ICD-10-CM Puerto Rico Community

Comunidad de Apoyo y Aprendizaje de ICD-10 de PR

Comunidad de Profesionales del Manejo de Información de Salud en PR, creada para brindar apoyo, información y guías en ICD 10-CM.

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Publicaciones de blog

What does case-mix index mean to you?

“Hospital fortunes rise and fall based on what the CMI is doing,” says Lynne Spryszak, RN, CCDS, CPC-A, clinical documentation improvement (CDI) education director at HCPro, Inc., in Marblehead, MA.

The financial department monitors case-mix index (CMI), and in an ideal world, the hospital’s CMI would be as high as possible. A high CMI means the hospital performs big-ticket services and therefore receives more money per patient.  
 
To calculate CMI,…
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Publicado por Sally Montes Colon el noviembre 25, 2014 a las 11:41am

Combating the Ebola virus

It was only a few short months ago that the Ebola virus seemed a distant and remote threat to American health…

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Publicado por Sally Montes Colon el octubre 6, 2014 a las 3:40pm

Results from WEDI’s ICD-10 Industry Readiness Survey Released

September 25, 2014

Vendors and health plans continue to make progress, although testing and other tasks are being pushed to 2015; providers show lack of progress from Oct. 2013 survey …

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Publicado por Sally Montes Colon el septiembre 29, 2014 a las 7:07pm

Results from WEDI’s ICD-10 Industry Readiness Survey Released

September 25, 2014

Vendors and health plans continue to make progress, although testing and other tasks are being pushed to 2015; providers show lack of progress from Oct. 2013 survey …

Continuar

Publicado por Sally Montes Colon el septiembre 29, 2014 a las 7:07pm

FY 2015 release of ICD-10-CM

Note: This replaces the FY 2014 release.

These files listed below represent the FY 2015 ICD-10-CM. There were no changes to the FY 2015 ICD-10-CM Tabular or Index files over the FY 2014 ICD-10-CM.  Therefore there are no FY 2015 ICD-10-CM Addenda files.

The FY 2015 ICD-10-CM is available in both PDF (Adobe) and XML file formats.  Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for…

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Publicado por Sally Montes Colon el septiembre 28, 2014 a las 1:07pm

eDiscovery issues in litigation continue to increase, although the old fashion shredder still seems to be a favor tool for cover-ups!

Healthcare Executive Hospital/Physician Revenue Cycle, Compliance and Operations

Remarks by Principal Deputy Assistant Attorney General for the Criminal Division Marshall L. Miller at the Global Investigation Review Program in…

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Publicado por Sally Montes Colon el septiembre 21, 2014 a las 8:33pm

Two-midnight rule update: The controversy continues

The Centers for Medicare & Medicaid Services (CMS) 2014 Inpatient Prospective Payment System (IPPS) Final Rule became effective on October 1, 2013.(1) The 2014 IPPS Final Rule (a) established new requirements for inpatient hospital admission orders and certifications as a condition of Medicare Part A payment and…

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Publicado por Sally Montes Colon el septiembre 15, 2014 a las 1:14pm

Note from the instructor: CMS Introduces Review and Denial of Related Claims

Medicare Insider, September 9, 2014

This week’s note from the instructor is written by Kimberly Anderwood Hoy Baker, JD, CPC, regulatory specialist for HCPro.  
 
Note from the instructor: CMS Introduces Review and Denial of Related Claims
 
Earlier this year CMS published and then rescinded a transmittal (Medicare Program Integrity Manual, Transmittal 505) allowing…
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Publicado por Sally Montes Colon el septiembre 9, 2014 a las 2:37pm

Reassess BAAs to ensure omnibus rule compliance

The September 23, 2014 deadline to revise business associate agreements (BAA) may have seemed like a date far into the future when the HIPAA omnibus final rule was released January 25, 2013. However, this compliance date is just around the corner as we continue to move along the road toward establishing and maintain compliance with the HIPAA privacy and security rules.



This date in September is notable because many organizations—both covered entities (CE) and business associates…

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Publicado por Sally Montes Colon el septiembre 8, 2014 a las 3:19pm

Don’t Put Off That New HIPAA Business Associate

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Publicado por Sally Montes Colon el septiembre 2, 2014 a las 11:26am

 

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What does case-mix index mean to you?

