Education and Tips
Learn useful information and tips used in the industry.
Subcutaneous Implantable Cardioverter Defibrillator The PCS updates for October 1st, 2019 included a new device character “F Subcutaneous Defibrillator Lead” in several tables in the Subcutaneous Tissue and Fascia body system. The use of implantable cardioverter defibrillators (ICDs) is an established therapy for the prevention of death from ventricular arrhythmia. Existing conventional ICDs rely on… Read More »Coding Tip of the Month – December 2019
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Topic: GI bleeding Scenario: 80 y/o female presents with coffee ground hematemesis with a PMH of GERD, CAD, and Iron deficiency Anemia. She has home medications of Protonix PO daily, SlowFe PO daily, and ASA 81mg PO daily. H&P notes: “acute upper GI bleed” with non-compliance with the Protonix and SlowFe because she says “they… Read More »Monthly CDI Scenario Discussion – December 2019
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This training includes: Discussion of 2020 MS-DRG changes with CDI tip recommendations Discussion of 2020 IPPS changes with CDI tip recommendations Discussion of 2020 ICD-10-CM updates with CDI tip recommendations Why It’s Important: Coding is the basis of clinical documentation improvement Understanding coding fundamentals will assist in knowing what to look for in regards to… Read More »Code Updates and Tips for CDI
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Are you ready to take your coding to the next level? What is single-path coding? It is a coding process where the coder codes both diagnoses and procedures for professional fee services and facility services at the same time using single-path coding (dual coding). It is performed by one coder who has the skill, knowledge,… Read More »Single-Path Coding Tip
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For facilities performing CABG and other sternotomy procedures, readmission due to problems associated with sternal wires is just one type of complication that can occur post-operatively. The types of complications that can occur due to sternal wires include persistent pain, infection displacement, sternal dehiscence, and fractured wires. Most of these complications will require removal of the… Read More »Removal of Sternal Wires Following CABG
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The annual updates to the ICD-10 and MS-DRG systems have been finalized, effective October 1. The ICD-10 and MS-DRG updates reflect the final Hospital Inpatient Prospective Payment System (IPPS) rule for the fiscal year 2020. You can see the details on IPPS here. Highlights of the MS-DRG changes include: Reassignment of 4 ICD-10-PCS codes for HCT procedures… Read More »UASI Training for FY2020 MS-DRG Updates
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Topic: Fever of unknown origin Scenario: 65 year old male presented to the ED with a five-day history of increased congestion, cough, subjective fever, worsening lethargy, some confusion, weakness, and decreased oral intake. In the ED, the patient was febrile 102.0 F, heart rate 90, BP 112/71, RR18, SPO2 94% on room air. CT of… Read More »Monthly CDI Scenario Discussion – November 2019
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CKD, Hypertension and Diabetes Mellitus: The Third Quarter 2019 Coding Clinic provided additional explanation and interpretation in regard to assuming a cause and affect effect relationship between CKD, hypertension and diabetes mellitus. Although previous advice regarding CKD, hypertension and diabetes provided in Fourth Quarter 2018 was not mentioned in the Third Quarter 2019 advice comparing… Read More »Coding Tip of the Month – October 2019
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