The Language of ICD-10

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CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

Discipline Frequency and Duration Orders

Did you know that the Medicare week to write orders for treatments and/or frequency and duration varies from home health agency to home health agency? For more information see "Are you knew to the home…?”

CMS Quality Measurements Projects and the Goals

CMS is presently developing outcome core measures that are patient oriented and cross providers setting during the continuum of care.

Understanding Medicare Secondary Payer (MSP)

Understanding the role that Medicare Secondary Payer plays to patient care and your agency is critical.

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According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

The Language of ICD-10

Training clinicians in the language of ICD-10 is a must! Understanding the language of ICD-10 is the first step to be able to go down the right path to identify the appropriate diagnosis when coding. For more ICD-10 information go to https://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html.

The following are examples of some of the ICD-10 terminology:

1. A place holder character "X"-must be used to make a code valid in certain ICD-10 codes.

2. A dash (-) at the end of an Alphabetical Index entry indicates that additional characters are required.

3. Sequela=Late Effects.

4. Laterality=Left, Right or Bilateral site of the body.

5. Sample of ICD-10 codes: Z48.812 After care following surgery of the circulatory system, E11.621Diabetic Ulcer of the foot, Z79.4 Insulin use.

*Always code following the coding rules using the Alpha Index and Tabular List!