Discover the difference between the routine and the unexpected.

The Code Hard Truth.

When it comes to coding and documentation, finding your own rhythm can lead to positive results. That’s why we take every step into consideration when telling each patient’s story and help guide you along the way. Roll over each object in the story to learn why

Every code counts.

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The Code Hard Truth.

When it comes to coding and documentation, finding your own rhythm can lead to positive results. That’s why we take every step into consideration when telling each patient’s story and help guide you along the way. Roll over each object in the story to learn why

Every code counts.

Swipe to learn how HIA got this one right.

M96.830 POSTPROCEDURAL HEMORRHAGE OF A MUSCULOSKELETAL STRUCTURE

A postoperative complication such as blood loss (coded as M96.830) following a routine joint replacement surgery, without supporting documentation from the surgeon, could trigger poor quality measures.

Find the proper routine coding assignment for this patient’s scenario by swiping.

0SR902A Routine hip replacement surgery

For example, this patient required a transfusion during a routine hip replacement and presents with symptoms of post hemorrhagic anemia. Problematic post-surgical bleeding was not noted in the medical record.

Find the proper routine coding assignment for this patient’s scenario by swiping.

D62 ACUTE POST HEMORRHAGIC ANEMIA

However, an experienced coder knows a certain amount of blood loss is expected during a routine arthroplasty. If the surgeon did not note problematic post-surgical bleeding in the medical record, proper assignment would be, D62 “Acute post hemorrhagic anemia”

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AHRQ PSI 09 PERIOPERATICE HEMORRHAGE OR HEMATOMA RATE

Incorrectly assigning code M96.830, Postprocedural hemorrhage of a musculoskeletal structure, without supporting documentation from the surgeon, could trigger Medicare’s Hospital Compare quality measure.

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$$$ Financial impact

Incorrectly assigning code M96.830 could trigger AHRQ PSI 09. PSI’s are collected by CMS for future payment adjustments through the VBP, HRRP, DSH and the HAC Reduction Program. Hospitals that report excessive postoperative complications can see their reimbursements affected due to poor quality of patient care.

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Careers Picture yourself at hia

Picture yourself a part of a close-knit family that will support you with knowledgeable Education and Quality Assurance Department to keep you one step ahead. With an extensive library of action plans designed to help you grow.

View our current opportunities and apply by clicking the link below. hiacode.com/careers.

See how every code counts by downloading the presentation:

CODING ACCURACY IN THE AGE OF QUALITY MEASUREMENT

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