ICD-10 Coding Tips

What is the Difference Between Inpatient and ProFee Coding and the Way it is Reimbursed?

By Jenn Dilley / July 20, 2023 / Comments Off on What is the Difference Between Inpatient and ProFee Coding and the Way it is Reimbursed?

What’s the difference between Inpatient and ProFee coding? Explore the coding basics, definitions, and reimbursement rules for Inpatient and ProFee coding.

2024 ICD-10-CM Codes & Guidelines Include 395 Additions & 25 Deletions

By Ann Zeisset / July 10, 2023 / Comments Off on 2024 ICD-10-CM Codes & Guidelines Include 395 Additions & 25 Deletions

The Centers for Medicare & Medicaid Services (CMS) has posted the ICD-10-CM 2024 codes for use by all provider types, including Inpatient and Outpatient. The updates include 395 new codes and 25 deletions in 17 different chapters of ICD-10-CM.

2024 ICD-10-PCS Codes Released – New Technology Makes Up the Most of the Updates

By Teri Jorwic / June 26, 2023 / Comments Off on 2024 ICD-10-PCS Codes Released – New Technology Makes Up the Most of the Updates

CMS released the FY 2024 ICD-10-PCS file in June. With 78 new codes and five deletions, the total number of ICD-10-PCS codes for 2024 is 78,603. There were also 14 code title revisions. All these changes are effective on October 1, 2023.

2024 IPPS Proposed Rule Details Payment Updates, NTAP & MS-DRG Changes, & More

By Teri Jorwic / April 26, 2023 / Comments Off on 2024 IPPS Proposed Rule Details Payment Updates, NTAP & MS-DRG Changes, & More

CMS released the 2024 IPPS Proposed Rule on April 10, 2023. The Rule will be published in the Federal Register on May 1, 2023.

Medical Coding Consultants Play Vital Role in HIM Industry, Especially During Times of Frequent Updates

By YES HIM Consulting / April 5, 2023 / Comments Off on Medical Coding Consultants Play Vital Role in HIM Industry, Especially During Times of Frequent Updates

Times of frequent medical coding updates have highlighted the necessity of medical coding consultants, or coding subject matter experts (SMEs), to help healthcare providers navigate such changes.

End of the COVID-19 PHE Prompts Coding Guideline Change for October 1, 2023

By Teri Jorwic / March 29, 2023 / Comments Off on End of the COVID-19 PHE Prompts Coding Guideline Change for October 1, 2023

The White House announced that the declaration of national emergency, as well as the COVID-19 public health emergency (PHE) declaration, would both end on May 11, 2023, prompting a guideline change for Z11.52, screening for COVID-19.

Case Study: From Misreporting to Compliance: How Hospitals Can Implement a Standardized Process for Severe Malnutrition ICD 10 Diagnosis Codes

By YES HIM Consulting / March 20, 2023 / Comments Off on Case Study: From Misreporting to Compliance: How Hospitals Can Implement a Standardized Process for Severe Malnutrition ICD 10 Diagnosis Codes

Given that severe malnutrition MCCs increase the dollar amount in Medicare reimbursements, overcoding is a potential risk for all healthcare organizations. Review our recent case study findings where we present compliance, standardization, and improvement opportunities to one client hospital.

Inpatient and Outpatient Coding: Differences and Similarities, and How to Get the Most Out of Both Settings

By Kristie Thomas / January 31, 2023 / Comments Off on Inpatient and Outpatient Coding: Differences and Similarities, and How to Get the Most Out of Both Settings

What is the difference between Inpatient and Outpatient coding? And how can a healthcare facility streamline its processes to get the most out of both? This article addresses those questions and shows you how we can assist your team with pain points in both Inpatient and Outpatient coding.

Resource Center: ICD 10 Coding Guidelines & Updates

By YES HIM Consulting / January 23, 2023 / Comments Off on Resource Center: ICD 10 Coding Guidelines & Updates

Tracking down the latest information on the ICD 10 coding guidelines and updates can be a time-consuming task. To minimize the time spent searching for such valuable information, we’ve compiled all of the ICD-10-CM and ICD-10-PCS changes into one educational Resource Center.

April 1 Update Includes New Diagnosis Codes, Procedure Codes, & MS-DRG 40.1 Grouper Software

By Teri Jorwic / January 16, 2023 / Comments Off on April 1 Update Includes New Diagnosis Codes, Procedure Codes, & MS-DRG 40.1 Grouper Software

CMS released code files for ICD-10-CM and ICD-10-PCS codes that will take effect on April 1, 2023. The ICD-10 MS-DRG 40.1 Grouper Software and accompanying materials will be available on February 1, 2023.