Tenet ICD-10 Training Information AFFILIATED PHYSICIANS

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1 Tenet ICD-10 Training Information AFFILIATED PHYSICIANS

2 ICD-10: Coming October 1, 2015 Let us help you make a successful transition Dear BHS physician and allied health providers, Per congressional and CMS instructions, very soon ICD-9 will be converting to ICD-10. The current go-live date is October 1, It is always possible another delay could be interjected, yet it is necessary that we do all we can to be ready. Just like smart phones and computers, video games and cars, life is a journey of changes and upgrades. The medical record is no different. Yes, the diseases are the same, but our way of creating a record reflecting a patient s care is always a work in progress. ICD which means the International Classification of Diseases is now coming out in version 10 and will create a far more accurate and specific message narrowed down to the simplicity of a 7 character code. The Baptist Health System is here to assist you in learning this enhanced method of documentation of your patient s condition and care. To accomplish this a number of supportive activities are available for all our clinicians to take advantage of: HealthStream web-based on demand training modules for all specialties with CME credits Educational seminars centered around routine medical staff meetings On site experts: physicians and documentation specialists BHS physician web page resources for immediate access to ICD coding guidelines and manuals plus numerous links and documents to assist your successful adoption Educational communications like BHS newsletters highlighting specialty specific optimal documentation Pocket card ICD documentation and coding tips for all specialties Physician lounge ICD posters with rotating topics Compliance with using the new code set this October is mandated by federal law. However we are preparing our hospitals and those who work here with tools and skills necessary to navigate the ICD- 10 adoption focusing on the benefits that such a system offers namely a more accurate description of what was done to and found in your patient. Please remember all of us are facing this challenge, yet together as team we can be confident of an outcome that we can be proud of, namely excellent clinical care and outcomes with a record reflective thereof. Sincerely yours, William H. Bradshaw, M.D. President of the Medical Staff Baptist Health System 2 n 2015 ICD-10 TRAINING FOR AFFILIATED PHYSICIANS

3 Table of Contents o Directions for creating an account in Healthstream Express (HEX) Access training via Windows Explorer browser List of available courses in HEX o Continuing Medical Education Credits (CMEs) Information o Physician Training on Tablets o Smartphones and Resource Apps for ICD-10

4 Directions for Creating an Account in HEX Tenet Ethics and Compliance HealthStream Express (HEX) Access the training through Windows Explorer Access the site by entering the web address: Select First time students click here to register to begin the registration process. Please note: If you have an existing HEX account from prior training it will not work for the ICD-10 training. A new HEX account must be created in order to access this training content. Select TNTPHY - Affiliated Physicians as the Institution for where you will work.

5 Use the following guidelines, complete the required fields and click submit to create your account. Note. If you have entered a valid address, your user ID, password and login URL will be ed to you shortly. Otherwise, you will need to remember your user ID and password. If you forget this information, contact the Tenet Help Desk at , option 3 then option1 for assistance. Once you click submit to create your account, you will be logged into the system. Click the My

6 Learning tab to see the list of available Precyse University courses for physicians. Please feel free to take as many or as few of the courses as you like. These are the fundamental courses with descriptions that are highly recommended to assist credentialed providers to prepare for ICD-10. A Day in the Life of ICD-10 Introduction to ICD-10 with review of similarities and differences between ICD-9 and ICD-10 Prologue to ICD-10-CM for Non-Coders Introduction to ICD-10CM disease groups, structure and categories Basic Physician Coding Strategies for ICD-10 Understanding the relationship between coding and medical documentation Documenting in ICD-10-CM (.50 CME available) ICD-10 differences to identify gaps in documentation habits and additional detailed requirements. Documenting in ICD-10-PCS (.50 CME available) Define changes to new level of granularity needed for documenting operative and procedural documentation. The Language of ICD-10: Specificity and Granularity (.50 CME available) Overview of ICD-10 documentation practices that will impact reimbursement, highlighting common documentation errors. In addition, you should also select appropriate specialty courses for relevant information. Below is a comprehensive list of the courses that are available to all our affiliated physicians. A Day In the Life of ICD-10 Basic Physician Coding Strategies for ICD-10 Documenting in ICD-10-CM Documenting in ICD-10-PCS ICD-10 and the Delivery and Business of Healthcare

7 ICD-10 and the Physician ICD-10 and the Physician Office Mini-The Basics of GEMs in ICD-10 Optimal Documentation for Anesthesiology Optimal Documentation for Cardiovascular Medicine: Conditions of the Heart Optimal Documentation for Cardiovascular Medicine: Conditions of the Vascular System Optimal Documentation for Dentistry/Maxillofacial Surgery Optimal Documentation for Dermatology Optimal Documentation for Emergency Medicine Optimal Documentation for Endocrinology Optimal Documentation for ENT (Otolaryngology) Optimal Documentation for Family Practice and Primary Care Optimal Documentation for Gastroenterology Optimal Documentation for General Surgery Optimal Documentation for Hepatology Optimal Documentation for Hospitalist Medicine Optimal Documentation for Immunology Optimal Documentation for Infectious Diseases Optimal Documentation for Internal Medicine Optimal Documentation for Nephrology Optimal Documentation for Neurology Optimal Documentation for OB-GYN: Gynecology Optimal Documentation for OB-GYN: Obstetrics Optimal Documentation for Oncology and Hematology Optimal Documentation for Ophthalmology Optimal Documentation for Orthopedics: Degenerative Diseases Optimal Documentation for Orthopedics: Injuries Optimal Documentation for Pathology Optimal Documentation for Pediatrics: Cardiovascular Medicine - Conditions of the Heart Optimal Documentation for Pediatrics: Congenital Anomalies Optimal Documentation for Pediatrics: Endocrinology Optimal Documentation for Pediatrics: ENT (Otolaryngology) Optimal Documentation for Pediatrics: General Pediatric Medicine Optimal Documentation for Pediatrics: Hematology Optimal Documentation for Pediatrics: Immunology Optimal Documentation for Pediatrics: Neonatology Optimal Documentation for Pediatrics: Intensive Care Optimal Documentation for Pediatrics: Neonatal Intensive Care Optimal Documentation for Pediatrics: Nephrology

