January 07, 2017
Carl Natale

Three tips that can aid coding compliance

Medicare and private healthcare payers are increasing scrutiny of claims from ambulatory surgery centers (ASCs). According to Alison Kuley writing for Becker's ASC Review, that scrutiny has meant that some ASCs gave back reimbursements to the payers.
September 06, 2016
Carl Natale

ICD-10 codes aren't the only updates on Oct. 1

The U.S. healthcare industry is preparing for an update of the ICD-10-CM/PCS code sets on Oct. 1, 2016 but the actual codes aren't the only things due to change.
June 20, 2016
Carl Natale

How to improve ICD-10 queries

From the little information being shared, one of the frustrations associated with ICD-10 implementation is the rise in queries from medical coding and billing staff. What used to be good enough for clinical documentation doesn't cut it now.
June 06, 2016
Carl Natale

CMS releases 2017 ICD-10-PCS codes into the wild

This is going to sound a bit like deja vu but the Centers for Medicare and Medicaid Services (CMS) has released the ICD-10-PCS updates. If you're thinking this news is older than the June 2 release date, you're also thinking about the preliminary ICD-10-PCS update.
April 03, 2016
Carl Natale

Revisiting ICD-10-PCS basics

When submitting ICD-10-PCS claims, keep an eye out for Diagnostic Related Group (DRG) shifts.
August 03, 2015
Carl Natale

Why hospitals would want procedures coded in CPT and ICD-10-PCS coding

With less than two months to go, it shouldn't need repeating that ICD-10-PCS will only be used by hospitals for inpatient procedures. That means hospitals will use CPT codes for outpatient procedures. Remember that's for billing.
April 28, 2015
Carl Natale

Relax! It's only ICD-10-CM coding

Many healthcare professionals are very worried about the number of diagnosis codes they will need to know in the ICD-10 code set.
July 14, 2014
Carl Natale

ICD-10-PCS refrains from name calling

Here's a round up of recent articles and posts on how to code diagnoses and procedures in ICD-10: At least one procedure keeps its name: There's a very good chance that when physicians use an...
November 13, 2013
Carl Natale

Should hospitals use ICD-10-PCS codes for outpatient procedures?

The federal government is going to require a bit of dual coding at hospitals. This isn't anything new. As part of ICD-10 implementation: ICD-10-CM codes will be used for all inpatient and...
September 30, 2013
Carl Natale

Medical coders also need to learn how to find required details in clinical documentation

Learning the ICD-10-CM/PCS codes is only part of the challenge. The rest comes from finding the necessary details in the clinical documentation. "ICD-10-CM will represent a larger challenge for...