Unspecified Hypertension Complicating Pregnancy and More
ICD-9 code: 642.93 – Unspecified hypertension complicating pregnancy, childbirth and the puerperium, antepartum condition.nnIn order to code this in ICD-10, you would need to know:n
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- Is the hypertension pre-existing, or gestational?
- Is the hypertension secondary?
- Are there associated complications from the hypertension, such as edema, or pre-eclampsia, and if so, is the pre-eclampsia mild, moderate, or severe? If severe pre-eclampsia, is there associated HELPP syndrome?
- What trimester of pregnancy is the patient in?
- How many weeks gestation?
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nCheck your provider’s current documentation! Does it meet these requirements?nnRelated ICD-10 Code (to the above): Z63.1 – Problems in relationship with in-lawsnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2014 implementation date. Please don’t hesitate to contact us for all of your training and education needs!
We just received news that our upcoming Seminars and Webinar, titled ICD-10: A Coder’s Perspective, are now approved for 2 AHIMA CEU’s!nnSeminar Title: ICD-10: A Coder’s PerspectivenSeminar Cost: FREEnDon’t miss out on this excellent opportunity!nn
Webinar Title: ICD-10: A Coder’s PerspectivenWebinar Cost: FREEnDon’t miss out on this excellent opportunity!nWebinar Date: Thursday April 25th from 11am – 1pm Mountain time (1 pm Eastern)nnWebinar Description: An informative webinar to give a coder’s viewpoint of the ICD-10 transition and to alleviate fears of what the new code set will mean to coders and billers. We will review guideline changes, new concepts and problematic code sets, along with in-depth discussions of the impact to outpatient coders, tips on how to begin the education and training process, and tips on how to avoid potential pitfalls during the implementation process.nnThis program has the prior approval for 2.0 CEU’s from the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA).nnSpace is limited! Go-to-Meeting details and powerpoint presentation slides will be emailed to registered participants 2 days prior to Webinar event. Please be sure to provide your email as part of your registration.nnTo register, fill out the form below, or 
X36.1 – AvalanchenV86.42xA – Person injured while boarding snowmobile, initial encounternW00.9xxA – Unspecified fall due to ice and snow, initial encounternX31.xxxA – Exposure to excessive natural cold, initial encounternV98.3xxA – Accident on ski lift, initial encounternn nnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2014 implementation date. Please don’t hesitate to 
CERTIFIED PROFESSIONAL CODER (CPC) PREPARATION COURSE & CERTIFICATIONnn
President Lincoln and Washington,which codes goes to which president?nnQ87.40 – Marfan’s SyndromenK08.109 – Edentulismnn nnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2014 implementation date. Please don’t hesitate to 
Patient Affordable Care Act Changes That Occurred in 2010nIndoor tanning services were assessed a 10% excise tax.nnA re-insurance program offset the costs of health benefits for workers age 55-64 who were forced into early retirement.nnMedicare beneficiaries who fell into the Medicare Part D Prescription Drug “donut hole” received a $250 rebate. They received a 50% discount on brand name drugs in 2011, and the doughnut hole is eliminated in 2020.nnChildren were allowed to stay on their parents’ health insurance until they turn 26.nnNew private plans were required to cover preventive services with no co-payments, and they are exempt from deductibles. Consumers who applied to new plans have access to an external appeals process if coverage is denied.nnInsurance companies were prohibited from dropping coverage if someone got really sick. They couldn’t create lifetime coverage limits. They could no longer deny coverage to children with pre-existing conditions. The same will apply to adults in 2014. Until then, adults with pre-existing conditions who have been denied coverage will get access to temporary 
Changes in 2013nMedical expenses must be at least 10% of income before they are deductible for those under 65. Manufacturers and importers of medical devices will pay a 2.3% excise tax. Federal funds will increase to allow Medicaid to offer free preventive services, and to extend CHIP for an additional two years. The Federal government will fund states to pay primary care physicians 100% of the Medicare fee. Medicare will start a pilot program to encourage hospitals to bundle services before submitting for payment. (Source: 
Worst V-Day diagnosis code:nI51.81 – “Broken heart syndrome”nnStruck by Cupid’s arrow:nS26.99xA – Other injury of heart, initial encounternW21.89xA – Struck by arrow, initial encounternnThe only kind of chocolate you DON’T want on V-Day:nN80.1 – Chocolate cystnnMost common ICD-10 diagnosis code reported at Mardi Gras in New Orleans:nW52.XXXA – Crushed by crowdnnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2014 implementation date. Please don’t hesitate to 
Seminar Title: ICD-10: A Coder’s PerspectivenSeminar Cost: FREE – Don’t miss out on this excellent opportunity!nnSeminar Description: An informative seminar to give a coder’s viewpoint of the ICD-10 transition and to alleviate fears of what the new code set will mean to coders and billers. We will review guideline changes, new concepts and problematic code sets, along with in-depth discussions of the impact to outpatient coders, tips on how to begin the education and training process, and tips on how to avoid potential pitfalls during the implementation process.nnThis program has the prior approval for 2.0 CEU’s from the American Academy of Professional Coders (AAPC) and American Health Information Management Association (AHIMA).nnSeminar Dates and Locations:nEnglewood, CO: Swedish Medical CenternSpruce C Conference Roomn501 E Hampden AvenuenEnglewood, CO 80113nnDate: Wednesday April 10, 2013nTime: 2-4pmnn
nnW04.XXA – Fall while being carried by other personsnnY90.1 – Evidence of alcohol involvement determined by blood alcohol level, 20-39 mg/100 mlnnZ72.820 – Sleep deprivationnnZ72.6 – Problems relating to gambling and bettingnn nnIn preparation for the upcoming deadline for ICD-10 implementation, Welter Healthcare Partners presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to comply with ICD-10 coding, and more importantly, for accurate and clean claims submission to keep your revenue stream flowing! We are to help YOU prepare for the October 1, 2014 implementation date. Please don’t hesitate to 
