Preparing for ICD-10: Education and Clinical Documentation
|
|
- Shannon Small
- 6 years ago
- Views:
Transcription
1 Preparing for ICD-10: Education and Clinical Documentation
2 Agenda Background Road to Readiness Education Clinical Documentation Quick Start Today s presentation and recording will be sent to all attendees via by Friday, July 19 th
3 ICD-10 Recommended Timeline
4 Background: why? ICD-9 is a 30 year old framework that cannot accommodate additions Limits ability to add codes to describe clinical conditions and use of healthcare services Details can help with claim processing, healthcare utilization, treatment planning, public heath improvements, among others
5 Reminders Diagnosis codes are used in many places for many different reasons by many different systems and people. This is not the usual annual update: it s a new language Common cold: acute nasopharyngitis ICD ICD-10 J00 ICD-10 is different from ICD-9 in: Length Number Value Terminology
6 ICD-10 Is Different ICD-9-CM Size: 3-5 characters ICD-10-CM Size: 3-7 characters Number: 13,000 Number: 68,000+ Format: Mostly numeric and always begins with a number except for E and V Format: Alphanumeric and always starts with a Letter except for U Alphabetic characters NOT case sensitive Terminology
7 Do I Have To Do This? YES! It s not optional. Professional claims must contain ICD-10 values for dates of service on and after October 1, Institutional claims must contain ICD-10 values for dates of discharge on and after October 1, Navicure, Inc.
8 Lets review key activities that you have hopefully finished or are a work-in-progress
9 Road to Readiness: First half 2013 Highlight of items that should be finished or underway: Does your practice have an ICD-10 champion/coordinator? Does the ICD-10 planning team have a basic understanding of ICD-10? Enough to understand the scope and breadth of effort? Do you have physician and practice management staff: Awareness Commitment Organizational awareness Administrative and clinical staff Internal plans, educational events, regularly scheduled meetings
10 Road to Readiness: First half of 2013 Highlight of items that should be finished or underway: IT and service vendor outreach Do your IT and service vendors know about ICD-10? Have they communicated update plans, timelines, costs? Have they communicated required and enhanced capabilities and services? Identified other initiatives that must be done in tandem or coordinated along with ICD-10. Began preliminary budgeting.
11 Road to Readiness: First Half of 2013 Highlight of items that should be finished or underway: Diagnosis Use Assessment a diagnosis inventory Do you have a document that describes where, how and who uses diagnosis codes throughout your practice? Administrative and clinical? Front, middle and back office Electronic and paper, e.g., Superbills, processes Contracts, quality reporting, public health reporting, spreadsheets Creators, senders and receivers
12 Road to Readiness: First Half of 2013 Highlight of items that should be finished or underway: Create an Action Plan (Last Month June 2013) Review and assess facts and information obtained with your assessment Determine what additional information you need Create a list of things that need to be done to get your practice ready to be accurately using ICD-10 by the October 1, 2014 compliance date.
13 Action Plan Components Critical plan elements can be generated from your practice diagnosis assessment and outreach to vendors, but your plan should also contain: Education strategy planning personnel, when, where, level Review of payer contractual arrangements, quality reporting requirements, and fee schedules based in part or whole on diagnosis codes Clinical documentation assessment, audits Compliance requirements and/or monitoring efforts to ensure performance Implementation steps of new or changed technology, processes or information. Monitoring steps to ensure things work as expected Risk mitigation
14 Keys to Readiness: Education and Documentation Our focus today will be on two critical and essential ICD-10 components: Education Clinical documentation Navicure, Inc.
15 Education Education and training are not optional and essential to success. What are the costs associated with undertraining? Denied claims, revenue take-backs, lower quality scores result from under trained or poorly-trained coders. Education is not the place to shave costs Navicure, Inc.
16 Education Planning: Where to Start First a goal ensure staff acquire the necessary skills and knowledge about ICD-10, business processes, procedures, and policies and system updates to implement ICD-10 use in our practice Navicure, Inc.
17 Assess Training Needs and Develop a Plan Who? List affected staff members Identify staff competence and skill gaps How? Determine how to tailor training to individuals or user groups Choose the best approach training methods Timetable? Decide on optimal timing to receive training and certification Evaluate! Assess icd-10 proficiency after training and provide additional training to address identified areas of weakness Navicure, Inc.
18 What Needs to Be Learned? Inpatient: ICD-10-PCS Outpatient: ICD-10-CM Because of ICD-10's specificity: Biomedical knowledge: anatomy, physiology, medical terminology, pharmacology Navicure, Inc.
19 Assessing Who Needs Training Include both Administrative and Clinical Staff Physicians Nurses Nurse practitioners Physician assistants Medical technicians Administrative staff and coders Navicure, Inc.
20 Assessing Who Needs Training Understand experience, current skill set and gaps in understanding coding medical and administrative records use of diagnosis codes in documenting patient activities use in information technology systems of medical procedures in health plan relations and contracts Navicure, Inc.
