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: Getting Control of Root Operation Control

Coding Tip: Getting Control of Root Operation Control

Since the implementation of ICD-10-PCS in 2015, yearly changes have been made regarding the definition of, and guidelines associated with, the root operation Control. This has caused coding professionals much confusion in determining whether to assign a procedure to root operation Control, to assign another root operation, or to not assign a procedure code at all. The objective of this article is to learn when the root operation Control should be assigned when coding a procedure.

CMS Releases Proposed Physician Fee Schedule Rule for CY 2019

CMS Releases Proposed Physician Fee Schedule Rule for CY 2019

This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute.

Want a sneak peek at ICD-11?

Want a sneak peek at ICD-11?

For example, open the ICD-11 online link and click on “Browse the release version.” Then choose “Coding Tool” tab at the top. We chose “sepsis.” Sepsis without shock is coded to 1G40. Sepsis with septic shock is coded 1G41. A bit different than ICD-10!

Query Tip: The Many Meanings of “Unable to Determine”

Query Tip: The Many Meanings of “Unable to Determine”

Queries written in a multiple-choice format include a short list of options for physician response. These options must be relevant and supported by the clinical indicators included in the query. In the event a physician cannot provide further specificity by using one of these listed options, there must be an additional option for “unable to determine.”

Query Tip: Is Sepsis Present on Admission?

Query Tip: Is Sepsis Present on Admission?

In addition to positive clinical indicators documented at the time of admission, any of these that occur within the few days after admission should also be included. This will support the fact that sepsis could have developed after admission. It is important that a POA query give equal attention to what supports POA yes, as well as POA no to avoid the appearance of a leading query.

Query Tip: Query Question is Key

Query Tip: Query Question is Key

The key to a quality physician query is the question. The question provides direction for the choice of clinical indicators and options for response. So why do so many coders have trouble writing the question? My theory is that coders overthink the question rather than keeping it simple and to the point. The best way to get a physician to answer a query is with a question that makes sense and eliminates guessing as to what is being asked.

Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

From a coding perspective, the IABP is not classified as a device such as the VAD’s. The IABP is not coded as a device within ICD-10-PCS and is coded with the root operation of “Assistance.” The ICD-10-PCS code for insertion of an IABP for continuous pumping would be 5A02210, Extracorporeal or Systemic Assistance, Physiologic Systems, Assistance, Cardiac, Continuous, Output, Balloon Pump.

Coding Tip: New Technology Drugs FY 2018

Coding Tip: New Technology Drugs FY 2018

Kim Carrier RHIT, CDIP, CCS, CCS-P Director of Coding Quality Assurance AHIMA Approved ICD-10-CM/PCS Trainer New Technology-ICD-10-PCS Section “X” DRUGS Section “X” is a separate place within ICD-10-PCS for certain new technology procedures (such as new technology...

Coding Tip: Aromatase Inhibitor Use Reporting

Coding Tip: Aromatase Inhibitor Use Reporting

Kim Carrier RHIT, CDIP, CCS, CCS-P Director of Coding Quality Assurance AHIMA Approved ICD-10-CM/PCS Trainer With the implementation of ICD-10-CM came more codes for reporting the long-term use of drugs. There is now a code to report long-term use (LTU) of aromatase...

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: Getting Control of Root Operation Control

Coding Tip: Getting Control of Root Operation Control

Since the implementation of ICD-10-PCS in 2015, yearly changes have been made regarding the definition of, and guidelines associated with, the root operation Control. This has caused coding professionals much confusion in determining whether to assign a procedure to root operation Control, to assign another root operation, or to not assign a procedure code at all. The objective of this article is to learn when the root operation Control should be assigned when coding a procedure.

CMS Releases Proposed Physician Fee Schedule Rule for CY 2019

CMS Releases Proposed Physician Fee Schedule Rule for CY 2019

This major proposed rule addresses changes to the Medicare physician fee schedule (PFS) and other Medicare Part B payment policies to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services, as well as changes in the statute.

Want a sneak peek at ICD-11?

Want a sneak peek at ICD-11?

For example, open the ICD-11 online link and click on “Browse the release version.” Then choose “Coding Tool” tab at the top. We chose “sepsis.” Sepsis without shock is coded to 1G40. Sepsis with septic shock is coded 1G41. A bit different than ICD-10!

Beth Martilik

Beth Martilik

Assistant Director of Education

Query Tip: The Many Meanings of “Unable to Determine”

Query Tip: The Many Meanings of “Unable to Determine”

Queries written in a multiple-choice format include a short list of options for physician response. These options must be relevant and supported by the clinical indicators included in the query. In the event a physician cannot provide further specificity by using one of these listed options, there must be an additional option for “unable to determine.”

Query Tip: Is Sepsis Present on Admission?

Query Tip: Is Sepsis Present on Admission?

In addition to positive clinical indicators documented at the time of admission, any of these that occur within the few days after admission should also be included. This will support the fact that sepsis could have developed after admission. It is important that a POA query give equal attention to what supports POA yes, as well as POA no to avoid the appearance of a leading query.

Query Tip: Query Question is Key

Query Tip: Query Question is Key

The key to a quality physician query is the question. The question provides direction for the choice of clinical indicators and options for response. So why do so many coders have trouble writing the question? My theory is that coders overthink the question rather than keeping it simple and to the point. The best way to get a physician to answer a query is with a question that makes sense and eliminates guessing as to what is being asked.

Kim Carrier

Kim Carrier

Director of Coding Quality Assurance

Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

Coding Tip: Reporting Intra-Aortic Balloon Pump (IABP) in ICD-10-PCS

From a coding perspective, the IABP is not classified as a device such as the VAD’s. The IABP is not coded as a device within ICD-10-PCS and is coded with the root operation of “Assistance.” The ICD-10-PCS code for insertion of an IABP for continuous pumping would be 5A02210, Extracorporeal or Systemic Assistance, Physiologic Systems, Assistance, Cardiac, Continuous, Output, Balloon Pump.

Coding Tip: New Technology Drugs FY 2018

Coding Tip: New Technology Drugs FY 2018

Kim Carrier RHIT, CDIP, CCS, CCS-P Director of Coding Quality Assurance AHIMA Approved ICD-10-CM/PCS Trainer New Technology-ICD-10-PCS Section “X” DRUGS Section “X” is a separate place within ICD-10-PCS for certain new technology procedures (such as new technology...

Coding Tip: Aromatase Inhibitor Use Reporting

Coding Tip: Aromatase Inhibitor Use Reporting

Kim Carrier RHIT, CDIP, CCS, CCS-P Director of Coding Quality Assurance AHIMA Approved ICD-10-CM/PCS Trainer With the implementation of ICD-10-CM came more codes for reporting the long-term use of drugs. There is now a code to report long-term use (LTU) of aromatase...

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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