View Post

ICD-10-CM Official Guidelines for Coding and Reporting – FY2021

In ICD-10, News by Mary MadisonLeave a Comment

“The Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS), two departments within the U.S. Federal Government’s Department of Health and Human Services (DHHS) provide the following guidelines for coding and reporting using the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). These guidelines should be used as a companion document to the …

View Post

NEW: Free PDGM grouper tool from Selman-Holman & SimpleLTC

In ICD-10, News, PDGM by Lisa Selman-Holman1 Comment

Our new PDGM grouper allows you to project Health Insurance Prospective Payment System (HIPPS) codes for expected revenue. Now you can easily project a HIPPS code based on the data at the beginning of the billing period, allowing for faster RAP submissions. The dollar amounts will be calculated based on the patient’s zip code. There is an indicator warning when …

View Post

MLN Fact Sheet: ICD-10-CM, ICD-10-PCS, CPT and HCPCS CODE SETS

In ICD-10, News by Mary Madison2 Comments

I just ran across this great updated (September 2020) MLN Fact Sheet.  This 6-page educational tool gives health care providers, suppliers, medical coders, billing and claims staff an easy reference to information on the code sets used to bill Medicare claims. Use this tool when submitting inpatient and outpatient diagnoses, procedures, and supplies on Medicare claims.  This is a resource …

View Post

[On-demand webinar] New codes, guidelines & guidance: Coding year 2021

In Home Health, Hospice, ICD-10 by Sarah BaconLeave a Comment

Stay up-to-date on ICD-10 coding changes In this on-demand webinar, Lisa discusses the changes slated for October 1, including new codes, guidelines, and Coding Clinic guidance pertinent to home care and hospice. Do you understand the impact of your coding on PDGM? What are the more common errors that you can avoid?  Get the latest coding changes and PDGM updates …

View Post

Oct. 1, 2020 is quickly approaching, master 2021 ICD-10 updates with ease

In Home Health, Hospice, ICD-10 by Sarah BaconLeave a Comment

Whether you need a quick update of the new 2021 codes and guidance or a full ICD-10 coding course, Selman-Holman has you covered. [Live Webinar] New codes, guidance & guidelines: What you NEED to know for coding year 2021 Sep. 17, 2020 | 12:00-1:15pm CT Join Lisa as she discusses the changes slated for October 1, including new codes, guidelines, …

View Post

ICD-10-CM changes take effect Oct. 1 – are you prepared?

In ICD-10 by Sarah BaconLeave a Comment

Join Lisa as she discusses the changes slated for October 1, including new codes, guidelines, and Coding Clinic guidance pertinent to home care and hospice. Do you understand the impact of your coding on PDGM? What are the more common errors that you can avoid?  Learn the latest and get your questions answered for only $49. [Live webinar] New codes, …

View Post

FY 2021 ICD-10-CM Official Guidelines for Coding and Reporting Posted

In ICD-10, News by Mary MadisonLeave a Comment

The FY 2021 ICD-10-CM Official Guidelines for Coding and Reporting have been posted a bit earlier than usual this year.  The 126-page document provides the guidelines for diagnosis coding.  These guidelines are to be used from October 1, 2020 through September 30, 2021. Note: This (document) replaces the FY 2020 release. These files listed below represent the FY 2021 ICD-10-CM. …

View Post

ICD-10-CM Diagnosis Codes: FY 2021 Available

In ICD-10, News by Mary MadisonLeave a Comment

FY 2021 ICD-10-CM diagnosis codes are available on the 2021 ICD-10-CM webpage. The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021. 2021 Code …

View Post

2021 Release of ICD-10-CM Codes

In ICD-10, News by Mary MadisonLeave a Comment

Below is a repost of a Briggs post written by Mary Madison, RN, RAC-CT, CDP, Clinical Consultant, Briggs Healthcare. The 2021 ICD-10-CM codes are to be used from October 1, 2020 through September 30, 2021. Note: This replaces the FY 2020 release. These files listed below represent the FY 2021 ICD-10-CM. The FY 2021 ICD-10-CM is available in both PDF (Adobe) and XML file …

View Post

Selecting (and defending) the primary diagnosis

In ICD-10 by Lisa Selman-HolmanLeave a Comment

Getting the right primary diagnosis can be a real challenge, and generate some lively debate among clinicians, QA managers and coders. Ultimately, we must meet the requirements for payment under the Medicare coverage and payment regulations. The primary diagnosis must be supported by documentation in three places The Face-to-Face encounter note from the physician or non-physician provider The problem(s) identified …