21 Sample Training Types Type ICD-10 Basic Understanding Clinical definitions Description Understand differences between ICD-9 and ICD-10 Why adopt ICD-10? Understand existing tools Understand ICD-10 structure and format ICD-10 clinical terminology and meaning ICD-10 Coding ICD-10 Clinical Documentation ICD-10 coding knowledge Affects on ICD-10 on clinical documentation Updated business and IT systems Understand how both ICD-9 and ICD-10 are used in updated systems
22 Match Type with Group Type Basic Clinical definition ICD-10 coding Group Physicians, NP, PA, clinical researchers, administrative staff, coders Physicians, NP, PA, clinical researchers, administrative staff, coders Coders and administrative staff ICD-10 Clinical documentation Physicians, NP, PA, clinical researchers, administrative staff, coders, compliance staff Updated business and IT systems IT staff, administrative staff, compliance staff
23 Approaches to Training Attempt to tailor training to individuals or user groups as much as possible: administrative v. clinical staff Many ways and formats: On-site Community courses Web-based and Webinars Certification courses Boot camps Train-the-trainer
24 Education Resources American Academy of Professional Coders (AAPC) American Health Information Management Association (AHIMA) Practice Management Institute (PMI)
25 Example: AAPC Bootcamp ICD-10 Code Set Training 16 hour intensive training course On-line or in-person Covers such things as ICD-10-CM format and structure Coding conventions General coding guidelines Complications, principal and secondary icds, symptoms, previous conditions, abnormal test findings Chapter specific coding guidelines Infectious and Parasitic Diseases Neoplasms Diseases of Blood, Nervous System, Eye, circulatory System, etc
26 Basic Understanding Resources WHO ICD-10 Introduction Tool ing/icd-10%20training/start/index.html
27 WHO ICD-10 Overview WHO ICD-10 Introduction Tool
28 Basic Understanding Resources CMS ICD-10-CM Official Guidelines for Coding and Reporting
29 CMS ICD-10 Coding Guidelines
30 Training: how long and when? AHIMA estimates it will take 50 hours of education for hospital inpatient coding staff needing both ICD-10-CM and ICD-10-PCS 8 hours for physicians 10 hours for outpatient coders Coding staff should complete comprehensive education no more than 6 to 9 months before the compliance date to make sure info is retained.
31 Training: Important Last Step Evaluate! Assess staff for proficiency after training Identify, document and review common inaccurate coding and clinical documentation errors FAQs, quick reference sheets, system user prompts, refresher courses
32 Training: Questions to Consider What resources will staff need after training to resolve questions as they come up? For example, manuals, system prompts, troubleshooting guides, or FAQs lists How much will the training cost? Average cost of training per coder is 12,200.
33 Training: Questions to Consider How will staff maintain operations during the training process? Consider the need for additional coding staff to during the transition period. Consider the need for auditing services on and following the transition. Assess whether outsourcing some or all coding pre-during-post transition. How will staff experience and knowledge be used during the period when both I-9 and I-10 will be necessary?
34 Training: Tips and Timelines Focus on and train to your medical specialty ICD-9 and ICD-10 Timelines Oct 1, 2011 last regular updates to both ICD-9 and ICD-10 Oct 1, 2012 and 2013 limited code updates to both ICD-9 and ICD-10 Oct 1, 2014 limited code updates to ICD-10 no updates ICD-9 since it will no longer be used Oct 1, 2015 regular annual update to ICD-10 will begin
35 Medical Documentation and ICD-10 The Cornerstone upon which success starts and rests! "If it hasn't been documented, it hasn't be done. Just as true with ICD-10 as with ICD-9: ICD-10 specificity requires clinicians to document to greater levels of detail
36 Assess Documentation Enhancements Start with most frequently used diagnosis codes by provider. Assess whether current documentation meets ICD- 10 specificity requirements. Educate providers and clinicians on the specifics relevant to them. Start including these details now.
37 Medical Documentation Overview Must be legible, complete, clear, consistent, and contain precise information about: patient's health history present illness course of treatment observations evidence of medical decision making treatment plan outcomes of all tests, procedures and treatments Should be complete and specific as possible and include information such as Level of severity specificity of anatomical site etiology of symptoms
38 Uses of Medical Documentation Disease reporting for physician performance profiling Physician E&M payment Pay-for-performance Reimbursement Quality reporting Care coordination
39 Medical Documentation and Queries Don't forget to review your Query process aka clinical clarification, documentation alerts or clarification Because of ICD-10, you will likely see an increase in queries. A routine communication and education tool to ensure complete and compliant documentation. Must bridge the gap between the clinical language used by providers and what can be captured by ICD-9 or ICD-10 while preserving the provider's intent. However, as before, coders can't "lead" providers with queries.
40 Medical Documentation and Queries If queries are not retained in the clinical record or at all, consider retaining queries indefinitely. Retaining demonstrates efforts to communicate to the medical staff. If not already present, consider adding options like "clinically undetermined" and "other" that allow the provider to add free form text. If you do not have one, consider implementing an escalation policy to address unanswered queries.
