decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 1 (January)
Prepare for 2009: A coder’s resource checklist
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Article Overview
This article is a practical resource checklist for coding professionals, especially those in general surgery, who need to prepare for a new coding year. It surveys the main categories of updates to review, including CPT, HCPCS, ICD-9-CM, payer fee schedules, Medicare relative value files, coding policy manuals, audit planning resources, and AMA update channels.
Why This Topic Matters
Keeping coding references current helps practices stay aligned with annual code-set changes, payer requirements, and audit/compliance guidance. The article is useful for coders and billing staff who maintain forms, systems, and reference materials used throughout the year.
Article Sections
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New procedure codes
Overview of annual procedure-code update resources and system preparation for the upcoming coding year. Mentions the need to review the major procedure code sets and related release sources.
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New ICD-9-CM diagnosis codes
Discussion of diagnosis-code timing and the importance of checking for updated diagnostic guidance. Focuses on practice-system readiness and official update sources.
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Templates, “cheat sheets,” superbills
Reminder to review office forms and reference materials that may contain outdated code information. Applies to both paper and electronic workflow tools.
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Fee schedules
Notes about obtaining payer fee schedules and reviewing Medicare’s annual fee schedule publication. Centers on reimbursement reference materials rather than specific coding decisions.
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Relative value file
Introduction to Medicare’s relative value file as a reference resource for code-level billing information. Describes the general categories of data contained in the file.
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CCI policy updates
Coverage of annual updates to Medicare’s coding policy manual and related edit resources. Emphasizes the need to consult the most current policy reference.
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OIG audit plans
Summary of the Office of Inspector General’s annual work plan as a compliance and audit-planning resource. Explains its role in helping practices identify audit focus areas.
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More government audit findings
Pointer to additional Office of Inspector General guidance and fraud-related resources. Broadly addresses compliance information beyond the work plan.
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AMA code updates
Reminder to monitor AMA resources for ongoing code-system updates and related corrections. Covers several AMA update streams used by coding professionals.
What You Will Learn
- Which annual coding and compliance resources should be reviewed before the new year
- How to keep practice forms and billing references current
- Where to look for official fee schedule, policy, and audit guidance updates
- Which organizations publish recurring coding resources relevant to general surgery practices
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- General surgery practices
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