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Insights & Education

2024 CMS Proposed ICD-10-CM Changes

By Kathryn DeVault / June 22, 2023

On Friday, June 16, the proposed CMS ICD-10-CM diagnosis code changes were released. The diagnosis code set changes consist of 395 additions, 12 revisions and 25 deletions. The total ICD-10-CM codes proposed for FY 2024 is 74,044. Other inclusions in the newly released proposal is a 2.8% increase in payments as well as increasing the… Read More »2024 CMS Proposed ICD-10-CM Changes

Comparing Codes Across ICD Versions: Diabetes

By Mary Stanfill / June 2, 2023

The WHO ICD-11 classification is very different from the 10th version that the United States modified to create the ICD-10-CM code set that is used in the US today. One key difference, ICD-11 post-coordinated code clusters, provides a flexible way to represent details about a condition. Let’s compare codes for a common condition, diabetes mellitus,… Read More »Comparing Codes Across ICD Versions: Diabetes

Antimicrobial Resistance CDI Scenario

By Staff / May 30, 2023

We’d like to extend our sincerest gratitude to Katherine from Lifepoint Health for catching an error with this CDI scenario. The error has been corrected. H&P: 85 yo F presents to the ED from home with abdominal pain and fatigue.  UA was positive for UTI. Will obtain Urine Culture, replace foley, and start Levaquin while… Read More »Antimicrobial Resistance CDI Scenario

UASI Announces the Appointment of Kevin J. Cook to the Board of Directors

By Staff / May 15, 2023

FOR IMMEDIATE RELEASE UASI May 15, 2023 UASI Announces the Appointment of Kevin J. Cook to the Board of Directors Under new leadership, UASI expands its’ Board of Directors to include Kevin J Cook to take advantage of his expertise scaling organizations in the healthcare industry. Kevin J. Cook, the Founder and Managing Member of… Read More »UASI Announces the Appointment of Kevin J. Cook to the Board of Directors

Comparing Codes Across ICD Versions: Osteoarthritis

By Mary Stanfill / May 1, 2023

While implementation of ICD-11 in the US is likely years away, it is not too early to become familiar and comfortable with the structure and format. ICD-11 is a digital classification that is very different from ICD-10-CM. Let’s compare and contrast coding of a common condition, osteoarthritis. Note: In this example, the ICD-11 code is… Read More »Comparing Codes Across ICD Versions: Osteoarthritis

ACDIS Virtual

By Staff / April 20, 2023
https://www.youtube.com/watch?v=9pk78nNR3is

Pre-Bill Assurance Webinar Establishing and Maintaining an Efficient and Effective Second Level Clinical Review Process

By Staff / April 20, 2023
https://www.youtube.com/watch?v=r765h2TFd2o

Syndrome of Inappropriate Antidiuretic Hormone (SIADH) CDI Scenario

By Matt Hare / April 17, 2023

April 2023 H&P: 67-year-old male sent to ER from Rehab with altered mental status and lethargy. Has been complaining of headache for last 24 hours. Patient is currently oriented to self and is unable to participate in exam. CT Scan completed at Rehab with no change to ICH, no midline shift or brain compression. Pt… Read More »Syndrome of Inappropriate Antidiuretic Hormone (SIADH) CDI Scenario

How do the CMS-HCC model changes impact you?

By Staff / April 5, 2023

The eagerly anticipated changes to the CMS-HCC model are here. There are some positive and negative impacts that are coming your way.  How you fare is dependent on your population though the model is predicting a 3.32% increase in payments to Medicare Advantage plans over three years. As a result, shoring up your risk adjustment… Read More »How do the CMS-HCC model changes impact you?

Rib Fracture – March 2023 Coding Tip

By Sarah Kriegshauser / March 28, 2023

A new subcategory for the fracture of ribs associated with compression of the chest and cardiopulmonary resuscitation, has been created.