The first draft of this blog was an exhaustive (and exhausting) summary of the actual changes to the FY 2022 ICD-10-PCS posted recently on the Centers for Medicare and Medicaid […]

Hierarchical Condition Categories (HCCs) have been used in the Centers for Medicare & Medicaid Services (CMS) risk adjustment payment model since 2004. That’s 17 years! More and more HIM professionals […]

Some of you may be aware that CMS implemented some add-on payments for COVID-19 high throughput testing effective January 1, 2021. The add-on payments are being implemented to support laboratories […]

The latest ICD-10 Coordination and Maintenance Committee (C&M) meeting gave us one more unprecedented thing in this time of unprecedented things—the combined agenda was the largest ever. The two-day virtual […]

I have a confession to make: I wasn’t always pro vaccines! My view of vaccination has changed since my son was a baby when I actually considered skipping his vaccinations […]

Hopefully, everyone is using the new E/M codes without issue. CMS added two HCPCS codes to represent “additional” time for E/M services. These are important qualifiers, as medical necessity audits […]

CMS has indicated that social determinants of health (SDOH) are not just an adjunct element to our health care ecosystem, but are increasingly driving the definition of health care itself […]

As we continue our Evaluation and Management (E/M) blog series on the revisions to E/M services for Office and Other Outpatient Services for New and Established patients, I want to […]

How well is your organization navigating the two different sets of sepsis criteria? Krysten Brooks, 3M senior health care performance advisor, discusses documentation and coding best practices to prevent sepsis […]

In response to the national emergency declared for the COVID-19 pandemic, the CDC has implemented six new ICD-10-CM diagnosis codes and CMS has implemented 21 new ICD-10-PCS procedure codes for […]

We are only a few months away from the new Evaluation and Management (E/M) changes being implemented. The American Medical Association (AMA) officially released the new E/M guidelines and changes […]

For much of 2020, HIM and CDI professionals have been focused on COVID-19 and understanding how the temporary waivers for medical care delivery and payment impact documentation and coding. We […]