41 Documentation and ICD-10 Because of ICD-10 s specificity requirements, clinicians will need to provide additional medical documentation details in order to support ICD-10 s new specificity abilities. Medical documentation should be audited to ensure it captures such things as Laterality Specific anatomic site(s) Associated and related conditions Causes of injury Episode of care (initial, subsequent, etc) Complications Stage of healing (routine, delayed, malunion, etc)
42 Documentation and ICD-10: all in the details Examples where more specificity means more documentation diabetes mellitus diabetes type, affected body system, complication or manifestations, long-term insulin Pregnancy trimester now requires Fractures site of fracture, type of fracture laterality and location Injuries external cause place of occurrence activity code
43 Impact on Documentation Unspecified ICD-10 codes do exist, but may mean unpaid Not addressing ICD-10 s impact on clinical documentation, may result in increased denials Will take clinicians and coders longer to do their job. Monitor productivity Account for reductions in both coder and provider productivity Audits are not going away, e.g., RAC. RACs through Dec 2012 took back $1.2 billion in complex denials reviews due to medical record issues
44 Let s Hope With additional information, there will be reduced need for follow-up with health-plans about pended or claims rejected for unsubstantiated diagnosis code(s) reduced need to additional information more precise reimbursement smoother and better care transitions
45 If you haven t already done so, please start today.
46 Navicure Tools Overview Appeal denied claims simply, using pre-populated letters and payer forms. Easily research denied claims with access to both denial reasons and remarks. Streamline your denial workflow with personalized work lists for role-based user-specific reporting that fits your practice. Identify potential problems with rejections that may be disrupting your cash flow. Fix any operational inefficiencies prior to the October 1, 2014, ICD-10 transition date.
47 Navicure ICD-10 Training - Webinars Next Month - August: Implementing Updates Date: Wed., August 7, 1 PM EDT September: Review and Current Industry Status Date: Wed., Sept. 11, 1 PM EDT
48 ICD-10 Resources Navicure Clients resource for all ICD-10 education and materials Navicure, Inc.
49 wwwicdhub.com
50 ICD-10 Industry Resources ICD-10 Hub website devoted to making the transition to ICD- 10 easier CMS CMS: Latest ICD-10 News ml Final Rule ANSI X12 Website Navicure, Inc.
51 Ken Bradley VP of Strategic Planning Navicure 51
ICD-10: The Good, Bad and Ugly
1 ICD-10: The Good, Bad and Ugly Presented by Ken Bradley Vice President of Strategic Planning and Regulatory Compliance Navicure 2 Navicure Learn more or request a demo at www.navicure.com 3 Follow Navicure
More informationICD-10 Transition Provider Roadshow. October 2012
ICD-10 Transition Provider Roadshow October 2012 About ICD-10 ICD-10 CM for diagnosis coding For use in all US healthcare settings Uses 3 to 7 digits instead of the 3 to 5 digits ICD-10-PCS for inpatient
More informationTransitioning to ICD-10: An Action Plan for Practices
Transitioning to ICD-10: An Action Plan for Practices By Nancy M Enos, FACMPE, CPMA, CPC-I, CEMC 1 viterahealthcare.com/icd10 The Four T s of Transition to ICD-10: Timing, Training, Testing and Technology
More informationA McKesson Perspective: ICD-10-CM/PCS
A McKesson Perspective: ICD-10-CM/PCS Its Far-Reaching Effect on the Healthcare Industry Executive Overview While many healthcare organizations are focused on qualifying for American Recovery & Reinvestment
More informationImplementation Issues of the Physician Practice. for ICD-10-CM
Implementation Issues of the Physician Practice for ICD-10-CM What are ICD-10-CM and the Version 5010? The Centers for Medicare & Medicaid Services (CMS) is driving the industry to upgrade core HIPAA transactions
More informationFlorida Health Care Association 2013 Annual Conference
Florida Health Care Association 2013 Annual Conference The Westin Diplomat Resort & Spa Session #38 Transitioning from ICD-9 to ICD-10 Wednesday, August 7 10:30 to 11:30 a.m. Atlantic 3 Upon completion
More informationThe Transition to Version 5010 and ICD-10
The Transition to Version 5010 and ICD-10 An Overview Denise M. Buenning, MsM Director, Administrative Simplification Group Office of E-Health Standards and Services Centers for Medicare & Medicaid Services
More informationSuccess with ICD-10: Streamlining Clinical Workflow. November 8, 2013
Success with ICD-10: Streamlining Clinical Workflow November 8, 2013 Culbert Healthcare Solutions Angela Hickman CPC, CEDC, AHIMA-approved ICD-10- CM/PCS Trainer, AHIMA Ambassador Senior Consultant Angela
More informationPresented to you by The Cooperative of American Physicians, Inc.
ICD-10 Action Guide for Medical Practices PAGE 1 Presented to you by The Cooperative of American Physicians, Inc. Table of Contents Introduction... 3 What Is Changing and Why?... 4 What Are the Main Provisions
More informationEfficient ICD-10 Post Acute Care Preparation
Efficient ICD-10 Post Acute Care Preparation April 30, 2014 1:00 pm 2:30 pm PRESENTER: JOAN L. USHER, BS, RHIA, COS-C, ACE JLU HEALTH RECORD SYSTEMS TEL: (781) 829-9632 FAX: (781) 829-9636 1 Learning Objectives
More informationICD-10 Readiness. Adriana Villagrana
ICD-10 Readiness Adriana Villagrana Where Does ICD-10 Fit In? Common reliance on complete and accurate data and clinical documentation Meaningful Use Quality reporting Value-based purchasing Hospital-acquired
More informationICD 10 CM State of Transition
ICD 10 CM State of Transition Tricia A. Twombly, RN, BSN, HCS D, HCS C, COS C, CHCE, AHIMA ICD 10 Trainer, ICE Certified Credentialing Specialist, CEO Board of Medical Coding and Compliance, Senior Director
More informationAnatomy and Physiology: A Critical First Step
LET THE COUNT DOWN BEGIN Anatomy and Physiology: A Critical First Step Getting Medical Coders Ready for ICD-10-CM/PCS Authored by Clare Carvel, M.Ed., RHIA, CCS Education Consultant Barry Libman, Inc.
