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Meet the Latest Modifier-Related RAC Topics

21. November 2019

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You may know that medical coding modifiers can affect payment and bundling rules for your claims, but did you know modifiers are on the radar for Recovery Audit Contractors (RACs), too? Here are some of the recently added audit issues that have links to modifier use. Quick background: Medicare’s RAC program is used to identify […]

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Get the Latest Vaping Coding Guidance From ICD-10-CM Official Guidelines

28. October 2019

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You now have authoritative guidance on ICD-10-CM coding for e-cigarette, or vaping, product use associated lung injury (EVALI). One thing you’ll learn: There may be new codes on the way to provide additional detail. Get the Scoop on the New Vaping Guidelines The four Cooperating Parties for ICD-10-CM approved the new vaping coding guidance, with […]

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Here’s Where to Turn When Coding for Chest Pain

24. October 2019

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A lot of primary care physicians and specialists see patients presenting with chest pain. In many cases, the provider may not be able to confirm a more specific diagnosis for the encounter. To ensure you’re coding this symptom correctly, follow these pointers on ICD-10-CM coding for chest pain. Use Both the Index and Tabular List […]

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Welcome ICD-10-CM 2020! Do You Know the Code Set’s Secret Language?

3. October 2019

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As of Oct. 1, we are officially applying the 2020 ICD-10-CM code set. Get your diagnosis coding year off to a good start by refreshing your knowledge of some of the not-always-obvious terms essential to accurate claims: NEC, NOS, and, with. If you want full details, check Section I. A of the FY2020 “ICD-10-CM Official […]

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ICD-10-CM: 3 Official Tips for More Accurate COPD Coding

26. September 2019

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ICD-10-CM 2020 is bringing a small change to chronic obstructive pulmonary disease (COPD) code J44.0, making it a good time to refresh your knowledge of the guidelines that apply to coding for this disease (or group of diseases, if you want to be precise!). 1. Understand the Change to J44.0 To start, let’s take a […]

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Top 10 ICD-10-CM Official Guideline Updates for 2020

19. August 2019

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The FY2020 ICD-10-CM Official Guidelines for Coding and Reporting (OGs) are available now so you can prepare for the 2020 diagnosis code changes and rule changes at the same time. Some revisions involved adding a missing word that was already obvious from context, so we won’t cover every change here. But this overview will give […]

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Part 3: Cross the ICD-10-CM 2020 Update Finish Line With Chapters 18-21

10. July 2019

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Feeling energized for the last post in our ICD-10-CM 2020 update blog marathon? Today we’ll wrap up our overview of the main changes in each chapter of the diagnosis code set by covering symptoms, fractures, and more. Read Part 1 for news about Chapters 1-10 and Part 2 for Chapters 11-17. Chapter 18: Pick Up […]

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Part 2: Tackle ICD-10-CM 2020 Updates for Chapters 11-17

8. July 2019

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You know the highlights of ICD-10-CM 2020 updates for Chapters 1-10 from our last blog post. Now let’s dig in to some of the big points from Chapters 11-17. We’ll wrap up with Chapters 18-21 in Part 3. Remember: These updates are effective Oct. 1, 2019. Be sure your ICD-10-CM resource has the latest codes […]

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Part 1: What’s New in ICD-10-CM 2020, Chapters 1-10?

3. July 2019

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ICD-10-CM 2020 is out now so you can prepare to start using the new code set Oct. 1, 2019. The Tabular List addenda PDF is 36 pages long to fit in 273 new reportable codes along with new subcategories, deletions, revisions, and some very important instruction changes. We’ll cover major points from each ICD-10-CM chapter, […]

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PDPM: Snap Up This ICD-10-CM Knowledge for Your SNF

17. June 2019

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The Patient Driven Payment Model is bringing new importance to the ICD-10-CM code set for SNFs. Here’s where the diagnosis codes will come into play. Get a Quick Overview of the PDPM The Patient Driven Payment Model (PDPM) is a new case-mix classification system that will replace the Resource Utilization Group, Version IV (RUG-IV), effective […]

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