Inside Angle

From 3M Health Information Systems

ICD-10

Practical know-how from 3M’s ICD-10 experts to help you succeed under ICD-10 – and capitalize on all that ICD-10 coded data.

Should we fear change?

December 7th, 2016 / By Rebecca Caux-Harry

When it comes to regulatory changes, do we still have anything left to fear?  Oh sure, there are all kinds of changes coming for us, like the merit-based incentive payment […]

ICD-10 coding challenge: Epilepsy with status epilepticus

November 30th, 2016 / By Sue Belley, RHIA

Julia Palmer, project manager with the consulting services business of 3M Health Information Systems, is author of this month’s coding challenge blog. CHALLENGE QUESTION A 10-year-old male with history of […]

The ICD-10 comment period and the appeal of ordinary

November 23rd, 2016 / By Rhonda Butler

“Life goes on, having nowhere else to go.” – Diane Ackerman, The Moon by Whale Light These days, in the aftermath of the most discomfiting election season of my life, […]

WEDI comments on ICD-10 Guideline 19

November 21st, 2016 / By Barbara Aubry, RN

I promised follow-up on Guideline 19, so I want to share what I have read recently. The Workgroup for Electronic Data Interchange (WEDI) published an issue brief on October 21, […]

ICD-10 adds more detail on the social determinants of health

November 16th, 2016 / By Paul LaBrec

The requirement by the Centers for Medicare and Medicaid Services (CMS) last fall to begin coding healthcare claims for reimbursement using the International Classification of Diseases-Tenth Revision (ICD-10) has greatly […]

To specify or not to specify – that is the question

November 11th, 2016 / By Donna Smith, RHIA, Sue Belley, RHIA

Donna: Sue, do you know how many unspecified codes there are in ICD-10-CM? Sue: No, haven’t had time to count them!  Why do you ask? Donna: Well, as you know, […]

ICD-10 coding challenge: Updated coding guideline A.15 “With”

October 31st, 2016 / By Sue Belley, RHIA

A 47-year-old patient was admitted to the hospital with a chief complaint of an ulcer at the base of his left great toe. Patient has a history of diabetes mellitus, […]

Just a little fender bender? How coding changes affect readmission scores

October 12th, 2016 / By Cheryl Manchenton

So, that minor fender bender? When you take your car into the shop, sometimes there is much more damage under the fender than previously thought. Sometimes changes to the official […]

Are ICD-10-CM coding guideline 19 and clinical validity diametrically opposed?

October 7th, 2016 / By Sue Belley, RHIA, Cheryl Manchenton, Donna Smith, RHIA

Cheryl:  Hey fellow bloggers, have you heard what people are saying about the new ICD-10-CM coding guideline 19? Sue: I’ve heard a few things. . . Donna: There’s certainly a […]

ICD-10 coding challenge: Epistaxis

September 30th, 2016 / By Sue Belley, RHIA

CHALLENGE QUESTION Epistaxis, or nasal bleeding, is a common occurrence and has been reported in up to 60 percent of the population. In many instances it is minor or self-limiting […]

Newton’s Third Law and ICD-10: Code changes potentially impacting quality outcomes – Part 2

September 19th, 2016 / By Cheryl Manchenton

I have to give Sir Isaac Newton and his Third Law of Motion a nod: For every action there is an equal and opposite reaction. Does this law apply to […]

Why we should applaud the end of the ICD-10 grace period

September 14th, 2016 / By Rhonda Butler

Beginning October 1, the grace period ends for Medicare part B ICD-10 diagnosis coding. For those of you who heard the news but not the details, here is a quick […]