Introducing HIA’s Cloud-Based Audit Software, Atom Audit, Streamlining Your Coding Auditor’s Workday and Transforming Data into Action
PAWLEYS ISLAND, S.C. – Health Information Associates (HIA), celebrating their 30th year as a leading provider of quality coding audits and coding support services, is proud to announce Atom Audit its new proprietary medical coding audit and data analytics platform.
Atom Audit is an easy-to-use and intuitive coding review application, with a customizable reporting dashboard, that enables auditors to efficiently and effectively manage the entire audit lifecycle. Originally developed for HIA’s internal use and client reporting, clients expressed interest in using the tool for their own review processes. Among its many features, the platform gives users the ability to turn robust and itemized audit insights into actionable next steps.
Brett Randolph, Executive Director of Review Services and former Health Information Management (HIM) Director at a large health system, speaks from experience.
“Those in the HIM field know when you get that Friday afternoon call from administration saying you failed a quality measure, you often hear that it was a coding issue. If I had Atom Audit back then, I would have had all the relevant data at my fingertips to prepare an informed response,” says Randolph.
Atom Audit provides clients with significantly more functionality than a spreadsheet or other antiquated manual process. Our proprietary audit tool leads to more actionable insight and, ultimately, better coding.
“Our team is excited to continue building cloud-based software that streamlines Inpatient, Outpatient and Professional Fee auditing,” says Daniel Day, Chief Information Officer at HIA. “Delivering to clients is our utmost priority and we create every software service, used both internally and externally, with the expertise that they demand. Like the coding industry, our platform will never stop evolving.”
“HIA’s success lies in providing tools to our staff that allow them to be as efficient and effective as possible. We are excited to bring this capability to our clients and will continue to provide the most innovative and forward-thinking audit platform on the market,” says Betsy Bailey, President and Chief Executive Officer of HIA.
For more information and to sign up for a free demo, visit Atom Audit.
About Health Information Associates
For 30 years, HIA has provided the highest-quality coding review and support services in the industry. Our goal is to set a standard of excellence in our field, built on a foundation of Experience, Expertise and Education. HIA provides peace of mind so that hospitals and physician practices can run efficiently and focus on what really matters – keeping patients safe and employees happy. For more information, visit www.hiacode.com or call 866-HIA-CODE.
Wow, have you seen the proposed rule for FY2023 IPPS yet? There are 1,495 proposed coding changes to ICD-10-CM diagnoses codes alone! There are also some IPPS changes to note. As for ICD-10-PCS, there are not as many new codes, most significantly occlusion of prostate artery and knee joint replacement codes.
Coding denials are sent after the auditor has reviewed the record in question and the auditor does not agree with the DRG that was paid. This can be for either a diagnosis or a procedure code that they think does not meet reporting requirements.
As of April 1, 2022 discharges, the following changes in ICD-10 and IPPS will be implemented. For years the coding community did not see changes occurring in April of the fiscal year. HIM professionals were used to not even worrying about April changes. This year, we do have some significant code additions and a change in the IPPS CC/MCC edit. The ICD10MCE and Grouper Version will be 39.1.
DRG 640 (Miscellaneous disorders of nutrition, metabolism, fluids, and electrolytes with MCC) was the number 9 most common DRG with recommendations from HIA in 2021.
DRG 981 (Extensive O.R Procedures unrelated to principal diagnosis with MCC) was the number 8 most common DRG with recommendations from HIA in 2021.
DRG 291 (Heart failure with shock with MCC). This should be no surprise to coders that DRG 291 is in the top DRG’s with recommendation. It seems to always be in the top 5 and a focus for denials.
DRG 177 (Respiratory infections and inflammations with MCC) and 178 (Respiratory infections and inflammations with CC). This should be no surprise to coders that DRG 177 is in the top DRG’s with recommendation.
Sepsis is and will most likely always be a troubled area for coders. There are multiple reasons for this and we will look at a few of these. There are many different criteria being used to validate the diagnosis of sepsis.
During a recent review of spinal fusion cases at a client, we found coding issues on the cases in which both an anterior interbody fusion, anterior open approach was done on one day and two days later, the patient was brought back for a posterior fusion, posterior open approach. Below are some of the recommendations we made along with education explanations.
This is Part 5 of a five part series on the new 2022 CPT codes. For the remaining areas we will just briefly summarize the section. Due to the intricate nature of these sections in CPT, it is recommended that the coder read the entire section notes associated with the new codes.
This is Part 4 of a 5 part series on the new 2022 CPT codes. In this one we will explore the nervous, ocular and auditory systems CPT changes.
This is Part 3 of a 5 part series on the new 2022 CPT codes. In this one we will explore the digestive, urinary and reproductive system CPT changes.
This is Part 1 of a five part series on the new 2022 CPT codes. In this series we include examples to help the coder understand the new codes.
10 ICD-10 Codes from the Christmas movie Home Alone. T20. 10XA for Harry, Burn of first degree of head, face, and neck, unspecified site, initial encounter. T20.56XA for Kevin and his aftershave incident, Corrosion of first degree of forehead and cheek, initial encounter.
Clinical trials are research studies performed in people that are aimed at evaluating a medical, surgical, or behavioral intervention. They are the primary way that researchers find out if a new treatment, like a new drug or diet or medical device (for example, a pacemaker) is safe and effective in people.
In Part 4 of the series, we will review the NTAP procedure codes and reimbursement add-on payments. Prepare yourself as this is rather lengthy due to continuation of NTAP that would normally expire.
Coders are instructed, at this time, to follow the AHA Frequently Asked Questions Regarding ICD-10-CM/PCS Coding for COVID-19. Lately, we have seen missing PCS codes for the new technology drugs that were introduced on August 1, 2020 and thereafter.
With the creation and implementation of ICD-10-CM, multiple codes are available to describe the type of pulmonary emboli that occur.