YESBLOG: HIM & CODING NEWS
The YES HIM Consulting blog provides medical coding news, updates, and resources for health information management and coding professionals. Subscribe to the YES HIM & Coding Insights Newsletter today.
A total of 27 new codes for COVID-19 related conditions, circumstances, and treatment – including approved monoclonal antibodies – will be implemented on January 1, 2021. This includes six ICD-10-CM diagnosis codes and 21 ICD-10-PCS procedure codes.
The Final Rule for Hospital Outpatient Prospective Payment System (OPPS), which takes effect on January 1, 2021 was released on December 2 (CMS, 2020). The 2021 OPPS Final Rule includes updates to payment rates and changes to the APCs , including the addition of two new Comprehensive APCs (C-APCs).
The number of telehealth visits via real-time audio-video communication, as well as audio-only phone calls, skyrocketed in 2020, telehealth billing statistics show, due to the outbreak of SARS-CoV-2 and stay-at-home orders nationwide. Nearly half (43.5%) of Medicare primary visits were done via telehealth in April, compared to just 0.1% in February prior to the public health emergency (ASPE-HHS, 2020).
The Refresh With YES: ICD-10-CM HIV Coding Learning Path includes an overview of Human Immunodeficiency Virus (HIV), as well as instructions on how to assign specific ICD-10-CM codes that report the different stages of the HIV infection. Learners will explore the characteristics and pathophysiology of the HIV diagnosis, stages of the disease, and HIV treatments. Applicable guidelines and Coding Clinic articles related to HIV coding, as well as ICD-10-CM coding of medical reports and case studies, will be reviewed.
There are two different Hierarchical Condition Category (HCC) models used to calculate risk adjustments: the CMS-HCC model and the HHS-HCC model. Does your facility know how and when to use them? Our detailed HCC risk adjustment infographic explains the differences and usages for each HCC model.
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