Post-acute Waivers Urgently Needed
November 6, 2020
A gap has arisen between the waivers that traditional Medicare has in place for post-acute destinations and those granted by health insurance plans. ACPA BOD member Dr. Edward Hu and ACPA President Dr. Charles Locke discuss how post-acute waivers are urgently needed during this latest COVID-19 wave.
New COVID-19 Codes Coming
September 15, 2020
ACPA BOD member and CDI Committee Co-Chair, Dr. Erica Remer discusses the new COVID-19-associated codes coming from the latest CMS ICD-10 Coordination and Maintenance Committee meeting in this ICD10monitor.com article.
CMS: Hospitals Need Proof of Positive COVID-19 Test to Get 20% Medicare MS-DRG Bonus
August 24, 2020
CMS announced hospitals will lose the 20% Medicare bonus for treating inpatients with COVID-19 unless there's proof of a positive test as of September 1st. Learn more about this rule and other associated documentation and billing challenges from ACPA Advisory Board member, Dr. Ronald Hirsch in this Report on Medicare Compliance article from Nina Youngstrom.
More COVID-19 Questions Answered
August 11, 2020
People are getting more sophisticated and knowledgeable about COVID-19, but our BOD member and CDI Committee Co-Chair, Dr. Erica Remer, is still getting a lot of questions, including what to do with patients who are being tested for COVID-19, had it previously, or currently test positive for antibodies for COVID-19, suggesting a previous infection. Read more in her latest ICD10monitor article.
CMS Opens Door to G0463 Billing for Remote Physician Visits
August 6, 2020
The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in the latest FAQ from Medicare released on July 28th. Learn more from ACPA Advisory Board member Dr. Ronald Hirsch in this RACmonitor.com article.
The Third Surge: Are We Prepared for the Non-COVID Crisis?
May 13, 2020
While a second surge of COVID-19 cases may be coming, health systems should also prepare for a "third surge" consisting of patients presenting with chronic medical conditions for which they have been, so far, avoiding follow-up and managing at home. Learn more from ACPA members Dr. Rupesh Prasad (@rupeshp011) and Dr. Venkataraman Palabindala (@RamanMDMBA) in this article from the May edition of the Society of Hospital Medicine's, The Hospitalist.
COVID-19, the SDoH, and Payers
July 15, 2020
How are payers addressing the impact of COVID-19 on their beneficiaries? Learn how they're stepping up (or not) in this RACMonitor.com article from NPAC2020 slated speaker and ACPA member, Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP.
CMS Releases COVID-19 Data, with SDoH Front and Center
July 1, 2020
Due to COVID-19's rising numbers, especially amid communities and populations most vulnerable to racial and socioeconomic disparities, CMS is again emphasizing the power of value-based reimbursement. Read more in ACPA member and #NPAC2020-slated speaker, Ellen Fink-Samnick, MSW ACSW LCSW CCM CRP, DBH's article in RACMonitor.com.
Racial and Ethnic Inequalities During COVID-19 Can’t Be Ignored
June 29, 2020
We don't know the true percentage of the population that has or has had COVID-19. But, one of the facts not being contested is that racial and ethnic minority groups are being disproportionately affected. Read more in this ICD10monitor article from ACPA BOD member and CDI Committee Co-Chair, Erica Remer, MD, FACEP, CCDS.
No Codes for COVID Manifestations
June 15, 2020
There are multiple manifestations of COVID-19 that make for clever acronyms, but won’t yield an ICD-10-CM code. Learn about all of them and how to address in this ICD10Monitor.com article from ACPA BOD member and CDI Committee Co-Chair, Dr. Erica Remer.
SDoH and COVID-19
June 3, 2020
ACPA member and slated NPAC 2020 speaker Ellen Fink-Samnick, MSW ACSW LCSW CCM CRP describes in this RACMonitor article how the Navajo Nation has been significantly impacted by #SDoH issues compounded by challenges posed by #COVID19.
ASC Partnership as a Hospital without Walls
May 27, 2020
Everyone is anxious for life to return to normal, but none more than those patients who had their surgery cancelled due to #COVID19. Under the 1135 waiver, any hospital may contract with an ASC to provide services “under arrangement.” Learn more from ACPA Advisory Board member Ronald Hirsch, MD, FACP, CHCQM, CHRI in his latest RACMonitor article.
