Monthly Archives: "November, 2015"

Get the Coding Edge with ICD-10 & Initial, Subsequent, and Sequela Encounters

Since ICD-10 implementation there have been quite a few changes in the world of coding and documenting. One in particular would be the usage of Initial, Subsequent, and Sequela, requiring us to append a seventh character for injuries and most external causes reported.

The seventh character indicates “A” for initial encounter, “D” for subsequent encounter, and “S” for sequela of an encounter. You…

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DSM 5 Terminology
As we all become comfortable with ICD10, we need to also be aware of changes in the latest version of the Diagnostic and Statistical Manual of Mental Disorders (DSM) released by the American Psychiatric Association in 2013. The latest iteration called DSM 5 introduces new terminology for a number of conditions we see in PACE
For example, the word “dementia” is being phased out and replaced with “Major (or Minor) Neurocognitive Impairment”. Minor Cognitive impairment implies evidence of…

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Health Outcome Survey – Modified (HOS-M)
In early October CMS released the memo titled “HEDIS HOS CAHPS Reporting Requirements for 2016 FINAL”. This memo reaffirms the CMS requirement for PACE plans to participate in the annual HOS-M survey. Plans must contract with the survey vendor NCQA, no later than January 15, 2016. All plans will be receiving correspondence from NCQA shortly.
This important survey takes place annually and the survey results will create the frailty factor used in the following calendar year. This is rare…

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