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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...
Coding Strategies for Successful Revenue Cycle ManagementTune in to this Compliance Conversations episode, "Coding Strategies for Successful Revenue Cycle Management," to understand modifiers, status indicators, and their significance in the reimbursement process....
Acute Kidney Injury (AKI) DefinitionAn abrupt (within hours) decrease in kidney function, which encompasses both injury (structural damage) and impairment (loss of function). Etiology categorized as:Pre-Renal: Caused by any type of reduced blood flow to the...
When a large agency sought to determine the performance and validity of risk adjustment and HCC coding across the nation, they contracted with a renowned global leader in healthcare auditing.
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...
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...
We often hear that it is crucial for medical coders, auditors and CDI personnel to stay up to date on the latest coding changes and coding clinic information. But why? There are a few reasons. Accurate reimbursement. Reviewing and understanding how to apply the newest...
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...
FY 2023 includes new codes for Hemolytic-Uremic Syndrome (HUS), category D59.3-. HUS is a rare but serious disease that affects the kidneys and blood clotting functions of infected people. Infection with HUS causes the destruction of red blood cells, which can then cause kidney failure.
New codes related to respiratory acidosis are now in place. Acute respiratory acidosis is now indexed to J96.02 (Acute respiratory failure with hypercapnia). Chronic respiratory acidosis is now indexed to J96.12 (Chronic respiratory failure with hypercapnia)....
Providers often use the terms hyperlipidemia and hypercholesterolemia interchangeably. Technically, hyperlipidemia is a high or elevated lipid/fat level in the blood. High blood cholesterol is a lipid disorder. As a result, when hyperlipidemia and hypercholesterolemia...
Meconium gives the amniotic fluid a greenish color. This is called meconium staining. Coding Clinic, Second Quarter 2022 clarifies ‘light meconium-stained fluid’ and how to code it. The presence of any meconium staining may indicate fetal distress, therefore code...