More informationICD-10-CM/PCS Building Expert Trainers in Diagnostic and Procedure Coding. Information Provided by: AHIMA Academy for ICD-10-CM/PCS Trainers
ICD-10-CM/PCS 2011 Building Expert Trainers in Diagnostic and Procedure Coding Information Provided by: AHIMA Academy for ICD-10-CM/PCS Trainers www.ahima.org/icd10 About Version HIPAA 5010 To process
More informationSharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the
Ambulatory Surgery Centers Sharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the deadline to begin using
More informationCDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders
ICD-10-CM Implementation Part 3 Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, P COBGC, CEMC, CDERC, CCS-P Vice President Strategic Development American Academy of Professional Coders Goal This Webinar conference
More informationCountdown to ICD-10-CM: Three Months to Go. Presented by: Rhonda Granja, BS, CMA, CMC, CPC, CMIS, CMOM
Countdown to ICD-10-CM: Three Months to Go Presented by: Rhonda Granja, BS, CMA, CMC, CPC, CMIS, CMOM Overview Setting the Stage ICD-10-CM Coding System Overview Planning Your ICD-10 Transition Assessing
More information5/30/2012. ICD 10 Implementation HCCA. Agenda. Understanding ICD 10. June 8, ICD 10 Overview Planning Communication Education Physician Training
ICD 10 Implementation HCCA June 8, 2012 1 Agenda ICD 10 Overview Planning Communication Education Physician Training 2 Understanding ICD 10 The key to accepting any change is understanding Why is this
More informationPresented by: Gary Lucas, CPC, CPC-I, AHIMA Approved ICD-10-CM & PCS Trainer and Ambassador
Presented by: Gary Lucas, CPC, CPC-I, AHIMA Approved ICD-10-CM & PCS Trainer and Ambassador President, Discover Compliance Resources, Inc. Atlanta/Decatur, GA June 5, 2013 Alabama-Georgia Rural Health
More informationICD-10: Preparation and Implementation Strategies Leah Killian-Smith
Transitioning from ICD 9 to 10, LNHA, RHIA Director of Corporate Accounts OBJECTIVES Know what ICD-10 is & why coding is changing Know differences between ICD-9 and ICD-10 Identify regulatory requirements
More information7th Annual Association for Clinical Documentation Improvement Specialists Conference
7th Annual Association for Clinical Documentation Improvement Specialists Conference CDI for the Newcomer Nancy A. Entwistle, MPA, RHIT, CCDS, CCS, ACE, AHIMA-Approved ICD-10-CM/PCS Trainer Manager, Documentation
More informationPathway Health, Inc. 1
OBJECTIVES Transitioning from ICD 9 to 10 Leah Killian-Smith, LNHA, RHIA Director of Corporate Accounts Know what ICD-10 is & why coding is changing Know differences between ICD-9 and ICD-10 Identify regulatory
More informationICD-10-CM. Objectives
ICD-10-CM What is it? Why? Now What? Debbie Johnson, RHIT, CHP American Health Care Association Webinar September 12, 2013 Objectives Learn what ICD-10-CM is what the main differences in ICD-9 and ICD-10
More informationPresented by: Sparkle Sparks, PT MPT HCS-D COS-C AHIMA Approved ICD-10 Coding Instructor OASIS Answers, Inc. Senior Associate Consultant
Presented by: Sparkle Sparks, PT MPT HCS-D COS-C AHIMA Approved ICD-10 Coding Instructor OASIS Answers, Inc. Senior Associate Consultant This educational presentation is provided by The preferred partner
More informationICD-10: The History, the Impact, and the Keys to Success. White Paper
ICD-10: The History, the Impact, and the Keys to Success White Paper Contents: Executive Summary ICD-10 History ICD-9-CM Limitations ICD-10 Specifics Benefits of ICD-10 Impact of ICD-10 Successful ICD-10
More informationReadying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida
Readying the Compliance Department for ICD-10 HCCA Regional Annual Conference Orlando, Florida February 6, 2015 Agenda Getting Re-Engaged for ICD-10 Systems & Tools Provider Training Case Studies Coder
More informationPROFESSIONAL MEDICAL CODING AND BILLING WITH APPLIED PCS LEARNING OBJECTIVES
The Professional Medical Coding and Billing with Applied PCS classes have been designed by experts with decades of experience working in and teaching medical coding. This experience has led us to a 3-
More informationBlueCross BlueShield of Western New York BlueShield of Northeastern New York
BlueCross BlueShield of Western New York BlueShield of Northeastern New York ICD-10: Coding to the Highest Specificity November 17, 2015 Introductions Bonnie Sunday, M.D. Medical Director BlueCross BlueShield
More informationOverview and Checklist
How to Prepare for ICD-10 in Medical Practices:????? Overview and Checklist? By Betsy Nicoletti, M.S., CPC? $? A Resource Provided by Medical-Billing.com Table of Contents About the Author 3 How to Prepare
More informationICD-10 is Here! What Now? Process, Pitfalls and Proactive Solutions
ICD-10 is Here! What Now? Process, Pitfalls and Proactive Solutions Maureen McCarthy, RN, BS, RAC-MT President & CEO Celtic Consulting, LLC www.celticconsulting.org Define ICD-10 Discuss the impact of
More informationTraining for ICD-10: A Complete Plan Extends Beyond Coders
Training for ICD-10: A Complete Plan Extends Beyond Coders ICD-10 training discussions have primarily centered around medical coders. As providers experienced with MS-DRGs, however, effective clinical
More informationGeneral Background of CDI
Clinical Documentation Improvement The Physician Champion ILHIMA 04/30/16 1 General Background of CDI 2 1 CMS Federal Register August 2008 Final Rule (CMS-1533-FC page 208) We do not believe there is anything
