Palmetto GBA has updated information regarding Home Health Therapy ADRs.

Jurisdiction 11 Home Health and Hospice HOME HEALTH: THERAPY ADRS Effective April 1, 2015, Palmetto GBA will require the Initial Therapy Evaluation, current therapy re-evaluation(s) for episode under review and the  previous therapy re-evaluation(s) to be submitted with ANY Home Health Therapy records requested for review. If an initial start of care was requested for review,... Continue Reading →

Are your clinicians aware of the increased documentation needs for fractures in ICD-10?

ICD-10 implementation is coming ever closer and it looks like there will not be a delay.  Is your agency proactive in educating clinicians and physicians on additional documentation needed to code in ICD-10-CM?  Each month I'll be sending out documentation tips to assist you with this transition because there are many diagnoses in ICD-10 that... Continue Reading →

Palmetto GBA has a new list of HIPPS codes they will be watching for. 

If your agency is regulated by Palmetto GBA, take a few moment to review this list of HIPPS codes that will be scrutinized. Educate appropriate staff members to ensure appropriate rationale is in patients chart before submitting your RAP. http://www.palmettogba.com/palmetto/providers.nsf/ls/Jurisdiction%2011%20Home%20Health%20and%20Hospice~9NNJBX6701?opendocument&utm_source=J11HHHL&utm_campaign=J11HHHLs

ICD-10 is only 188 days away!

With the implementation of ICD-10-CM looming in just over 6 months, with no delay in sight, your agency should continue preparing.  Educate your physicians and clinicians on the need for updated, more precise documentation, educate the coders and billers in your agency on ICD-10 code set. Although there are many more codes in ICD-10 than... Continue Reading →

Are functional assessment OASIS errors causing your agency to lose reimbursement?

March 17, 2015 Are functional assessment OASIS errors causing your agency to lose reimbursement? Functional assessment OASIS items (M1800-M1890) are considered quality indicators. This means they contribute to risk adjustment of quality outcome scores in OASIS C1/ICD-9. Several of these items (M1810, M1820, M1830, M1850, and M1860) also contribute to the functional domain of the... Continue Reading →

Congress Chairman seeking colleague support to delay ICD-10!

From AHIMA: We have received news that Chairman Sessions is looking to draft language to delay ICD-10. The Chairman is seeking support from his colleagues in Congress. Call these legislators today and voice your support for ICD-10 in 2015. Note, this will be the most critical month in Congress to ensure the new code sets... Continue Reading →

Severe Sepsis

Coding guideline 1.C.1.d.1.b. Severe Sepsis The coding of severe sepsis requires a minimum of two codes: first a code for the underlying systemic infection, followed by a code from subcategory R65.2, Severe sepsis.  If the causal organism is not documented, assign code A41.9, Sepsis, unspecified organism, for the infection. Additional code(s) for the associated organ... Continue Reading →

Pneumonia Scenario Responses, ICD-10-CM Coding Tip & SEPSIS Scenario

An elderly nursing home patient was seen for pneumonia. The patient has frequent aspiration pneumonia because of his difficulty in swallowing (neurogenic) due to a previous cerebral infarction. In addition to the aspiration type pneumonia, the patient also has stage I decubitus ulcers on both his left and right hip.  Code this scenario using the... Continue Reading →

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