Coding Education

HIAlearn – Coding Staff Development & Training

Unmatched industry expertise

Ensuring the educational development of your coding staff is of utmost importance. Whether you need additional focused education based on review findings or the tools to foster ongoing coder development, HIA has you covered with the latest coding updates and regulatory changes. Much of our material is approved by AHIMA and/or AAPC for CEUs. View our extensive HIAlearn library here.

HIAlearn Offerings

Education may take many avenues, including on-site visits, audio recordings and online education modules. Training can consist of one-on-one, group sessions or self-paced. Programs can be tailored to fit any time frame, from a few hours to monthly training and monitoring of new coding staff. We utilize a Learning Management System (LMS) to house coding education sessions. Individual participants are provided a username/password to access the LMS from a designated website.

 

Education Counts

Our 70-years of combined teaching experience has taught us that academic instruction fused with practical application creates a comprehensive learning experience that benefits our team and yours.

Pat Maccariella-Hafey

Pat Maccariella-Hafey

Executive Director of Education

Beth Martilik

Beth Martilik

Assistant Director of Education

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

Coding Tip: Unspecified Condition Codes and Combination Codes

Coding Tip: Unspecified Condition Codes and Combination Codes

One area that coders struggle with is when to report a separate condition code when an already assigned combination code includes the condition. For example, if an obstetric patient is admitted and delivers, and the physician documents “obstetric patient delivered with anemia,” should both code O99.02 Anemia complicating childbirth and D64.9, Anemia, unspecified be coded or should only O99.02 be assigned?

Query Tip: Query for Clinical Validation

Query Tip: Query for Clinical Validation

When a practitioner documents a diagnosis that does not appear to be supported by the clinical indicators in the health record, a coder has four choices: (1) Code the diagnosis; (2) Ignore the diagnosis; (3) Generate a query to confirm clinical validation of a diagnosis; (4) Follow the facility’s escalation policy for clinical validation.

Query Tip: Be Consistent with Query Format

Query Tip: Be Consistent with Query Format

All queries require at least two elements – clinical indicators and a query question. Coders can also include multiple choice options for response or leave the query open-ended for a free text response. The order in which these elements are listed in a query is open to coder or facility preference.

Query Tip: Choosing Reasonable Options for Response

Query Tip: Choosing Reasonable Options for Response

The key to choosing reasonable options for a query response is to remember that the query must stand alone. Any clinical indicators supporting the options must be included in the query itself. In this week’s Query Tip, we provide examples of two queries in which the options for response are not reasonable based on clinical indicators used by coder.

Coding Tip: Obstetric Tidbits for PCS

Coding Tip: Obstetric Tidbits for PCS

Last week, we looked at tidbits for reporting the ICD-10-CM codes for pregnancy/obstetric records. Now we will look at some for the ICD-10-PCS reporting of these records. In reporting the appropriate ICD-10-PCS codes a coder must know what is included in the terminology of products of conception (POC).

Coding Tip: Pregnancy, Childbirth, and the Puerperium Tidbits

Coding Tip: Pregnancy, Childbirth, and the Puerperium Tidbits

There was a time when coding delivery records was considered simple. Many times, these types of records were given to the newer coders. However, as coding becomes more complex, this is no longer the case. With the implementation of ICD-10-CM came more codes for very detailed and specific issues that occur during pregnancy, childbirth and the puerperium.

Most Common DRG’s with Recommendations 2018: Part 5

Most Common DRG’s with Recommendations 2018: Part 5

In part 5 of our series, we look at DRG 64—Intracranial hemorrhage or cerebral infarction with MCC. For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC.

HIAlearn – Coding Staff Development & Training

Unmatched industry expertise

Ensuring the educational development of your coding staff is of utmost importance. Whether you need additional focused education based on review findings or the tools to foster ongoing coder development, HIA has you covered with the latest coding updates and regulatory changes. Much of our material is approved by AHIMA and/or AAPC for CEUs. View our extensive HIAlearn library here.

HIAlearn Offerings

Education may take many avenues, including on-site visits, audio recordings and online education modules. Training can consist of one-on-one, group sessions or self-paced. Programs can be tailored to fit any time frame, from a few hours to monthly training and monitoring of new coding staff. We utilize a Learning Management System (LMS) to house coding education sessions. Individual participants are provided a username/password to access the LMS from a designated website.

 

Education Counts

Our 92-years of combined teaching experience has taught us that academic instruction fused with practical application creates a comprehensive learning experience that benefits our team and yours.

Pat Maccariella-Hafey

Pat Maccariella-Hafey

Executive Director of Education

Coding Tip: Unspecified Condition Codes and Combination Codes

Coding Tip: Unspecified Condition Codes and Combination Codes

One area that coders struggle with is when to report a separate condition code when an already assigned combination code includes the condition. For example, if an obstetric patient is admitted and delivers, and the physician documents “obstetric patient delivered with anemia,” should both code O99.02 Anemia complicating childbirth and D64.9, Anemia, unspecified be coded or should only O99.02 be assigned?

Beth Martilik

Beth Martilik

Assistant Director of Education

Query Tip: Query for Clinical Validation

Query Tip: Query for Clinical Validation

When a practitioner documents a diagnosis that does not appear to be supported by the clinical indicators in the health record, a coder has four choices: (1) Code the diagnosis; (2) Ignore the diagnosis; (3) Generate a query to confirm clinical validation of a diagnosis; (4) Follow the facility’s escalation policy for clinical validation.

Query Tip: Be Consistent with Query Format

Query Tip: Be Consistent with Query Format

All queries require at least two elements – clinical indicators and a query question. Coders can also include multiple choice options for response or leave the query open-ended for a free text response. The order in which these elements are listed in a query is open to coder or facility preference.

Query Tip: Choosing Reasonable Options for Response

Query Tip: Choosing Reasonable Options for Response

The key to choosing reasonable options for a query response is to remember that the query must stand alone. Any clinical indicators supporting the options must be included in the query itself. In this week’s Query Tip, we provide examples of two queries in which the options for response are not reasonable based on clinical indicators used by coder.

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

Coding Tip: Obstetric Tidbits for PCS

Coding Tip: Obstetric Tidbits for PCS

Last week, we looked at tidbits for reporting the ICD-10-CM codes for pregnancy/obstetric records. Now we will look at some for the ICD-10-PCS reporting of these records. In reporting the appropriate ICD-10-PCS codes a coder must know what is included in the terminology of products of conception (POC).

Coding Tip: Pregnancy, Childbirth, and the Puerperium Tidbits

Coding Tip: Pregnancy, Childbirth, and the Puerperium Tidbits

There was a time when coding delivery records was considered simple. Many times, these types of records were given to the newer coders. However, as coding becomes more complex, this is no longer the case. With the implementation of ICD-10-CM came more codes for very detailed and specific issues that occur during pregnancy, childbirth and the puerperium.

Most Common DRG’s with Recommendations 2018: Part 5

Most Common DRG’s with Recommendations 2018: Part 5

In part 5 of our series, we look at DRG 64—Intracranial hemorrhage or cerebral infarction with MCC. For this DRG recommendation the majority (almost all) were recommended to DRG 65 (Intracranial hemorrhage or cerebral infarction with CC) with deletion of the reported MCC.

See how HIAlearn
will benefit you

Overcome common coding challenges identified during audits and coding staff performance reviews with HIAlearn Action Plans.

See how HIAlearn
will benefit you

Overcome common coding challenges identified during audits and coding staff performance reviews with HIAlearn Action Plans.

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