“Hospital fortunes rise and fall based on what the CMI is doing,” says Lynne Spryszak, RN, CCDS, CPC-A, clinical documentation improvement (CDI) education director at HCPro, Inc., in Marblehead, MA.The financial department monitors case-mix index (CMI), and in an ideal world, the hospital’s CMI would be as high as possible. A high CMI means the hospital performs big-ticket services and therefore receives more money per patient.   To calculate CMI, choose a time period (e.g., one month) to…Ver más
Hace 15 horas
Entrada de blog de Sally Montes Colon

What does case-mix index mean to you?

“Hospital fortunes rise and fall based on what the CMI is doing,” says Lynne Spryszak, RN, CCDS, CPC-A, clinical documentation improvement (CDI) education director at HCPro, Inc., in Marblehead, MA.The financial department monitors case-mix index (CMI), and in an ideal world, the hospital’s CMI would be as high as possible. A high CMI means the hospital performs big-ticket services and therefore receives more money per patient.   To calculate CMI, choose a time period (e.g., one month) to…Ver más
Hace 15 horas
Icono del perfilMarcos y Ivemar López Feliciano se unieron a ICD-10-CM Puerto Rico Community
Nov 18
Zoraida Hernaiz Morales asistirá al evento de Sally Montes Colon
Nov 18
Sonia Baez Maldonado quizás asista al evento de Sally Montes Colon
Nov 18
Sally Montes Colon publicó un evento
Nov 18
Sally Montes Colon publicó un evento

ICD 10 CM Boot Camp a las Salon de adiestramiento Sector Bechara

octubre 16, 2014 a las 8am a octubre 30, 2014 a las 4pm
Oct 6
Entrada de blog de Sally Montes Colon

Combating the Ebola virus

It was only a few short months ago that the Ebola virus seemed a distant and remote threat to American health care facilities. Then, the first confirmed Ebola virus disease case (http://www.cdc.gov/media/releases/2014/s930-ebola-confirmed-case.html) was diagnosed in the United States on Sept. 28.The patient, who was placed in isolation at Texas Health Presbyterian Hospital Dallas, had returned from a trip to…Ver más
Oct 6
Entradas de blog de Sally Montes Colon
Sep 29
Entrada de blog de Sally Montes Colon

FY 2015 release of ICD-10-CM

Note: This replaces the FY 2014 release.These files listed below represent the FY 2015 ICD-10-CM. There were no changes to the FY 2015 ICD-10-CM Tabular or Index files over the FY 2014 ICD-10-CM.  Therefore there are no FY 2015 ICD-10-CM Addenda files.The FY 2015 ICD-10-CM is available in both PDF (Adobe) and XML file formats.  Most files are provided in compressed zip format for ease in downloading. These files have been created by the National Center for Health Statistics (NCHS), under…Ver más
Sep 28
Entrada de blog de Sally Montes Colon

eDiscovery issues in litigation continue to increase, although the old fashion shredder still seems to be a favor tool for cover-ups!

Healthcare Executive Hospital/Physician Revenue Cycle, Compliance and OperationsRemarks by Principal Deputy Assistant Attorney General for the Criminal Division Marshall L. Miller at the Global Investigation Review Program in New York ~ Wednesday, September 17, 2014 "In one recent fraud investigation, Frederic Cilins, a French…Ver más
Sep 21
Sheilly Pérez ahora es miembro de ICD-10-CM Puerto Rico Community
Sep 19
Entrada de blog de Sally Montes Colon

Two-midnight rule update: The controversy continues

The Centers for Medicare & Medicaid Services (CMS) 2014 Inpatient Prospective Payment System (IPPS) Final Rule became effective on October 1, 2013.(1) The 2014 IPPS Final Rule (a) established new requirements for inpatient hospital admission orders and certifications as a condition of Medicare Part A payment and (b) created guidelines to justify and document the medical necessity of…Ver más
Sep 15
Daisy Rosa Rivera ahora es miembro de ICD-10-CM Puerto Rico Community
Sep 12
Entradas de blog de Sally Montes Colon
Sep 9
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ANNUAL HEALTHCARE UPDATE 2014 a las Sheraton Convention Center

Sep 9
Sonia Baez Maldonado ahora es miembro de ICD-10-CM Puerto Rico Community
Sep 8
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"Saludos, quisiera más detalle sobre el evento, la agenda con los temas"
Sep 8
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ANNUAL HEALTHCARE UPDATE 2014 a las Sheraton Convention Center

Sep 8
Sally Montes Colon publicó un evento

ANNUAL HEALTHCARE UPDATE 2014 a las Sheraton Convention Center

Sep 7

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