UASI Compliance Work Plan Analysis – Inpatient Documentation and Coding Issues
By: Natalie Sartori, M. Ed., RHIA, CCS This whitepaper is the first in a 2-part series regarding UASI inpatient and outpatient analyses of third party compliance work plans (including the OIG and RACs for example). This document details an analysis of the following active inpatient topics: Medicare Payments for Inpatient Discharges with COVID-19 (OIG)Deep Brain…
Inpatient Only List – March 2021 Coding Tip
The inpatient only list is composed of procedures for which Medicare will only pay for when performed in the hospital inpatient setting. CMS has determined this list to be an area of concern in that it restricts patient choice when it comes to surgery. CMS has proposed to eliminate the list over the next three…
COVID-19 POA Indicators – February 2021 Coding Tip
COVID-19 is a complex disease with a wide spectrum of clinical patterns. COVID-19 was initially viewed as primarily a respiratory disease, but is now recognized as a complex disorder affecting many body systems. Coding professionals need to be knowledgeable of the testing of COVID-19 (e.g., diagnostic and antibody tests) and the COVID-19 disease processes (e.g.,…
The Structure of ICD-11
The eleventh version of the International Classification of Diseases (ICD-11) is structured very differently than previous ICD versions. At the core of this difference is the ICD-11 Foundation component and the ability to define a linearization. The Foundation is the underlying structure of ICD-11. It is a large data base that includes all ICD concepts,…
FY21 E/M Office Visit MDM Part 3: Risk of Complications and/or Morbidity/Mortality
UASI is on the front lines actively working with our clients to help them comply with the biggest change in evaluation and management (E/M) coding since 1997. The new office visit E/M code levels are assigned based on either medical decision making (MDM) or total time. The complex MDM rules make it really easy to…
FY21 E/M Office Visit MDM Part 2: Amount/Complexity of Data Reviewed
UASI is on the front lines actively working with our clients to help them comply with the biggest change in evaluation and management (E/M) coding since 1997. The new office visit E/M code levels are assigned based on either medical decision making (MDM) or total time. The complex MDM rules make it really easy to…
FY21 E/M Office Visit MDM Part 1: Number and Complexity of Problems
UASI is on the front lines actively working with our clients to help them comply with the biggest change in evaluation and management (E/M) coding since 1997. The new office visit E/M code levels are assigned based on either medical decision making (MDM) or total time. The complex MDM rules make it really easy to…
Introduction to ICD-11 Codes – UASI Lunch and Learn
Click the button below to download a PDF copy of Mary Stanfill’s Lunch and Learn, “Introduction to ICD-11 Codes.” Follow the link to view and listen to the recording of the presentation. UASI Lunch and Learn: Introduction to ICD-11 Codes – Zoom
Coding Tip of the Month – January 2021
New Add-On-Code 57465 Computer-Aided Mapping of Cervix Uteri New to Current Procedural Terminology 2021 is the add-on-code 57465. This code was created for the Female Genital System/Endoscopy subsection of the Surgery section to report computer-aided mapping of cervix uteri during colposcopy. +57465 Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and…
Coding Tip of the Month – December 2020
CPT Coding Changes for 2021 Effective January 1, 2021 shoulder debridement codes 29822 and 29833 will be revised. Currently codes 29822 and 29823 only describe shoulder arthroscopy with limited and extensive debridement. Starting in January these codes will be revised to specify the number of “discrete” structures debrided and include anatomical examples.* 29822: Arthroscopy, shoulder,…
FY21 E/M Changes – UASI Lunch and Learn
Click the button below to download a PDF copy of Natalie Sartori’s Lunch and Learn, “FY21 E/M Changes.”
Telehealth Guidelines During COVID-19 – UASI Lunch and Learn
Click the button below to download a PDF copy of Kathy DeVault’s Lunch & Learn, “Telehealth Guidelines During COVID-19.”