More informationJurisdiction 1 Part B Updated ICD-10 Implementation Information. 1 of 7 10/1/12 8:44 AM
^ Back to Top Palmetto GBA CorporatePalmetto GBA Medicare Palmetto GBA Home / Jurisdiction 1 Part B / Browse by Topic / ICD-10 / Updated ICD-10 Implementation... Jurisdiction 1 Part B Updated ICD-10 Implementation
More informationMinimizing the Financial Impact of ICD 10 to Budgets, Productivity Forecasts and Reimbursement
Minimizing the Financial Impact of ICD 10 to Budgets, Productivity Forecasts and Reimbursement National Rural Health Resource Center Rural Hospital Performance Improvement (RHPI) Project December 19, 2012
More informationICD-10 ICD-10: Are you Ready? October 23, 2013
ICD-10 ICD-10: Are you Ready? October 23, 2013 1 Introductions Kristen Hill, HIMformatics Sean Sudduth, HIMformatics 2 Objectives 1. Confirm a baseline understanding of ICD-10 and areas of impact, especially
More informationLearning Objectives INDUSTRY BEST PRACTICES 3/5/2014. Be Ready for ICD-10 Best Practices for Educating Coders. Learn industry best practices for:
Be Ready for ICD-10 Best Practices for Educating Coders Mary Pat Jackey BSN, RN Clinical Educator Commonwealth Health Corporation Bowling Green, KY Michelle Leavitt Director, Learning Solutions HealthcareSource
More informationMary Pat Jackey BSN, RN Clinical Educator Commonwealth Health Corporation Bowling Green, KY. Learning Objectives. Learn industry best practices for:
Be Ready for ICD-10 Best Practices for Educating Coders Mary Pat Jackey BSN, RN Clinical Educator Commonwealth Health Corporation Bowling Green, KY Michelle Leavitt Director, Learning Solutions HealthcareSource
More informationICD-10 Where Do We Go From Here? The Anticipated Impact on Reimbursement February 24, 2015
ICD-10 Where Do We Go From Here? The Anticipated Impact on Reimbursement February 24, 2015 Introductions Cortnie R. Simmons, MHA, RHIA, CDIP, CCS Managing Director of Education Services Brad Justus, Strategic
More informationValue of the CDI Program Cindy Dennis, MHS, RHIT
Improving Reimbursement through Clinical Documentation: A New Beginning June 28, 2013 Presented by Salem Health: Cindy Dennis, MHS, RHIT Coleen Elser, RN, CCDS, CDS Linda Dawson, RHIT Judy Parker, RHIT,
More informationValue of the CDI Program Cindy Dennis, MHS, RHIT
Improving Reimbursement through Clinical Documentation: A New Beginning June 28, 2013 Presented by Salem Health: Cindy Dennis, MHS, RHIT Coleen Elser, RN, CCDS, CDS Linda Dawson, RHIT Judy Parker, RHIT,
More informationICD-10: The First 180 Days. Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair
ICD-10: The First 180 Days Bonnie Sunday, MD HealthNow New York Inc. HIMSS ICD-10 Task Force Chair Agenda ICD-10 Background and Timeline Provider Implementation Efforts Hospital Implementation Efforts
More informationICD-10: Capturing the Complexities of Health Care
ICD-10: Capturing the Complexities of Health Care This project is a collaborative effort by 3M Health Information Systems and the Healthcare Financial Management Association Coding is the language of health
More informationFAQ for Coding Encounters in ICD 10 CM
FAQ for Coding Encounters in ICD 10 CM Topics: Encounter for Routine Health Exams Encounter for Vaccines Follow Up Encounters Coding for Injuries Encounter for Suture Removal External Cause Codes Tobacco
More informationGrow Your Own Coders: Training Options for the Modern HIM World
Grow Your Own Coders: Training Options for the Modern HIM World Healthcon 2016 April Date 13, 2016 Presentation by Pamela Haney, MS, RHIA, CCS, CIC, COC Director of Presentation Training and byeducation
More informationICD-10 STARTS WITH PROVIDERS
ICD-10 STARTS WITH PROVIDERS Steve Arter, CPC Managing Member Hawaii, LLC 765 Amana Street, Suite 302, Honolulu, HI 96814 hcchhawaii.com 808.947.2633 THANK YOU FOR JOINING US WHO IS HERE TODAY HEALTHCARE
More informationTransitioning to ICD-10-CM
Transitioning to ICD-10-CM August 6, 2015 1488_0115 Today s Presenters Arlene Dunphy, CPC Provider Outreach and Education Consultant Alicia Forbes, CPC Provider Outreach and Education Consultant 2 Disclaimer
More informationSAVE $100 SAVE $50. CDI Education classes forming now! Register up to 90 days before course start date and
CDI Education Register up to 90 days before course start date and SAVE $100 Coupon code: bcsave100 Register up to 60 days before course start date and SAVE $50 Coupon code: bcsave50 2013 classes forming
More informationIcd 10 code health maintenance
Icd 10 code health maintenance The Borg System is 100 % Icd 10 code health maintenance Codes. Z13 Encounter for screening for other diseases and disorders. Z13.0 Encounter for screening for diseases of
More informationICD-10/APR-DRG. HP Provider Relations/September 2015
ICD-10/APR-DRG HP Provider Relations/September 2015 Agenda ICD-10 ICD-10 General Overview Who is affected Preparation Testing Prior Authorization APR-DRG Inpatient hospital rates Crosswalks Questions 2
More informationThe new semester for this Certificate will begin Fall 2018
Great Basin College Professional Medical Coding and Billing Program Certificate of Achievement The new semester for this Certificate will begin Fall 2018 For more information, Contact: Gaye Terras 775-753-2241
More informationClinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play?
