Hospital Outpatient Articles

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

  • Wrap your arms around data analytics before ICD-10

    October 1, 2013

    The implementation of ICD-10-CM will bring more specificity to coding, which will mean more data for facilities. Michael Gallagher, MD, MBA, MPH, and ­Andrea Clark, RHIA, CCS, CPC-H, look at how to handle that data and its benefits for providers and patients.

  • Make sense of confusing modifiers

    September 17, 2013

    Modifiers are sometimes essential to ensure proper payment, but choosing the correct one can be tricky. Sarah L. Goodman, MBA, CHCAF, CPC-H, CCP, FCS; Katherine Abel, CPC, CPMA, CEMC, CPC-I; and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, PCS, FCS, CPAR, CPC, CPC-H, discusssome confusing modifiers and how to use them accurately.

  • Healthcare News: Auditors finding errors with reporting of add-on codes

    September 17, 2013

    Some providers are billing only add-on codes without their respective primary codes, resulting in overpayments, according to CMS. Add-on codes billed without their primary codes are considered an overpayment, with one exception.

  • Q&A: Using modifier -59 with EKGs

    September 17, 2013

    Q: A patient comes into the ED with chest pain. An EKG (CPT® code 93005) is performed. The patient goes directly to the catheterization lab for catheterization (code 93454).  Is a modifier appropriate for the EKG?

  • Cerebrovascular accident sequela: Transition to ICD-10-CM

    August 30, 2013

    After a cerebrovascular accident (CVA, also known as stroke), a patient may suffer additional health problems, lasting after the event has passed. Shelley C. Safian, PhD, CCS-P, CPC-H, CPC-I, compares coding for these lasting effects, known as sequela, in ICD-9-CM and ICD-10-CM.   

  • Q&A: Coding for fractures and osteoporosis in ICD-10-CM

    August 30, 2013

    Q: We have a patient with documented age-related osteoporosis. She bent over to pick up a newspaper from a table and fractured a vertebrae. Should we code the fracture as pathologic or traumatic?

  • ICD-10-CM/PCS: Managing the change for coders

    August 30, 2013

    When it comes to ICD-10-CM/PCS, coders may be the hardest and most directly hit employees. Laura A. Shaffer, PhD, and Monica ­Lenahan, CCS, explain how hospitals may be lagging behind in terms of actually managing the change for these individuals.

  • Healthcare News: CMS, AHIMA ICD-10 basics presentation available

    August 30, 2013

    CMS’ Pat Brooks, RHIA, senior technical advisor, Hospital and Ambulatory Policy Group, and AHIMA’s Sue Bowman, MJ, RHIA, CCS, FAHIMA, senior director, coding policy and compliance, reviewed basic ICD-10 information during a CMS National Provider Call August 22.

  • Note similarities, differences between ICD-9-CM and ICD-10-CM

    August 30, 2013

    With some much attention focused on how ICD-10-CM is different from ICD-9-CM, coders could easily overlook the similarities between the two systems. Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, andKatherine Abel, CPC, CPMA, CPC?I, CMRS, review some of the main similarities and differences between ICD-9-CM and ICD-10-CM.  

  • CMS proposes significant changes for E/M coding

    August 20, 2013

    Evaluation and management (E/M) coding and reimbursement for hospital outpatients could change dramatically if CMS finalizes its proposal to replace current E/M CPT® codes with three G codes. Dave Fee, MBA,  Peggy S. Blue, MPH, CCS-P, CPC, Jugna Shah, MPH, Kimberly Anderwood Hoy, JD, CPC, Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, and Valerie A. Rinkle discuss the possible impact if CMS finalizes its proposal.