COVID-19 and Long-Term Care: A Troubling Combination
May 13, 2020
ACPA member Benjamin Kartchner MD, CHCQM-PHYADV explains how providers nationwide are seeking to identify ways to mitigate the uncontrolled spread of #COVID19 amid vulnerable populations within nursing homes in this RACmonitor article.
COVID-19 Coding Dilemma: Z20.828 and Z03.818
May 5, 2020
ICD-10-CM codes under the current guidelines are not robust enough to tell the story correctly. The American Hospital Association (AHA) guidance tried to eliminate some of the confusion about Z03.818, Encounter for observation for suspected exposure to other biological agents ruled out, and Z20.828, Contact with and (suspected) exposure to viral communicable diseases. Learn more from ACPA BOD member and CDI Committee co-chair Dr. Erica Remer in this ICD10Monitor article.
COVID-19: To Query or Not to Query; To Report or Not to Report?
May 5, 2020
According to the official coding guidelines, ICD-10 code U07.1 for COVID-19 may be reported under the following circumstances: As documented by the provider; documentation of a positive COVID-19 test result; or a presumptive positive COVID-19 test result. Learn more from ACPA member Robert Kopec, MD, CPE, CCDS, CHCQM-PHYS ADV in this ICD10monitor article.
May 4, 2020
ACPA BOD member and CDI Committee Co-Chair, Erica Remer, MD, FACEP, CCDS explains how providers can diagnose COVID-19 based on clinical and epidemiological judgment and without a positive test. Learn more in this ICD10monitor article.
COVID-19 and America’s Racial Divide
April 17, 2020
A great deal of attention has been devoted to the impact of the SARS-CoV-2 virus on communities and populations with the largest minority segments, especially persons of color. COVID-19 has further widened the gap between the haves and have-nots, leaving a formidable chasm. Learn more from ACPA member and slated #NPAC2020 speaker, Ellen Fink-Samnick, MSW ACSW LCSW CCM CRP in this RACmonitor article.
News Alert: COVID-19 Prompts NUBC to Add New Code
April 17, 2020
National Uniform Billing Committee (NUBC) guidance was updated with the missing ICD-10-AHA code for COVID-19 screening: Z11.59. Learn more from ACPA BOD member and CDI Committee Co-Chair, Erica Remer, MD, FACEP, CCDS in this ICD10monitor article.
The COVID-19 Impact on Custodial Admissions
April 15, 2020
Patients presenting to hospitals via the emergency department due to an inability to care for themselves is not new. But the COVID-19 pandemic has added a slew of new concerns and obstacles for hospitals across the country. Read more in this RACmonitor article from ACPA Interim President, Juliet B. Ugarte Hopkins, MD, CHCQM.
The COVID-19 Victims We Aren’t Discussing
April 15, 2020
The exact number of deaths from COVID-19 is an area of uncertainty. It also remains unclear how to count the death of a patient who dies with evidence of infection by coronavirus, but was never diagnosed with COVID-19. Read more from ACPA Advisory Board member Ronald Hirsch, MD, FACP, CHCQM, CHRI in this article from RACmonitor.
We now Have a Code for COVID-19; Here’s How to use it Correctly
April 15, 2020
Sort out how to use the World Health Organization ICD-10 code of U07.1 for #COVID19, sensibly. It became valid as of April 1, 2020. Read more in ACPA BOD member and #CDI Committee Co-Chair Erica Remer, MD, FACEP, CCDS's piece in ICD10monitor.
You Have COVID-19 Questions, We Have Answers
April 15, 2020
ACPA BOD member and CDI Committee Co-Chair, Erica Remer, MD, FACEP, CCDS answers questions posed during ICD10monitor TalkTenTuesdays about COVID-19 which they were unable to address during the broadcast.
Communities Work to Manage COVID-19 and Homelessness
April 1, 2020
COVID-19 has populations at risk for all determinants, especially the “housing compromised.” Homeless individuals are three times more likely than the average person to have underlying or chronic health conditions, and they are at increased risk of acquiring and carrying, if not dying, from COVID-19. Learn more from slated #NPAC2020 speaker, Ellen Fink-Samnick, MSW ACSW LCSW CCM CRP in this RACmonitor article.
COVID-19 Resources: The SDoH and Population-Based Care
March 27, 2020
Everyone is coping with the new norm imposed by COVID-19, with those at risk for the social determinants of health (SDoH) facing even tougher challenges. This RACMonitor article from slated #NPAC2020 speaker, Ellen Fink-Samnick, MSW ACSW LCSW CCM CRP offers a broad look at emerging resources.