Mon, 10/19/2015
The National Center for Health Statistics has issued an important clarification on Excludes1 notes. It states that two conditions covered by an Excludes1 note may be reported together if they are unrelated. Here is the full text of the NCHS announcement: We have received several questions regarding the interpretation of Excludes1 notes in ICD-10-CM when the conditions are unrelated to one another. Answer: If the two conditions are not related to one another, it is permissible to report both... [+]
Thu, 09/17/2015
Radiology Coding Certification Board (RCCB) and Coding Strategies, Inc. Partner to Provide ICD-10-CM Radiology Proficiency Assessments Powder Springs, GA – September 16, 2015 The Radiology Coding Certification Board (RCCB) in conjunction with Coding Strategies, Inc., has partnered to offer a radiology-focused assessment designed to confirm ICD-10-CM  proficiency.  The Radiology ICD-10-CM Proficiency Assessment is available to all Radiology Certified Coders (RCC) as well as others in the... [+]
Thu, 09/03/2015
Coding Strategies and HCPro Partner to Provide a Best-In-Class Coding Training Solution Coding Strategies, Inc. announces formal partnership with HCPro, a division of BLR Powder Springs, GA – September 3, 2015 – Coding Strategies, Inc., announced it has entered into a partnership with HCPro, a division of BLR. This partnership will help to deliver quality content from both HCPro and Coding Strategies and provide broad solutions to clients, creating a unique online learning experience. “For... [+]
Thu, 08/20/2015
It is finally here—the day we have all been waiting for—the official implementation date for ICD-10. Actually there still are approximately 30 days to go, but we are clearly in the final stretch and, at this point, the mission should be to ascertain that the “t’s” have been crossed and the “i’s” dotted for the most critical items. Three key areas should be examined to ensure they have been adequately addressed in preparation for the big launch date of October 1, 2015: Readiness, impact analyses... [+]
Wed, 08/12/2015
On August 6, 2015 the Centers for Medicare & Medicaid Services (CMS) issued MLN Matters MM9231 listing new and revised place of service (POS) codes for physicians billing on the CMS1500 claim form. The plan to update POS codes for outpatient hospital services was announced in the 2015 Medicare Physician Fee Schedule Final Rule, and these new codes will be effective January 1, 2016. The new and revised POS codes are: POS Code Descriptor 19 A portion of an off-campus hospital provider-... [+]
Tue, 07/28/2015
On July 27 CMS issued FAQs regarding the ICD-10 flexibility policies that the agency announced on July 6.  CMS clarified that “family of codes” refers to an ICD-10 three-character category.  A Part B fee-for-service claim will not be denied during post-payment review solely on the basis of the code specificity, as long as the provider used a code from within the correct ICD-10-CM three-character category.  For example, the provider would not be penalized on post-payment review for submitting... [+]
Wed, 07/22/2015
Don’t Miss This ICD-10-CM Training Seminar Coding Strategies Hosts Final Pre-Implementation Training Seminar in Atlanta, GA Powder Springs, GA – July 22, 2015 – Coding Strategies, Inc., the leader in coding and compliance consulting and education for the healthcare industry, hosts a 2-day, specialty-focused, ICD-10-CM seminar in Atlanta, GA.  These Specialty Workshops and Training (S.W.A.T.) sessions will be presented August 18 & 19, 2015 at the Crowne Plaza Midtown. The transition to ICD-... [+]
Tue, 07/07/2015
In a July 6 press release, CMS announced new initiatives to help providers prepare for ICD-10 implementation on October 1. These initiatives include: Provider education webinars, on-site training, and educational articles regarding the ICD-10 transition.  CMS and the AMA will be conducting these activities “in parallel.”  CMS has also scheduled a National Provider Call on ICD-10 for August 27. Launching an ICD-10 communications and coordination center, including an ICD-10 Ombudsman, to monitor... [+]
Tue, 06/02/2015
The Medicare Access and CHIP Reauthorization Act, which was passed by Congress earlier this year, eliminated the Medicare program’s controversial Sustainable Growth Rate formula.  It also established a 0.5% increase in the MPFS conversion factor (CF) starting July 1, 2015, and continuing through year-end.  In Transmittal 3259 (issued May 15, 2015), CMS instructed the Medicare contractors to implement this new CF, which is rising from $35.7547 to $35.9335.  You can therefore look forward to a... [+]
Fri, 05/29/2015
Diagnostic coding trainer Karna W. Morrow, CDP, RCC, CC S-P, made a connection between shifting requirements of the new payment models relevant to radiology and unique capabilities of the ICD-10 diagnostic coding system in a recent presentation at ACR 2015. “Payers may not be as interested in what you did (when they were working in a purely fee-for-service environment), but why you did it,” she said. Morrow, who is a consulting services manager at Coding Strategies Inc., Power Springs, GA,... [+]
Thu, 03/19/2015
By Melody W. Mulaik, MSHS, CRA, FAHRA, RCC, CPC, CPC-H The new breast imaging codes and associated payer edits have created coding challenges for 2015. While most people were happy to receive the new codes for tomosynthesis, the new codes for breast ultrasound and new coding guidelines for percutaneous breast procedures and postprocedure mammograms caught some people by surprise and raised documentation and reimbursement issues. It is important to keep in mind that the payer policies and... [+]