RMC Medical Coding Blog

Project Management for Risk Adjustment Coding Review – Part 1

Risk Adjustment coding reviews can take many different shapes and forms.  When starting a new project/review, there are many things to consider.  A “Project Management” approach is key to success.  Project Management includes four phases:  Project Planning Phase;...

Like the Never-ending Story, COVID-19 Coding Continues to Evolve

Coding for pneumonia continues to be problematic for most coders.  There are many types of pneumonia and documentation is often insufficient for coding to the level of specificity available in our current ICD-10 structure.  Some of the specific types of pneumonia...

2021 OIG Work Plan: An Overview and Auditing Priorities

This blog will provide some key points on how you can incorporate the current Office of Inspector General (OIG) items and future items into your organization’s auditing and monitoring functions.  Paying attention to what the OIG for Health and Human Services (HHS)...

COVID-19 Coding Update

The CDC has issued an ICD-10-CM Official Coding Guidelines Supplement document to provide instruction on coding encounters related to the Coronavirus Outbreak. There is also a new code for COVID-19, U07.1, that will be effective with 4/1/2020 discharges. Provider...

Coding Telehealth Services During the COVID-19 Pandemic

As of 3/6/20 and in response to the COVID-19 pandemic, CMS is allowing patients to receive a wider range of telehealth services in a variety of settings, including the patients home. Expanded services include: E/M visits, mental health counseling and certain...

Valvular Heart Disease: Coding Q&A with RMC

RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response.* Coding Question:  What is a good ICD 10 code for ‘valvular heart...

Coding “Silent MI”: Coding Q&A with RMC

RMC’s AHIMA Approved ICD-10 Trainers meet multiple times per week fielding questions from clients and staff.  Below is an actual question that was submitted, along with our team’s response.* Coding Question:  Can you help with coding “Silent MI”?  Would...

Shock Liver

Shock Liver: Shock liver or ischemic hepatitis describes diffuse injury to the liver from an episode of acute hypoperfusion. Shock liver codes to K72.00 (Acute and subacute hepatic failure without coma) which is an MCC. While shock liver can be found in the...