RMC is thrilled to announce that we are joining forces with MRA. It has been an exciting journey for all of us here at RMC, and we can’t thank our HIM community enough. Here at MRA we will continue offering the highest quality of coding support, coding audits, HCC/Risk Adjustment Services and more.

Learn more about MRA.

Those Pesky Z Codes: The When, How and Why

Chapter 21 in ICD-10-CM contains our “Z” codes. Z codes (other reasons for healthcare encounters) may be assigned as appropriate to further explain the reasons for presenting for healthcare services, including transfers between healthcare facilities, or provide...

The OIG Focus on Clinical Coding

The last 12-18 months has brought the healthcare industry many audit reports from the Office of Inspective General (OIG). These reports are always an important part of every Compliance Program and the related audit and educational activities. Certainly, for Health...

Coding Uncertain Diagnosis in the Pro Fee Setting

As coders we are often torn when it comes to coding a diagnosis when the provider’s documentation isn’t perfectly clear. It may sound elementary, but we must go back to the Official Coding Guidelines and stick to those to ensure we are reporting the correct diagnosis...

April 2022 brings new COVID-19 CM and PCS Codes

When the final rule for the FY2022 Inpatient Prospective Payment System (IPPS) came out, it included the statement that we will now have clinical coding updates twice a year for ICD-10-CM and ICD-10-PCS, once in April and the usual large update in October. Keeping...

Medicare Part C Improper Payment Measurement

The Improper Payment Measurement or IPM provides statistical data on parts of the Medicare programs and reports overpayments and underpayments. The Medicare Part C beneficiary-level of payment errors from a given year is included and certainly is something to keep an...