8 Optimal Documentation for Pediatrics: Neurology Optimal Documentation for Pediatrics: Oncology Optimal Documentation for Pediatrics: Ophthalmology Optimal Documentation for Pediatrics: Orthopedics Optimal Documentation for Pediatrics: Plastics Optimal Documentation for Pediatrics: Pulmonology Optimal Documentation for Pediatrics: Rheumatology Optimal Documentation for Pediatrics: Urology Optimal Documentation for Plastics Optimal Documentation for Podiatry Optimal Documentation for Psychiatry Optimal Documentation for Pulmonology Optimal Documentation for Radiology for Radiologists Optimal Documentation for Rheumatology Optimal Documentation for Urgent Care Optimal Documentation for Urology Physician Coding for Anesthesiology in ICD-10 Physician Coding for Cardiology in ICD-10 Physician Coding for Dermatology in ICD-10 Physician Coding for Endocrinology Physician Coding for Family Medicine in ICD-10 Physician Coding for Gastroenterology in ICD-10 Physician Coding for Gynecology in ICD-10 Physician Coding for Immunology in ICD-10 Physician Coding for Internal Medicine in ICD-10 Physician Coding for Nephrology in ICD-10 Physician Coding for Neurology in ICD-10 Physician Coding for Obstetrics in ICD-10 Physician Coding for Oncology in ICD-10 Physician Coding for Ophthalmology in ICD-10 Physician Coding for Orthopedics in ICD-10 Physician Coding for Otolaryngology (ENT) in ICD-10 Physician Coding for Pediatric Medicine in ICD-10 Physician Coding for Podiatry in ICD-10 Physician Coding for Psychiatry in ICD-10 Physician Coding for Pulmonology in ICD-10 Physician Coding for Radiology in ICD-10 Physician Coding for Rheumatology in ICD-10 Physician Coding for Urology in ICD-10 Prologue to ICD-10-CM for Non-Coders Prologue to ICD-10-PCS for Non-Coders

9 The Language of ICD-10: Specificity and Granularity Using the ICD-10-CM Code Book for Non-Coders What is ICD-10 in the Physician Office What is ICD-10 for Long Term Acute Care? What is ICD-10 for Post-Acute Care Therapies? What is ICD-10 for the Skilled Nursing Facility? Technical assistance: If you need any assistance logging in to HealthStream Express or if you have any trouble with any course content, contact the Tenet Help Desk at , option 3 then option1 for assistance.

10 Continuing Medical Education (CME) Credits Category 1 CME credits are available for completion of three of the offered courses:.50 CME Documenting in ICD-10-CM.50 CME Documenting in ICD-10-PCS.50 CME The Language of ICD-10: Specificity and Granularity In order for physicians to receive CME credit upon course and test completion, they will need to complete the following: 1. Log into the HealthStream Learning Center 2. Click on the tab titled My Profile 3. Click on the link titled Maintain Discipline and License Information 4. Click on the link titled Other 5. The physicians will need to select their Discipline and State 6. Click the Save button 7. Complete CME courses 8. Click on the tab titled My Transcript 9. Click on the completed CME course title 10. There will be two certificates displayed to the physician. One is the certificate of completion and the other is the CME certificate. 11. Physicians may print out their CME certificate at any point in time when needed

11 Physician Training on Tablets Tablets and Precyse University Courses Precyse University has developed the majority of their physician courses to be mobile ready Being mobile ready allows the courses to function properly on Mobile Tablets without the need for a Flash Player The courses work properly on the Apple ipad The only physician courses that are not completely mobile ready are the courses built for physicians that do their own Coding Precyse continues to modify these physician coding courses to be mobile ready All or most should be mobile ready by end of first quarter Smartphones and Resource Apps ICD-10 Resource Apps Five smartphone apps are included in our license agreement These apps are not courses They are resources to assist the physician and others with the ICD-10 transition There is a small itunes costs for some of the apps For example: ICD-10 Doc Guide is an tool to quickly retrieve information on how to document the most common diseases and conditions (No cost) ICD-10 Doc Talk contains videos specialty-specific audio webinars (No cost) The ICD-10 Virtual Code Book app was developed for physicians who code as well as other professionals ($7.99 on itunes) The smartphone apps do not work like courses so there is no communication with HealthStream when someone uses one of the apps Here is a link to learn more about each one:

12 Notes 2015 ICD-10 TRAINING FOR AFFILIATED PHYSICIANS n 9

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