MI Scenario Answers 2/13/15

A 54-year-old female was treated for an acute non-ST anterior wall MI. This patient also has atrial fibrillation. After discharge home, the patient presented to the ED two weeks later and was diagnosed with an acute inferior wall MI. She is still being monitored following her initial heart attack two weeks earlier and continues to... Continue Reading →

CMS releases report on ICD-10 readiness.

WASHINGTON, D.C. (February 6, 2015)—The U.S. Government Accountability Office (GAO) today released a report on the readiness of the Centers for Medicare and Medicaid Services (CMS) to implement ICD-10 on October 1, 2015. The report highlights successful efforts by CMS to complete all ICD-10 related changes to its Medicare payment systems, implement testing, and prepare... Continue Reading →

Coding and Documentation of Myocardial Infarction

Good afternoon! Let's take a look at some of the guideline changes coming to ICD-10-CM and use these guidelines to code an acute MI scenario. Review of the Circulatory Chapter for ICD-9 and ICD-10 makes clear there are many changes are on the horizon. Guideline I.C.9.e.4. states a code from Category I22, Subsequent STEMI and NSTEMI, is to be... Continue Reading →

AHCC stands up to U.S. Congress to reinforce the importance of ICD-10 implementation!

The Association of Homecare Coding & Compliance (AHCC) is working hard to ensure ICD-10-CM/PCS implementation.  Let's join with AHCC in standing up for ICD-10! NEWS BRIEF! AHCC stands up to U.S. Congress to reinforce the importance of ICD-10 implementation! The Association of Homecare Coding & Compliance (AHCC) and its credentialing body, Board of Medical Specialty... Continue Reading →

Are you positive you know which diagnoses should be included in M1010/M1016?

I’ve been sitting here looking over the new guidance for M1016 and know this is a “hot topic” right now so wanted to pass it along.  Before discussing M1016, we must first talk about M1010.  Both of these items are used in risk adjustment and selection of codes for both, M1010 (Inpatient Diagnoses) and M1016 (Medical or treatment... Continue Reading →

Coding Answers for 1/12/15

ICD-9-CM Scenario A patient is admitted to home health with one Stage 4 pressure ulcer on the buttock that was recently treated with a muscle flap, is showing early/partial granulation and is the focus of care. The patient also has a Stage 3 pressure ulcer on the hip. Skilled nursing will perform wound care. Tip... Continue Reading →

A Message from NAHC Regarding ASAP Submission

Below is the response NAHC Regulatory Affairs received from CMS regarding ASAP system issues reported. This message went out to NAHC members this morning. “The ASAP system is currently experiencing an issue with the Branch ID. We hope to have this issue resolved before the end of week. Should you receive any additional questions or... Continue Reading →

2015 is a Time for Change, are you Prepared?

Each year, in a desire to change, many of us create annual New Year’s resolutions. However, 2015 has brought change for the Home Health Industry, resolution or not! The first major change in the industry is the process for submission of OASIS documents, and second is the OASIS-C metamorphosis into OASIS-C1/ICD-9. Read about these, and... Continue Reading →

Proposed Conditions of Participation Comment Period Ends Today!

If you haven't already, take the time today and give CMS your comments on the Proposed Conditions of Participation (CoPs).  Today is the final day to make your voice heard.  You can read the Proposed CoPs and comment at https://www.federalregister.gov/articles/2014/12/01/2014-28266/medicare-and-medicaid-programs-conditions-of-participation-for-home-health-agencies-extension-of. You may be local in Washington, DC or Baltimore, MD.  If so, please take your written... Continue Reading →

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