Archive for March 2020
An Overview of the FY 2021 Evaluation and Management Code Changes
For the first time since 1997 the American Medical Association (AMA), in collaboration with the Centers for Medicare and Medicaid Services (CMS), will implement significant changes to the Evaluation and Management (E/M) office visit codes and guidelines. This paper provides an overview of the E/M changes that will be implemented January 1, 2021. Background and…
Read MoreMonthly CDI Scenario Discussion – April 2020
Topic: Multiple Significant Trauma Scenario: 65 year old male with a PMH of CAD, HTN, and Hyperlipidemia on Metoprolol and Lipitor who presented following a 10 foot fall onto the ground from a ladder while cleaning out the gutters. Per H&P pt. fell on his back striking his head with wife reporting to EMS he was…
Read MoreAmerica’s Health Information Management Professionals Stand Ready to Fight COVID-19
As a country we continue to maneuver through the evolution of this COVID-19 pandemic and adjust to assist with containment of the virus. During this time, it is clear to us at UASI that Health Information Management (HIM) professionals will play a key role in the fight. On a daily basis our coding and consulting management…
Read MoreICD Tip – The Latest on COVID-19
ICD-10 MS-DRGs Version 37.1 Effective April 1, 2020 Coding Discharges on or after 4/1/2020 *Please note: As of 4/1/2020, new code ICD-10 CM U07.1 will be available Code U07.1, 2019-nCoV acute respiratory disease will be implemented into ICD-10-CM with the update effective April 1, 2020. National Center for Health Statistics (NCHS) developed interim coding advice…
Read More2020 CMS E&M Guidance Telehealth Services
As of March 17, 2020 under President Trump’s leadership, the CMS has broadened access to Medicare’s telehealth services benefits with a 1135 waiver that will pay for office, hospital and other visits furnished via telehealth starting with March 6, 2020 and lasting for the duration of the COVID-19 emergency. Prior to this waiver these benefits…
Read MoreCoding Tip of the Month – March 2020
Topic: Endoscopic Lung Biopsies An endoscopic biopsy of the bronchus involves passing an endoscope into the lumen of the trachea and bronchus. An endoscopic biopsy of the lung is performed by passing an endoscope through the trachea, main bronchus, smaller bronchi and into the lung. Biopsies of the bronchus and lung can be performed using…
Read MorePreventing Denials Through Clinical Validation
Click here to download our article “Preventing Denials Through Clinical Validation,” originally published in the March 2020 issue of the Journal of AHIMA.
Read MoreMonthly CDI Scenario Discussion – March 2020
Topic: Pancytopenia Scenario: A 51 year old female presents with nausea, vomiting, and weakness History & Physical: HPI: 51 year old female recently diagnosed with leukemia presents with nausea, vomiting, poor appetite, and weakness. Last chemotherapy treatment was one week prior to presentation. PMH: Osteoarthritis, diabetes mellitus type 2, HTN, obesity (BMI 35), no history…
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