HCC Blog by Caridad

T ype 2 diabetes mellitus with other diabetic kidney complications (ICD-10 code E11.29 ).  The associated terms can include microalbumuria or renal impairment.  I am sharing a bit of information on the physiology around this condition. This video in YouTube has a great explanation of the labs that give a general idea about the condition, at minute 3:03 .  The presenter is Real World NP and the name of the video is "Microalbuminuria Case Study: Lab Interpretation for Nurse Practioners". https://www.youtube.com/watch?v=dSpx8eLA96U Documenting for Microalbuminuria: if patient tests positive for moderately increased albuminuria (microalbuminuria) consistently over a period of at least 3 months, the provider should document the duration in the chart note and describe the condition as “persistent”, as appropriate.  Coders do not determine codes based on labs.   Lab values: Normal Micro-moderate increase albuminuria Macro-severely ...

Sharing this great podcast that I found on Linkedin.  It was presented by Allen Frady and a guest whose name I missed.  It is entitled: "Coder vs CDI Episode 1. Is the Coder locked into only a "literal translation"? Coder autonomy, clinical validation and coding guidelines" click below, and is is available on Spotify under 'Mr. CDI rambles about hospital' https://infotainmentforcdiandcoders.buzzsprout.com/1588225/7287109-coder-vs-cdi-episode-1-coder-autonomy-clinical-validation-and-coding-guidelines

  ICD-10-CM Official Guidelines for Coding and Reporting FY 20 21 – UPDATED January 1, 2021 (October 1, 2020 - September 30, 2021)  Updates include: I.C.1.g pg 28, Coronavirus infections I.C.10.e p58, Vaping-related disorders I.C.15.s p73, COVID-19 infection in pregnancy, childbirth, and the puerperium I.C.16,h p77, COVID-19 infection in newborn https://www.cms.gov/files/document/2021-coding-guidelines-updated-12162020.pdf

 The focus of this post is links on 1. Telehealth Services (PDF) 2. Medicare Claims Processing Manual Chapter 12 (PDF) 3. Medicare Coverage and Payment of Virtual Services (video) 4. Office of Inspector General (OIG)   1.         1. Telehealth Services Booklet        https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/TelehealthSrvcsfctsht.pdf   2.       2. Medicare Claims Processing Manual Chapter 12 - Physicians/Nonphysician Practitioners (Rev. 10356, 09-18-20) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/clm104c12.pdf Important information is found on the following pages: 30.6.1.1 - Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV) (Rev. 3096, Issued: 10-17-14, Effective: 01-27-14, Implementation: 11-18-14) P 32       1. Initial Preventive Physical Examin...

Information on Medicare Wellness Visits is available in the  MLN Educational Tool. Create a free account to access this and other information. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/preventive-services/medicare-wellness-visits.html\   There is information on the three visit types :      IPPE - "Welcome to Medicare" preventive visit      AWV - Initial & Subsequent   and a section on ' Know the Difference' at the time of this release the links are as follows: https://learner.mlnlms.com/Default.aspx Disclaimer: This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.  The...

Listed below are place of service codes and descriptions.  These codes should be used on professional claims to specify the entity where service(s) were rendered.  Check with individual payers (e.g., Medicare, Medicaid, other private insurance) for reimbursement policies regarding these codes. https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set Place of Service Code Set Place of Service Codes for Professional Claims Database (updated October 2019) Listed below are place of service codes and descriptions. These codes should be used on professional claims to specify the entity where service(s) were rendered. Check with individual payers (e.g., Medicare, Medicaid, other private insurance) for reimbursement policies regarding these codes.  If you would like to comment on a code(s) or description(s), please send your request to  posinfo@cms.hhs.gov . NOTE :  Please direct questions related to billing place of service codes ...

Information on Telemedicine  can be found here:  https://www.healthit.gov/topic/health-it-health-care-settings/health-it-health-care-settings The Office of the National Coordinator for Health Information Technology (ONC)  is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS). The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administration’s health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care. ONC is organizationally located within the Office of the Secretary for the U.S. Department of Health and Human Services (HHS). ONC is the principal federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange ...