CMS’ three-day rule defines certain preadmission services as inpatient operating costs, meaning they are bundled and billed as part of the inpatient claim and payment is made as part of the applicable DRG payment for the case. This sounds simple, and there had been very little new guidance for...Read More »
The ICD-9-CM guidelines state that it’s unusual for two or more diagnoses to meet the definition of principal diagnosis. However, coders know this isn’t exactly true, as the scenario tends to occur frequently.
Pneumonia and heart failure is a common combination with which patients...Read More »
The ICD-9-CM Coordination and Maintenance (C&M) Committee discussed a few changes to the ICD-9-CM and ICD-10 code sets for the October 1, 2012 implementation dates during its meeting March 5.
Due to the planned implementation of the ICD-10 code set, the last round of regular...Read More »
What’s in a name? That which we call a rose by any other name would smell as sweet. At least Shakespeare says so.
And what does that have to do with ICD-10-PCS coding, you might ask? Well, you won’t find eponyms—words derived from the name of a real, fictional, mythical, or spurious...Read More »
On August 24, the U.S. Department of Health and Human Services (HHS) announced a one-year delay of ICD-10-CM/PCS implementation. The new deadline is October 1, 2014. (Read the final rule at www.ofr.gov/OFRUpload/OFRData/2012-21238_PI.pdf.)
The switch from ICD-9-CM to ICD-10-CM/PCS is set and it isn’t going to change. There is no waiting for ICD-11, no two-year delay until 2015. But many questions remain. The following Q&As were culled from 3M’s September 5 webinar, “ICD-10 Final Rule Q&A.”Read More »
The following is a condensed, step-by-step guide that can be used for hospitalwide ICD-10-CM/PCS implementation, but contains additional details for CDI departments involved with ICD-10 training. It is updated to reflect the new ICD-10 compliance date of October 1, 2014.Read More »