes From v24 to v28” is a deep dive into the upcoming HCC model changes. This webinar is approved for 1.0 AHIMA and AAPC CEU. The following six parts of the series are designed to provide additional...
Poisonings vs. Adverse Reactions vs. Toxic Effects vs. Underdosing DefinitionPoisoning: reaction to the improper use of a medication. This can include either:Wrong substanceWrong doseWrong personWrong Route of administrationTaken in combination of alcohol, illicit...
Exagamglogene autotemcel (Exa-cel) (aka CTX001™) is a genetically modified cell therapy that is used to increase fetal hemoglobin (HbF) in patients with sickle-cell disease (SCD) and transfusion-dependent beta-thalassemia (TDT). Exagamglogene autotemcel is an...
Stay in the know about how proposed changes to SDOH codes could affect IP MS-DRG reimbursement. Inpatient prospective payment system (IPPS) payment is made based on the use of hospital resources using various factors: the treatment of a patient’s severity of...
In 2021, Social Determinants of Health (SDOH) were added as risk factors to the CPT table used to determine the level of medical decision-making for evaluation and management (E/M) services provided during visits in an office or...
Refers to the placement of a specialized hollow bore needle through the cortex of a bone into the medullary space for infusion of medical therapy. It is used when standard venous access would delay therapy or is not easily obtained. IO success rates are twice as high...
A recent discussion regarding lactic acidosis in a patient with sepsis has prompted a review of some important points that need clarification. First and foremost, lactic acidosis is not considered inherent to Sepsis. Additionally, acidosis is not noted as an...
New codes were assigned for refractory angina pectoris in FY 2023. These codes will differentiate refractory angina pectoris from other angina types and help ensure precise data collection coding. Chronic refractory angina pectoris is angina caused by irreversible...
New code for Prostatic Artery Embolization under root operation (Occlusion) For 2023, a new code was introduced for Prostatic Artery Embolization (PAE) under root operation (Occlusion). It is in the same body system, Lower Arteries, as Uterine Artery Embolization. PAE...