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JustCoding.com provides coders, coding supervisors, and health information management (HIM) directors with educational resources to test their coding knowledge, employ correct coding guidelines, and stay abreast of CMS transmittals. To learn about the different levels of access to this site, click here.
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The newest on PEGJ: Understand what a percutaneous endoscopic gastrojejunostomy is, and also what it isn’t
Robert S. Gold, MD, discusses how to correctly code a percutaneous endoscopic gastrojejunostomy.
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If clinical documentation improvement specialists don't perform a thorough record review, they may fail to catch many DRG-changing complications/comorbidities (CC) and major CCs. Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, and Deborah Mange, RN, BSN, discuss ways to build a more complete clinical picture of the patient encounter in order to ensure correct documentation.
Glenn Krauss, RHIA, CCS, CCS-P, CPUR, FCS, PCS, and Marion Kruse, RN, MBA, explain the findings of the 2007 RAC status report. The report announced that CMS identified $371.5 million in improper Medicare payments collected from or repaid to healthcare providers and suppliers in California, Florida, and New York.
The POA indicator differentiates between preexisting conditions that a patient has before his or her hospital admission and conditions or complications that develop over the course of the hospital stay. DeAnne Bloomquist RHIT, CCS, and Shannon McCall RHIA, CCS, CPC, offer tips to help coders assign the indicator correctly.
James S. Kennedy, MD, CCS, and DeAnne W. Bloomquist, RHIT, CCS, discuss the details of the proposed rule, and explain how the rule may affect your facility.
With the permanent Recovery Audit Contractor (RAC) program right around the corner, facilities should review a few internal progress notes to see whether their coding complies with the split/shared visit policy rule. Elin Baklid-Kunz, MBA, CPC, CCS, discusses increased latitude in hospital and office billing for evaluation and management (E/M) services.
Cristina Bentin, CCS-P, CPC-H, CMA, and Joanne Schade-Boyce, RDH, MS, CPC, ACS, PCS, offer tips to avoid ambulatory surgery center coding mistakes for gastrointestinal, orthopedic, and as ear/nose/throat procedures.
CMS to make modifier -GD available soon
May 7, 2008
Providers may soon be able to use modifier -GD to override medically unlikely edits (MUE), according to a CMS official who addressed the issue during the April 24 CMS Open Door Forum call. Read more about modifier -GD in Healthcare Happenings.
Deleted and payable HCPCS codes
April 30, 2008
CMS recently issued their quarterly update for Level II HCPCS codes, in Transmittal R1492, which are effective immediately. Learn about the four deleted codes, and the eight new ones.
MS-DRGs to see few changes; discussion of RAND report yet to come
April 23, 2008
As expected, CMS proposes to base 100% of the relative weights of Medicare Severity DRGs (MS-DRG) on costs. This marks the final step in a three-year transition to cost-based weights from charge-based weights. In fiscal year (FY) 2008, the relative weights consisted of a 50/50 blend of CMS-DRG and MS-DRG rates. Read the details in Healthcare Happenings.
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Check out what you're missing on JustCoding Platinum!
Answers to five coding questions in the Special Reports and News section
- Complete blood count (CBC) for a patient with schizophrenia simplex, simple type
- Choosing E Codes for sprains and strains
- Coding an enema or an injection in the emergency room
- Error messages associated with the Holter monitor
- Antepartum visits after birth at a different facility
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May 28, 2008
Integumentary CPT Coding: Correct Common Errors for Closures, Transfers, Flaps, and Grafts
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