ACDIS

Surprise medical bills becoming more frequent and costly

By Shelby Livingston for Modern Healthcare Surprise out-of-network billing and related patients’ costs are increasing among inpatient admissions and emergency department visits to in-network hospitals, according to a study published Monday in JAMA Internal Medicine. Stanford University researchers found that from 2010 through 2016, 39% of 13.6 million trips to the ED at an in-network…

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ICD-10-PCS changes: 20 codes added for FY 2020

By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10 Procedure Coding System updates for fiscal year 2020 that include 734 additions. Here are 20 of the added codes: 3E0M30Y Introduction of hyperthermic antineoplastic into peritoneal cavity, percutaneous approach 3E1U48X Irrigation of joints using irrigating substance, percutaneous endoscopic approach, diagnostic 3E1U48Z Irrigation of joints using irrigating…

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Poor documentation training cited as one reason for possible hospital closure

Published July 2019 from CDI Strategies on acdis.org   Citing severe financial difficulties, Hahnemann University Hospital in Philadelphia will close its doors in early September of this year with inpatient admissions ceasing in July, according to a FAQ on the hospital’s website. Since its purchase by the California-based American Academic Health System in January 2018,…

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3 steps to prepare for the transition to ICD-11

By Kelly Gooch for Becker’s Hospital Review The 11th edition of the International Classification of Diseases was presented at the World Health Assembly in May and is slated to take effect in January 2022. To prepare for the transition from ICD-10 to ICD-11, softwareadvice.com recommended that healthcare providers: Become familiar with new ICD-11 codes and chapters,…

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20 proposed billing codes for nonmedical health needs

By Kelly Gooch for Becker’s Hospital Review The American Medical Association and UnitedHealthcare said they are collaborating to support 20 new ICD-10 codes related to social determinants of health. The codes aim to more effectively address nonmedical issues, such as food, housing, transportation and the ability to afford medicine, utilities and other services. The proposal…

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Hospitals saw lower profitability, volumes and revenue in June

By Jeff Lagasse for Healthcare Finance Many facilities seem unable to adjust expenses to coincide with declining volume, posing a fundamental risk to hospitals and health systems. June was a less-than-stellar month in terms of hospital profitability. In fact, profits declined for the first time this year, and while the difference from the same month…

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ICD-10-CM changes: The 21 codes deleted for FY 2020

By Kelly Gooch for Becker’s Hospital Review CMS has provided ICD-10-CM coding updates for fiscal year 2020 that include 273 additions 21 deletions and 30 revisions, according to the American Health Information Management Association. The 21 deletions for the fiscal year beginning Oct. 1, 2019, and ending Sept. 30: D813 Adenosine deaminase [ADA] deficiency H8141…

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Guest post: How I understand CDI

By Galyna Komives, RN, CCS, CCDS for ACDIS CDI Blog Officially, the CDI specialist’s role is to facilitate accurate, complete, and consistent clinical documentation within the health record to demonstrate the quality of the care provided and to support coding and reporting of high-quality healthcare data. In reality, “accurate, complete, and consistent clinical documentation” means multiple questions…

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CMS unveils ICD-10-CM code changes — 273 added, 21 deleted

By Angie Stewart for Becker’s Hospital Review CMS posted changes to the ICD-10-CM codes for fiscal year 2020. Five key points: There were 71,932 ICD-10-CM codes for fiscal year 2019. The update includes 72,184 codes. CMS added 273 codes, deleted 21 codes and made 30 revisions to codes pertaining to various treatments. Additions included codes related to orbital wall…

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