Asphyxiation due to smothering under another person’s body (in bed), initial encounter, 
CERTIFIED PROFESSIONAL CODER (CPC) PREPARATION COURSE & CERTIFICATIONnn
nnIn response to the government’s continued focus on improving quality of care through payment policy, several changes to new and existing regulatory requirements recently came about through the 2013 Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), and the Medicare Physician Fee Schedule (MPFS) Final Rules (“Final Rules”). As a result, hospitals will be faced with new challenges in 2013 and beyond.nnWhat Hospitals Should DonnIn 2013, hospitals should pay particular attention to these requirements in the Final Rules:n
January 14, 2013 — FOR IMMEDIATE RELEASE:nnDenver, Jan 14, 2013 — Welter Healthcare Partners, Inc. (WHP) is very proud to announce the addition of Rebekah S. Gatti (CCS-P, CPC, CPC-I, CEDC, CPMA) to our healthcare management and consulting organization. WHP is an industry leader in providing healthcare facilities with consulting and medical coding services.nnRebekah S. Gatti has 30 years experience in the healthcare industry, both inpatient and outpatient (hospitals and physicians), with specialty in Emergency Medicine, General Surgery, OB/GYN, Cardiology, Orthopedics, Oral Surgery, Pain Medicine, Mental Health and Occupational Medicine. She holds multiple certifications from both the AAPC and AHIMA.nnMs. Gatti has extensive experience with medical practice management, including revenue enhancement, reimbursement analysis, collection issues, compliance plans, chart auditing, and personnel management issues. She provides educational seminars for physician groups and hospitals on coding, auditing, modifiers, evaluation and management, documentation issues and ICD-10 preparation and financial neutrality. She also provides instruction in medical coding, having successfully completed the PMCC instructor certification course. Ms. Gatti is an AHIMA-approved ICD-10-CM/PCS Trainer. She is the author of “Introduction to Inpatient Procedural Coding Using ICD-10-PCS.”nnPrior to employment at Welter Healthcare Partners, Ms. Gatti was the ICD-10 Manager for a healthcare software company supervising the Content Team, and Coding Supervisor at a large multi-practice company in Virginia where she provided documentation training for over 300 physicians and physician extenders.
Medicaid Primary Care Payment IncreasennThe Affordable Care Act (ACA) enacted changes to Medicaid primary care reimbursement. Eligible physicians will receive supplemental payments for services rendered between January 1, 2013 and December 31, 2014. These supplemental payments will raise the Medicaid reimbursement to Medicare rates. To be eligible for the supplemental payments, physicians must self-attest as having a specialty in family medicine, general internal medicine, and/or pediatric medicine. Only physicians can complete the attestation! Staff or other representatives are not allowed to complete the attestation on the provider’s behalf. 
Per AMA guidelines, the new code set should be used for claims filed as of January 1, 2013. Practices are advised to check with their local payers to verify payer implementation date of the new codes, to avoid any unnecessary claims denials and delays in payments!nn
CERTIFIED PROFESSIONAL CODER (CPC) PREPARATION COURSE & CERTIFICATIONnnCertified coders are in high demand! Advance your career in the medical field and get certified now!nnThis course will be offered as a combination live and web-based class to offer maximum flexibility for any student. It is designed to offer the most comprehensive and complete coding information to prepare students for the CPC examination and a career in the medical field. This course will include a brief overview of medical terminology, anatomy, CPT, ICD-9 CM and HCPCS manuals, and coding scenarios for practical application in the work environment.nnUpon completion of this course, participants will be prepared to sit for the nationally accredited American Academy of Professional Coders (AAPC)/Certified Professional Coder (CPC) coding certification examination.nnThis examination will be offered to class participants at the completion of the course.n
Congress passed The American Taxpayer Relief Act of 2012, to avert the “fiscal cliff.” President Obama is expected to sign the legislation shortly.nnIn addition to various tax and spending measures, the legislation includes provisions of direct importance to medical group practices. The legislation:n
A new report from the Agency for Healthcare Research and Quality (AHRQ) highlights the cumulative experiences of more than 100 grantees that implemented major health IT projects between 2004 and 2007.nnThe report, Effective Teamwork and Sustainability in Health IT Implementation, reviews grantee experiences related to planning, long-term use, partnerships, vendor relationships, and end-user perceptions a few years after the end of the project period. According to the grantees, the most important factors affecting the sustainability of health IT were the ability to demonstrate benefits from health IT to grantees’ organizations, clinician support, and cost–related issues. Grantees said that most health IT products that were implemented and upgraded during the study continue to be used. However, they reported that in order for health IT projects to be successful, clinician buy-in and support must be established early in the planning period and be sustained during implementation and maintenance phases. Effective planning, including completing a detailed workflow analysis, implementation plan and process re-design assessment prior to implementation, were strong markers of long-term viability.nn
ceive a 26.5 percent reduction in payments starting Jan. 1 unless Congress intervenes. Action to avert the cut is being considered as part of broader fiscal cliff negotiations on tax and spending policies. However, these discussions remain up in the air, creating uncertainty over the timing of a solution.nnThe latest estimates from the Congressional Budget Office (CBO) indicate that a one-year patch to prevent the SGR cut would cost $25 billion. While most members of Congress agree that the current Medicare payment system must be repealed, the cost is daunting. Details should emerge in the coming week.