Clinical Documentation Improvement (CDI) Programs: What Role Should Compliance Play? June 17, 2016 Agenda Clinical Documentation Improvement (CDI) Perspective An Effective CDI Program Core Focus: Compliance
More informationRequired Data for Claim Forms (CMS-1500 & UB-04) Claim Submission Instructions (MLTC) Care Healthcare and VNSNY CHOICE Transition
2018 Provider Manual VNSNY CHOICE Appendix V Claims CMS-1500 Form (Sample) UB-04 Form (Sample) Required Data for Claim Forms (CMS-1500 & UB-04) Claim Submission Instructions (MLTC) ICD-10 FAQ Care Healthcare
More informationICD-10 is Coming What s A Provider to do?
ICD-10 is Coming What s A Provider to do? Texas Osteopathic Medical Association Friday, January 31, 2014 Yolanda Doss, MJ, RHIA, CHPS Director, Compliance and Payment Advocacy Presentation developed for
More informationTen Tips for ICD-10. September 17, Theresa Marshall, Sr. Director Compliance Data Experian Health
Ten Tips for ICD-10 September 17, 2015 Theresa Marshall, Sr. Director Compliance Data Experian Health Experian and the marks used herein are service marks or registered trademarks of Experian Information
More informationICD-10 Impact and Benefits PERFORMANCE THAT MATTERS
ICD-10 Impact and Benefits ICD-10 Impact and Benefits 01 Table of Contents WHO IS IMPACTED BY ICD-10? - Physician Documentation - Physician Orders - Practice Financials - Coders - Billers and Billing Companies
More informationHospital Clinical Documentation Improvement
Hospital Clinical Documentation Improvement March 2016 Clinical Documentation Improvement (CDI) is a team approach to improving documentation practices through ongoing education, concurrent chart review
More informationICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP)
ICD-10: It s Really Coming. Are You Ready? John Behn May 14, 2013 Small Rural Hospital Improvement Grant Program (SHIP) Background ICD = International Statistical Classifications of Diseases and Related
More informationClinical Coding Policy
Clinical Coding Policy Document Summary This policy document sets out the Trust s expectations on the management of clinical coding DOCUMENT NUMBER POL/002/093 DATE RATIFIED 9 December 2013 DATE IMPLEMENTED
More informationOPTIMIZING CLINICAL DOCUMENTATION IMPROVEMENT
OPTIMIZING CLINICAL DOCUMENTATION IMPROVEMENT AT THE INTERFACE OF CLINICAL OPERATIONS AND THE REVENUE CYCLE For most hospitals, Clinical Documentation Improvement (CDI) has become a top priority. As they
More informationPPS Coding in the Rehabilitation Setting. Copyright (c) 2015 by American Hospital Association. All rights reserved.
