Hospital Outpatient Articles

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

  • Healthcare News: CMS delays observation enforcement twice, groups seek one more

    November 12, 2013

    The 2014 IPPS Final Rule was supposed to be implemented with enforcement beginning October 1, but one of its most controversial aspects has seen another delay in enforcement, with major healthcare trade groups seeking more.

  • New 2014 CPT codes for pain management treatment and care

    October 15, 2013

    New CPT® codes introduced for 2014 will give healthcare providers new ways to report pain management services and treatments. Shelley C. Safian, PhD, MAOM/HSM, CCS-P, CPC-H, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer, reviews some of the codes, including new evaluation and management and Category II codes.


  • Significant changes proposed for 2014 OPPS

    October 15, 2013

    Some of the most sweeping changes in OPPS history were proposed in the 2014 rule, including new packaging rules, quality measures, and changes to evaluation and management. Jugna Shah, MPH, and Dave Fee, MBA, look at some of the changes and how they could impact providers.  

  • Q&A: Coding for revision after bilateral mastectomy

    October 15, 2013

    Q: The patient has had a previous bilateral mastectomy and is now coming in for a revision of bilateral areola with a dermal fat graft to the left nipple and excision of excessive skin and subcutaneous tissue from both breasts. This would be CPT® code 19380 (revision of reconstructed breast) with modifier -50 (bilateral procedure) and 19350-50 (nipple/areola reconstruction) for both procedures. I cannot locate information that tells me if the nipple revision on the reconstructed breast is part of the 19380 or can be separately coded with 19350.

  • Reporting packaged services accurately

    October 15, 2013

    Packaging still causes confusion amongst healthcare providers and the number of packaged services will greatly expand if CMS finalizes certain parts of the 2014 OPPS proposed rule. Valerie A. Rinkle, MPA, and Kimberly Anderwood Hoy Baker, JD, CPC, discuss what changes could come in 2014 and how to avoid common packaging errors. 

  • Healthcare News: ICD-10 implementation could lead to claims backlog

    October 15, 2013

    Small and mid-sized hospitals are increasing their ICD-10 training for staff, according to a recent Health Revenue Assurance Associates (HRAA) survey of 200 healthcare professionals. However, many still lag behind CMS’ timeline for dual coding and other implementation aspects.

  • Q&A: NCCI and MUE edits on same claim

    October 1, 2013

    Q: Can a medically unlikely edit and National Correct Coding Initiative edit be triggered on the same claim? 

  • Specificity a necessity for dermatology coding

    October 1, 2013

    Like the skin, dermatology coding has several layers. Betty Hovey, CPC, CPC-H, CPB, CPMA, CPC-I, CPCD, says that coders need to pay attention to the type of procedure, site, size, and more in order to accurately report each encounter.

  • 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.

  • Be ready to code for gallbladder attacks

    October 1, 2013

    Jeanne L. Plouffe, CPC, CGSC, and Jennifer Avery, CCS, CPC-H, CPC, CPC-I, review procedures performed on the gallbladder and how to determine the correct ICD-9-CM diagnosis codes.