icd 10 codes for spinal fusion

The Refresh With YES: PCS Spinal Fusion Procedures Learning Path shows learners how to correctly document the ICD 10 codes for spinal fusion procedures divided into 20-23-minute modules. The courses within this learning path review one of the most challenging ICD-10-PCS coding topics of spinal fusion, including cervical and lumbar fusion ICD 10. Official coding guidelines, case examples, and Coding Clinic topics related to spinal fusion procedures will be reviewed.

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telehealth resource center

The Center for Medicare & Medicaid Services (CMS) expanded the payment guidelines for professional telehealth services provided to Medicare beneficiaries during the Public Health Emergency (PHE) declared for COVID-19 (CMS, 2020). The temporary protocol expansion was deemed necessary to aid healthcare reimbursement, and will be active only during the PHE. To keep coders and auditors up-to-date on the expanded services and reimbursement guidelines, YES HIM Consulting has gathered all the latest updates to form a telehealth resource center.

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professional fee coding

Many facilities, when completing a merger or acquisition, bring together professional fee coding and facility coding departments in order to increase productivity and claims reimbursement, but that’s easier said than done. These healthcare facilities must first consider if they have the knowledge base to accurately document and code professional fee services. The risks of inaccurate professional fee coding could be detrimental to your organization’s revenue and overall success.

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hcc risk adjustment

There are two different models for Hierarchical Condition Category (HCC) risk adjustments. The U.S. Department of Health and Human Services (HHS) oversees the HHS-HCC model, which covers commercial payers of all ages and determines risk payments for the current year. The Centers for Medicare and Medicaid Services (CMS) uses the CMS-HCC model for the Medicare Advantage program and those who qualify for Medicare or patients 65 and older, calculating risk payments for the next year. Both HCC models use a risk adjustment factor (RAF) score to calculate expected future health costs for each patient.

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telehealth policies

Due to the ongoing PHE regarding the 2019 Novel Coronavirus (COVID-19) outbreak, CMS has issued an interim final rule (IFC) to provide guidance on the updated telehealth policies and other services (CMS, 2020). The current PHE has relaxed many supervision requirements, allowing for supervision to be provided through audio/video telecommunications. Telehealth policies and procedures have been expanded further, and now include E/M services for emergency department visits, critical care services, nursing facilities, End State Renal Disease (ESRD) services, psychological/neuropsychological testing, and radiation treatment management (CMS, 2020).

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ICD 10 PCS 2020

This article will highlight the ICD 10 PCS Updates 2020 and Guideline changes, and briefly present some of the code additions for the Medical and Surgical Section. For a description of all of the code changes, including updates to the Medical and Surgical Related Section, Ancillary and New Technology, as well as the rationale and clinical information as detailed in the Coordination and Maintenance Committee Meeting materials, please sign up for the ICD 10 PCS Updates 2020 for FY 2021 medical coding webinar available soon at YES HIM Consulting. The PCS coding updates course will be available on the YES Education site.

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PCI CPT codes

The Refresh With YES: CPT PCI Procedures Webinar provides an overview of the CPT codes for Percutaneous Coronary Intervention (PCI) procedures divided into 14-19-minute modules. During this four-part series on PCI CPT codes, learners will receive information on various PCI procedures, including a review of the heart’s anatomy and pathophysiology of conditions that may necessitate a PCI procedure. The coding guidelines and codes for PCI are thoroughly examined, and case examples of PCI are presented. The modules offered within this course include: Anatomy and Disease Process Review, CPT Guidelines and Coding (Parts 1 and 2), and Review of Case Studies.

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screening for COVID-19

This article offers guidelines on how to code screening tests for suspected COVID-19 infection. There are two different kinds of tests for COVID-19: a viral test to detect a current Coronavirus infection, and an antibody test to confirm is the patient previously had COVID-19 (CDC, 2020). The CDC has issued guidance on conducting screening tests for COVID-19 and other recommendations for viral testing (2020).

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ICD-10-CM codes for complications and drug diagnoses

The Refresh With YES: Complications & Drug Diagnoses Webinar examines the ICD-10-CM guidelines and applicable Coding Clinic discussions with practical coding examples regarding Complications and Drug diagnoses divided into 15-18 minute modules. Learners will find out how to select the right ICD-10-CM codes for Complications & Drug Diagnoses topics, such as poisoning, adverse effects and underdosing of drugs. The four modules offered within this course include: Complications, Adverse Effects of Drugs, Poisoning, and Underdosing.

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