Blog & Publications

Find the latest news from the Haugen Consulting Group. Check back frequently for updates.

Tips & Expertise: Coding Diabetes

Q: When is code I12.9 used?  I thought that was for hypertension with CKD without CHF? A: Code I12.9 is for hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease.  This code is used when the...

ICD-10-CM Coding for COVID-19: The Changes Keep Coming

Blog Post: Digging into HIM & Coding

If you’ve been keeping up to date on your Coding Clinic subscription and coding guidelines, you know that coding advice for COVID-19 keeps changing. As coders, we know it’s imperative to keep our eyes peeled for new codes, updated guidance, and evolving disease processes, but COVID-19 has taken this to a new level with changing advice on a bimonthly basis. And just in case you are about to stop reading here thinking you are current on COVID, beware: the CDC isn’t done messing with codes related to COVID-19. | Read More.

Coding for Diabetic Complications

Blog Post: Digging into HIM & Coding

November is American Diabetes Month and there’s no better time to review one of the most common coding variances we see on coding audits: coding for diabetic complications. Later this month, I will present a webinar on this topic, but for now, let’s get a jump on it by covering the things that stand out to all of us at Haugen during coding audits. | Read More.

Tips & Expertise: Liver Disease & Treatment

Q:  Question about fatty liver disease.  It’s my understanding that fatty liver disease is often the first stage in liver disease and can progress to cirrhosis.  If the provider documents fatty liver disease as well as cirrhosis, should you code both or is the...

Tips & Expertise: 2021 IPPS Updates

Q:  You mentioned that Yescarta and Kymriah would group to the new MS-DRG 018 for CAR T-cell therapies.  There are 2 new codes for CAR T-cell therapies from the new technology section in 2021.  Will those codes also group to MS-DRG 018? A:  Two new CAR T-cell...

Digging into MS-DRG’s

Blog Post: Digging into HIM & Coding

Are you looking for opportunities for focused audit reviews or coder education? At HCG, we track our audit data throughout the year to identify trends in the industry and opportunities to educate coders in specific problem areas. So far, in 2020, we have identified 4 MS-DRG’s that stand out with the highest number of coding errors that affected the MS-DRG assignment. Digging deeper into the audit data, we were able to identify specific coding opportunities where coders could improve their diagnosis coding and limit the MS-DRG changes in those areas. Continue reading to learn more about the MS-DRG’s identified. | Read more.

Tips & Expertise: 2021 ICD-10-CM Updates

Q:  For alcohol and drug withdrawal, what is the default code if the doctor does not document use or dependence? A:  The alphabetic index lists dependence as the default and this is reiterated in Coding Clinic, Second Quarter 2015: Page 15.  However, if documentation...

Tips & Expertise: 2021 ICD-10-PCS Updates

Q:  Question in regards to the COVID-19 new PCS codes.  I am getting push back about coding these PCS codes when the drugs can be picked up via the charge master.  What are your thoughts? A:  While your organization may be able to pull this data from the charge...

Understanding 2020’s Unexpected Updates

Blog Post: Digging into HIM & Coding

Last week, the Centers for Medicare and Medicaid Services (CMS) released 12 new ICD-10-PCS codes to report the administration of therapeutic substances in the treatment of COVID-19.  All these codes are in the New Technology (X) section and allow for reporting of four specific and one nonspecific substance. | Read More.

Critical Questions for Critical Care

Blog Post: Digging into HIM & Coding

This blog post has been a long time coming, as this topic has been top-of-mind since 2018, when critical care services were placed on the Office of Inspector General (OIG) work plan. Since that time, I have had an opportunity to review hundreds of critical care charts from multiple facilities. To say that I have become passionate about good critical care documentation is an understatement. Fortunately, the Centers for Medicare & Medicaid Services (CMS), the American Medical Association (AMA), and other specialty societies publish a lot of guidance on critical care documentation. Although there are multiple facets to critical care billing, this article is focused on the one thing I repeatedly find lacking in charts: medical necessity.

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