PPS Coding in the Rehabilitation Setting 1 Gretchen Young-Charles, RHIA Senior Coding Consultant 2 Disclaimer This presentation is designed to provide accurate and authoritative information in regard to
More information11/3/2014. September 20, Initiatives of ICD 10 the American Update Medical. Medicine is in Your Hands!! ICD-10 Timeline - 1
Initiatives of ICD 10 the American Update Medical Association W. Jeff -- Terry, The MD Future of Medicine is in Your Hands!! September 20, 2014 ICD-10 Timeline - 1 * ICD is the acronym for International
More informationEmerging Outpatient CDI Drivers and Technologies
7th Annual Association for Clinical Documentation Improvement Specialists Conference Emerging Outpatient CDI Drivers and Technologies Elaine King, MHS, RHIA, CHP, CHDA, CDIP, FAHIMA Outpatient Payment
More informationBeginning the Transition to ICD-10
Beginning the Transition to ICD-10 Audio Seminar/Webinar September 9, 2008 Practical Tools for Seminar Learning Copyright 2008 American Health Information Management Association. All rights reserved. Disclaimer
More informationImplementing an Outpatient CDI Program L EONTA (L EE) WIL L IAMS, R HIT, CPCO, CPC, CCS, CCD S
Implementing an Outpatient CDI Program PR ES ENTED BY: L EONTA (L EE) WIL L IAMS, R HIT, CPCO, CPC, CCS, CCD S Disclaimer This information is meant to be simply a guide for implementation based on the
More informationL6615. Coding CPCS. what Every. Professional Should Know 90.1
CPT S8092 D6212 ICD-9-CM L6615 Coding and You CPCS 86567 what Every 0 90.1 Healthcare Professional Should Know 423 172.2 D6212 092 L6615 Coding and You what Every healthcare Professional Should Know is
More informationOASIS Complete Webinar Series
OASIS Complete Webinar Series Selecting Clinically Relevant and Fiscally Appropriate Diagnoses Presented By: Rhonda Marie Will, RN, BS, HCS-D, COS-C October 1, 2010 243 King Street, Suite 246 Northampton,
More informationInstitute on Medicare and Medicaid Payment Issues March 28 30, 2012 Robert A. Pelaia, JD, CPC
I. Introduction Institute on Medicare and Medicaid Payment Issues March 28 30, 2012 Robert A. Pelaia, JD, CPC Senior University Counsel for Health Affairs - Jacksonville 904-244-3146 robert.pelaia@jax.ufl.edu
More information3M Health Information Systems. Real results: A profile of eight organizations boosted by the 3M 360 Encompass System
3M Health Information Systems Real results: A profile of eight organizations boosted by the 3M 360 Encompass System s in progress Every month, more and more organizations academic, non-profit, metro and
More informationUW MEDICINE ICD-10 Program UW MEDICINE ICD-10
UW MEDICINE ICD-10 Program UW MEDICINE ICD-10 There and back again INTEGRATION OF MANDATES ACO Quality Based Reimbursement Meaningful Use, P4P, etc. ICD-10 HIPAA, 5010 2 STRATEGIC OPPORTUNITIES Significant
More informationQuincy Bay Coders Professional Development Workshop & Job Fair
Quincy Bay Coders Professional Development Workshop & Job Fair June 2012 June 2012 **Consider using the chapter logo 1 The $64,000 Question: What kinds of jobs are out there for professional coders? 2
More informationQuestions. 2. What is printed in bold in Volume 2? a. Subterms b. Anatomical sites c. Latin words d. Main terms e. Procedures
2009 Home Health ICD-9 Basics Competencies Examination Outline These questions represent the variety of subjects that are involved in the ICD-9 Basics exam. All of the questions on this competency exam
More informationBriefing: supporting the implementation of ICD-10
Briefing: supporting the implementation of ICD-10 July 2014 Contents Section Page 1 Why ICD-10? 3 2 Industry-wide support 4 3 ICD-9 vs ICD-10 5 4 Example: ICD9 vs ICD-10 6 5 Planning the transition 7 6
More informationICD-10: The History, the Impact, and the Keys to Success. White Paper
ICD-10: The History, the Impact, and the Keys to Success White Paper Contents: Executive Summary ICD-10 History ICD-9-CM Limitations ICD-10 Specifics Benefits of ICD-10 Impact of ICD-10 Successful ICD-10
More informationEnsuring a Successful Transition to ICD-10-CM and ICD-10-PCS for Post Acute Care Settings
Ensuring a Successful Transition to ICD-10-CM and ICD-10-PCS for Post Acute Care Settings August 9, 2012 Nelly Leon-Chisen, RHIA Director Coding and Classification American Hospital Association Recent
More informationLIFE SCIENCES CONTENT
Model Coding Curriculum Checklist Approved Coding Certificate Programs must be based on content appropriate to prepare students to perform the role and functions associated with clinical coders in healthcare
More informationJune 17, Outreach Efforts for HIPAA Transactions/5010
Statement of the American Medical Association to the National Committee on Vital and Health Statistics Subcommittee on Standards Regarding the Industry Implementation of Updated and New HIPAA Standards
More informationCompliance Objectives
Eyeing Coding Compliance and CDI Compliance Programs What Compliance Officers Need to Know or Should Know By Diana Adams, RHIA (adamsrra@tx.rr.com) Compliance Objectives Discovering who are the healthcare
More informationHEALTH INFORMATION TECHNOLOGY (HIT) COURSES
HEALTH INFORMATION TECHNOLOGY (HIT) COURSES HIT 110 - Medical Terminology This course is an introduction to the language of medicine. Course emphasis is on terminology related to disease and treatment
More informationICD-10 Frequently Asked Questions - SurgiSource
ICD-10 Frequently Asked Questions - SurgiSource What Version of SurgiSource is ICD-10 Compliant? Version 6.0 Where can I find ICD-10 Training Materials for SurgiSource? 1. Visit our Client Portal (portal.sourcemed.net)
More informationICD-10 Implementation & Compliance
