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

Coder Q&A with Pat Macc: Mucoid Casts and Mucus Plugs

Coder Q&A with Pat Macc: Mucoid Casts and Mucus Plugs

We have a case where the physician removes mucoid casts found during bronchoscopy. We have also seen mucus plugs removed during bronchoscopy. The MD performs bronchial washings then removes  a large amount of tenacious and thick mucoid casts via bronchoscopy. Is this coded drainage, extirpation or excision? What body part is used?

Coder Q&A with Pat Macc: Metastatic Cancer

Coder Q&A with Pat Macc: Metastatic Cancer

Question: This patient is noted to have “Lymphangitic carcinomatosis of lungs with mediastinal lymph nodes.” How would I code the diagnosis? Would I code metastatic cancer to the lung (C78.01) or metastatic cancer to the lymph nodes (C77.1)?

Coder Q&A with Pat Macc: Collapse of an Endograft

Coder Q&A with Pat Macc: Collapse of an Endograft

This would be considered a “mechanical” complication of the stent graft since the MD states it is a fracture of the endograft and it is folded over on itself. I would change T82.898A TO T82.598A for Other mechanical complication of other cardiac and vascular devices and implants, initial encounter. I did not use “displacement” because the surgeon did not state that the graft was displaced, only that it collapsed upon itself causing obstruction.

Query Tip: How to Be More Efficient

Query Tip: How to Be More Efficient

The key to making the query process more efficient is to look for words or documentation while reviewing the record that may signal a potential query opportunity and to note the finding at that time. By the time a coder reaches the end of a record, documentation may have been found to eliminate the need for the query.

Query Tip: When to Query for Sepsis

Query Tip: When to Query for Sepsis

Coders may find situations where a patient is documented as meeting SIRS or sepsis criteria, or has some clinical indicators reflective of possible sepsis, but the physician never documents sepsis as a diagnosis. Should the coder always query for sepsis in these instances?

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

Coder Q&A with Pat Macc: Mucoid Casts and Mucus Plugs

Coder Q&A with Pat Macc: Mucoid Casts and Mucus Plugs

We have a case where the physician removes mucoid casts found during bronchoscopy. We have also seen mucus plugs removed during bronchoscopy. The MD performs bronchial washings then removes  a large amount of tenacious and thick mucoid casts via bronchoscopy. Is this coded drainage, extirpation or excision? What body part is used?

Coder Q&A with Pat Macc: Metastatic Cancer

Coder Q&A with Pat Macc: Metastatic Cancer

Question: This patient is noted to have “Lymphangitic carcinomatosis of lungs with mediastinal lymph nodes.” How would I code the diagnosis? Would I code metastatic cancer to the lung (C78.01) or metastatic cancer to the lymph nodes (C77.1)?

Coder Q&A with Pat Macc: Collapse of an Endograft

Coder Q&A with Pat Macc: Collapse of an Endograft

This would be considered a “mechanical” complication of the stent graft since the MD states it is a fracture of the endograft and it is folded over on itself. I would change T82.898A TO T82.598A for Other mechanical complication of other cardiac and vascular devices and implants, initial encounter. I did not use “displacement” because the surgeon did not state that the graft was displaced, only that it collapsed upon itself causing obstruction.

Beth Martilik

Beth Martilik

Assistant Director of Education

Query Tip: How to Be More Efficient

Query Tip: How to Be More Efficient

The key to making the query process more efficient is to look for words or documentation while reviewing the record that may signal a potential query opportunity and to note the finding at that time. By the time a coder reaches the end of a record, documentation may have been found to eliminate the need for the query.

Query Tip: When to Query for Sepsis

Query Tip: When to Query for Sepsis

Coders may find situations where a patient is documented as meeting SIRS or sepsis criteria, or has some clinical indicators reflective of possible sepsis, but the physician never documents sepsis as a diagnosis. Should the coder always query for sepsis in these instances?

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

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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