Posts tagged ‘home health coding’

August 31, 2011

E.coli hits the 5th digit world

Effective Oct. 1, watch the E. coli codes …. they now need 5th digits.

041.49 is the code we are most likely to use.  Watch the use additional code instruction that is now attached to this group of codes.

Quick scenario: Your patient is being treated for a bladder infection caused by E. coli.

M1020: 595.0, acute bladder infection

M1022: 041.49, E. coli unspecified

August 18, 2011

All the new codes are here today!

My new codes webinar is Fridat Aug. 19 (TODAY!) at noon central time!

Learn everything you need to know about new codes and guidelines effective Oct. 1.

http://selmanholmanblog.com/2011/08/04/new-codes-seminar/#entry

August 16, 2011

I’m touring Texas!

Intermediate coders, get all the latest information on changes and the best coding education around. I’m

Highlights include:

  • Explain CMS guidance on sequencing.
  • Explain the relevance of OASIS C data items for diagnoses to payment.
  • Explain coding of diagnoses of infections, neoplasms, endocrine disorders such as diabetes, anemias, mental disorders, and the nervous system & sense organs.
  • Identify the differences between different kinds of ulcers.
  • Describe the purpose and appropriate use of V and E codes.
  • And tons more … including identifying new codes that will take effect October 1, 2011.

I will be in Dallas Aug. 24-25;  McAllen Aug. 31-Sept. 1; Houston, Sept. 7-8

IntermediateTourAugSep2011-1: Register and learn more!

December 5, 2010

CVA, V12.54 and Hemiplegia

There seem to be some lingering questions from guidance of a few months ago. This issue is one that never seems to  go away: CVA.In the past, the Coding Clinic had instructed hospitals not to code hemiplegia in acute CVA patients if the hemiplegia had resolved before discharge. (Q2, 1989) A question in the Q2 2009 Coding Clinic asked for reconsideration of this policy, given the significance of the diagnosis and the fact that many patients may be receiving therapy, even though the diagnosis is resolved.

This should not affect home health coding, given we cannot use acute codes in M1020 or M1022. We use late effects. Three codes deal with hemiplegia …

438.20, Hemiplegia affecting unspecified side
438.21, Hemiplegia affecting dominant side
438.22, Hemiplegia affecting nondominant side
We should be able to continue to code these for our therapy patients.

This change should not affect V12.54, history of TIA/CVA. Since all the deficits are resolved before our patients get to us, there are no late effects to deal with. We can still code acute stroke in M1010 and M1016 provided within 14 days.

December 1, 2010

Come to the Home Care Coding and Regulatory Symposium

On Jan. 27-28, I will hold a two-day seminar on coding and its interactions with regulatory, OASIS and therapy issues. This is just a teaser … more to come soon!

It’s $385 for the first attendee; $350 for more than one attendee from your organization. And a quick note that it’s in Vegas at the Monte Carlo, and we’ve gotten rooms for less than $50 a night! Cheap hotel and great education!

Home Care Coding and Regulatory Symposium

Something for Everyone! Because coding affects or is affected by OASIS and regulatory changes, we focus on how the pieces work together, especially with recently enacted, and upcoming changes. The most current issues:

  • How 2011 PPS Changes Impact your Operations
  • Additional Changes Impacting Home Care in April 2011
  • How Coding and OASIS Add to Your Case Mix Score
  • How Coding Errors Impact your Payment and Outcomes
  • 2011 Change to the 5010 Format and ICD-10-CM Forward Thinking
  • Interactive Coding Sessions on both days—Send your most complex scenarios!
  • Wound Care Coding–All Wrapped Up
  • Myths and Truths that Impact Therapy Coding
  • How to Support Your Coding and Appeal Downcoding

More to come here and at www.selmanholman.com!