Category Archives: Coders’ Corner

ICD-10 Coding Clinic Update (Q3 2020): Flash Pulmonary Edema

Hear Barry Libman, MS, RHIA, CDIP, CCS, a nationally-recognized authority on coding and reimbursement issues, discuss “ICD-10 Coding Clinic Update (Q3 2020): Flash Pulmonary Edema” in this free, brief presentation.   Listen to Barry’s Coding Clinic Commentary in its entirety. In-depth commentary on selected coding advice and clarifications from recent issues of AHA Coding Clinic — […]

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The Impact of COVID-19: Keeping Your Coders Up-to-date and Trained

The Impact of COVID-19: Keeping Your Coders Up-to-date and Trained

  The following article is drawn from our recent roundtable discussion on the Impact of COVID-19 on the Coding Function. To view the complete roundtable discussion, see The Impact of COVID-19 on the Coding Function: A Roundtable Discussion. MODERATOR: Coding guidance continues to evolve as the medical community and CMS have worked to get a […]

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ICD-10 Coding Clinic Update (Q3 2020): Long Term Use of GLP-1 Antagonist with Anti-diabetic drugs

Hear Barry Libman, MS, RHIA, CDIP, CCS, a nationally-recognized authority on coding and reimbursement issues, discuss “ICD-10 Coding Clinic Update (Q3 2020): Long Term Use of GLP-1 Antagonist with Anti-diabetic drugs” in this free, brief presentation.   Listen to Barry’s Coding Clinic Commentary in its entirety. In-depth commentary on selected coding advice and clarifications from recent […]

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The 8 Key Elements of an Effective HIM/Coding Compliance Program

The 8 Key Elements of an Effective HIM/Coding Compliance Program

by John Goulart, Jr., MSM-HCA, BSMT(ASCP), CHC, 340B ACE Hospital Compliance Officer, MetroWest Medical Center/Tenet Healthcare Having worked at several large medical centers and multi-hospital networks, I have tailored the Health and Human Services (HHS) Office of Inspector General (OIG) Compliance Program Guidance documents to eight key elements that must be in place for our […]

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Q & A with Dr. Z: Liver Segment and Subsegmental Coding

Q & A with Dr. Z: Liver Segment and Subsegmental Coding

by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC Question: Report: Vessel catheterized: Segment 2 hepatic artery Gives rise to a subsegmental vessel that is the minor supply to large tumor spanning segments 2 and 3. Vessel catheterized: Subsegmental branch of the segment 2 hepatic artery would the codes be 36247 and 36248? Answer: […]

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The Impact of COVID-19 on the Coding Function: A Roundtable Discussion

The Impact of COVID-19 on the Coding Function: A Roundtable Discussion

As the healthcare industry continues to respond to the extraordinary challenge of the COVID-19 pandemic, our nation’s HIM workforce has proven its resiliency and ability to pivot as needed. We asked several HIM leaders nationwide to share their experiences and lessons learned in the hopes that their insights can help others weather any storms that […]

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ICD-10-PCS: Interatrial Shunt Device

ICD-10-PCS: Interatrial Shunt Device

Join nationally recognized coding authority Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA, for this discussion of ICD-10-PCS coding of the new Interatrial Shunt Device for FY2021. LibmanLightbox offers short bursts of learning to illuminate current challenges in medical record coding. Shining a light, where and when you need it.   Implementation is October 1! FY 2021 […]

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Documentation and Coding of Right and Left Heart Failure

Documentation and Coding of Right and Left Heart Failure

by Dr. Richard Pinson, MD, FACP, CCS Q: A patient was admitted for acute paroxysmal atrial fibrillation as principal diagnosis and what was initially thought to be acute on chronic combined systolic and diastolic heart failure, later determined to be right-sided heart failure and left ventricular (LV) dysfunction with advanced interstitial lung disease (ILD) and […]

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New Coding Career? 5 Basic People Skills to Ensure Successful Co-worker Relations

New Coding Career? 5 Basic People Skills to Ensure Successful Co-worker Relations

by Rebecca Harmon, MPM, RHIA, CCA As an educator in both community college and university settings, I had the great privilege of being around students as they prepared to enter the workforce. Some were just emerging from college as fresh-faced new graduates while others were finding a new lease on life with a change in […]

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Inpatient Rehab Coding Challenges: IRF-PAI vs. UB-04 Coding

Inpatient Rehab Coding Challenges: IRF-PAI vs. UB-04 Coding

by Nirmala Sivakumar, CCS, CDIP While freestanding rehabilitation hospitals have a dedicated rehabilitation coder, the coding for rehab units within an acute hospital is done by coders that may not be familiar with IRF-PPS coding guidelines. Many HIM professionals that code for the rehab units are not familiar with how IRFs are reimbursed and may […]

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