On Monday July 27th, CMS issued Guidance on the recent CMS/AMA joint announcement regarding ICD-10 flexibilities. The Guidance comes in the form of a frequently asked questions (FAQs) document. Below we’ve provided important information and highlights from the FAQs we think you’ll want to become familiar with as quickly as possible. Learn more at https://practicemax.com/ Key […]
Category: ICD-10
ICD-10 Documentation & Coding Tips
ICD-10 is a sizeable undertaking for any practice. In addition to expanding the number of codes to nearly 70,000, ICD-10 coding and documentation will require significantly more detail and specificity. PracticeMax is your partner for ICD-10 preparation, including clinical documentation requirements and tips. Here are some examples of where ICD-10-CM will require more specific documentation. […]
ICD-10 General Concepts for Emergency Department
ICD-10-CM Emergency Department (ED) General Concepts: Signs and symptoms are still acceptable in the absence of a definitive diagnosis Example: Fever, dehydration and vomiting without nausea Location/laterality Document right, left or bilateral for paired organ structures Example: Bilateral pneumonia Location/anatomic specificity Be specific as to the exact anatomic site; see examples below Finger: Individual fingers […]
ICD-10 Education & Resources for Providers
ACEP Now Article: ICD-10 Coding Tips to Help Emergency Physicians Navigate Documentation Changes This article from June 15, 2015 presents two experts’ guidance on ICD-10 and answers the following questions: How will this impact how I document? Why is severity of illness (SOI) important and how and why should I document it? How do I document […]