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 http://practicemax.com/ Key […]
Category: Electronic Health Records (EHRs)
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
ACEPNow 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 […]
ICD-10 Impact on Emergency Medicine Practices
The transition to ICD-10 will change the way emergency medicine physicians document the ED patient encounter. ICD-10 requires significantly more detail than ICD-9 to help support medical necessity. In this regard, ICD-10 requires more effort on part of the provider to document the exact type of patient diagnosis. Not providing the required additional detail and […]
