Hospital Outpatient Articles

Below is a complete listing of all Hospital Outpatient articles that have appeared in JustCoding News.

  • Healthcare News: CMS nears completion of NCD translation to ICD-10-CM

    May 14, 2013

    CMS is translating only 27% of its current National Coverage Determinations (NCD) from ICD-9-CM to ICD-10-CM, according to Janet Anderson Brock, CMS’ director of the Division of Operations and Information Management, Coverage and Analysis Group Center for Clinical Standards and Quality.

  • GEMs a useful addition to ICD-10-CM transition tool kit

    May 14, 2013

    General equivalence mapping (GEM) is a good tool to use to convert ICD-9-CM codes to ICD-10-CM, but the maps are only a tool. Lori Andersen, MS, and Patrick Romano, MD, MPH, explain to use GEMs as part of your ICD-10 coding transition.

  • CMS corrects edit 84, deletes modifiers

    April 30, 2013

    CMS corrected edit 84, added five APCs, deleted two APCs, and changed the description of another as part of the April updates to the I/OCE. Dave Fee, MBA, reviews the most significant changes CMS implemented

  • Q&A: Performing multiple fusions at same spinal level

    April 30, 2013

    Q: If a patient has a spinal deformity on L5-S1 and we use the appropriate codes from 2280X and then the physician performs an arthrodesis/fusion on the same level, can we bill the appropriate fusion codes (225XX-226XX) as well?  My impression is no, but I would love to get some insight into this question.

  • Understand anatomy to transition reporting hypertension from ICD-9-CM to ICD-10-CM

    April 30, 2013

    According to the Centers for Disease Control and Prevention, 31% of all American adults have high blood pressure, so odds are coders see the condition documented often. Shelley C. Safian, PhD, CCS-P, CPC-H, CPC-I, AHIMA-Approved ICD-10-CM/PCS Trainer, compares coding for hypertension in ICD-9-CM and ICD-10-CM.

  • Ten steps to code for anesthesia services

    April 30, 2013

    Anesthesia coding in some ways is similar to evaluation and management coding—only easier. Chandra Stephenson, CPC, CPC-H, CPMA, CPC-I, CANPC, CEMC, CFPC, CGSC, CIMC, COSC, explained the 10 steps to coding anesthesia during the AAPC National Conference in Orlando, Fla., April 14-17.

  • Healthcare News: CMS releases Quarterly Provider Compliance Newsletter

    April 30, 2013

    The April 2013 issue of CMS’ Medicare Quarterly Provider Compliance Newsletter highlights two Comprehensive Error Rate Testing (CERT) issues that affect outpatient providers.

  • Audits help lock down processes, clarify coding

    April 16, 2013

    More and more entities are auditing healthcare claims-Recovery Auditors, Medicare Integrity Contractors, MACs, FIs, commercial payers, and on and on. ­Andrea Clark, RHIA, CCS, CPC-H, CEO, Debbie Mackaman, RHIA, CHCO, and Peggy Stilley, CPC, CPMA, CPC-I, COBGC, ACS-OB, explain how coders and their organizations can benefit from internal audits.

  • Local Coverage Determinations provide the missing link to complement coding guidelines

    April 16, 2013

    The missing link to correct coding is coder knowledge and practical application of Local Coverage Determinations (LCDs). Glenn Krauss, BBA, RHIA, CCS, CCS-P, CPUR, C-CDI, CCDS, reveals how LCDs compliment official coding guidelines for compliant coding.

  • Healthcare News: CMS adds codes to conditionally bilateral list

    April 16, 2013

    CMS added seven CPT® codes to the conditionally bilateral list as part of the April update to the Integrated Outpatient Code Editor. When a provider performs a conditionally bilateral service bilaterally, coders must append modifier -50 (bilateral procedure) to the code.