ICD-10 Implementation & Compliance HCCA Regional Conference Newport Beach June 2011 Agenda Today s Objectives Speakers Introduction ICD-10 Background and Introduction Medical Records Documentation Impact
More informationICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
A Health Data Consulting White Paper 1056 6th Ave S Edmonds, WA 98020-4035 206-478-8227 www.healthdataconsulting.com ICD-10 Advantages to Providers Looking beyond the isolated patient provider encounter
More informationICD-10 Frequently Asked Questions - AdvantX
ICD-10 Frequently Asked Questions - AdvantX What Version of AdvantX is ICD-10 Compliant? Version 5.0.01 Where can I find ICD-10 Training Materials for AdvantX? 1. Visit our Client Portal (portal.sourcemed.net)
More informationAppendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE. Health Information Management (HIM) Professional Fee Coder Apprenticeship
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE Health Information Management (HIM) Professional Fee Coder Apprenticeship O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: Type of Training: Competency-based
More informationICD-10 Implementation: No Margin, No Mission
ICD-10 Implementation: No Margin, No Mission October 6, 2014 Subtitle: ICD-WHEN? Page 0 Agenda ICD10 Background ICD9 ICD10 Transition ICD10 Assessment Tasks ICD10 Assessment Considerations ICD-10 Areas
More informationMedical Billing and Coding Career Guide
Medical Billing and Coding Career Guide Medical Billing and Coding Career Reference Guide Considering a medical billing and coding job? A career in medical billing or coding offers an opportunity in a
More informationThe Winding Road to ICD 10 Codesets
The Winding Road to ICD 10 Codesets October 9 th, 2012 Agenda ICD-10 Minnesota Collaborative Update ICD-10 Known Challenges Getting Started Data Analysis Terminology Staffing and budget Training Documentation
More informationCPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
More informationChapter 11. Expanding Roles and Functions of the Health Information Management and Health Informatics Professional
Chapter 11 Expanding Roles and Functions of the Health Information Management and Health Informatics Professional 11-2 Learning Outcomes When you finish this chapter, you will be able to: 11.1 Discuss
More information3M Health Information Systems Should physicians assign their own codes?
3M Health Information Systems Should physicians assign their own codes? The practical guide to striking a coding balance It started with the EHR boom The adoption of electronic health records (EHR) significantly
More informationWhat s Up Wednesday. Together Let s Get ICD-10 Ready. Date: February 18, 2015 Time: 2 3 p.m. Phone Number: Pass code:
What s Up Wednesday Together Let s Get ICD-10 Ready Date: February 18, 2015 Time: 2 3 p.m. Phone Number: 800-882-3610 Pass code: 5411307 Presented by the Pennsylvania Blues Plans 2 What s Up Wednesday
More informationSNOMED CT AND ICD-10-BE: TWO OF A KIND?
Federal Public Service of Health, Food Chain Safety and Environment Directorate-General Health Care Department Datamanagement Arabella D Havé, chief of Terminology, Classification, Grouping & Audit arabella.dhave@health.belgium.be
More informationOur Services Include. Our Credentials
is a healthcare consulting and education firm providing services such as: IRO services, practice management and assessment services, A/R management and oversight, new practice set up that includes lease
More information9 TIPS FOR SURVIVING AFTER THE ICD-10 GRACE PERIOD ENDS. By Aine Cryts
9 TIPS FOR SURVIVING AFTER THE ICD-10 GRACE PERIOD ENDS By Aine Cryts BE SPECIFIC IN YOUR CODING "Specificity in documentation and diagnosis coding since the ICD-10 implementation is to be encouraged.
More informationAlabama Primary Health Care Association October 4, Separating Clinical Documentation, Professional Coding, and Billing: A Workflow Analysis
Alabama Primary Health Care Association October 4, 2017 Separating Clinical Documentation, Professional Coding, and Billing: A Workflow Analysis Presented by: Gary Lucas, M.Sc., CPC, CPC-I, AHIMA ICD-10
More informationPreparing for ICD-10-CM Next Steps for the Medical Office Setting July 17, Paul Belton, Vice President Corporate Compliance
Preparing for ICD-10-CM Next Steps for the Medical Office Setting July 17, 2013 Paul Belton, Vice President Corporate Compliance Agenda What is ICD-10-CM? A Refresher What does this have to do with managing
More informationTruly Understanding Clinical Documentation Improvement for ICD-10
Truly Understanding Clinical Documentation Improvement for ICD-10 John Hailes ASC-E/M, CCS, CCS-P, CPC, CPC-H, CIRCC, CPMA, CPC-I, CEMC, CFPC, ICD-10-CM/PCS Trainer 1 Objectives Identify areas in ICD-10-CM
More informationTHE ART OF DIAGNOSTIC CODING PART 1
THE ART OF DIAGNOSTIC CODING PART 1 Judy Adams, RN, BSN, HCS-D, HCS-O June 14, 2013 2 Background Every health care setting has gone through similar changes in the need to code more thoroughly. We can learn
More informationDiagnosis Code Requirements - Invalid As Primary
Manual: Policy Title: Reimbursement Policy Diagnosis Code Requirements - Invalid As Primary Section: Administrative Subsection: Diagnosis Codes Date of Origin: 1/1/2000 Policy Number: RPM054 Last Updated:
More informationOUTPATIENT DOCUMENTATION IMPROVEMENT
OUTPATIENT DOCUMENTATION IMPROVEMENT Pam Brooks, MHA, COC, PCS, CPC Coding Manager Wentworth-Douglass Hospital Dover NH Disclaimer This presentation is for general education purposes only. The information
More informationAppendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE. Clinical Documentation Improvement Specialist Apprenticeship
Appendix A WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE Clinical Documentation Improvement Specialist Apprenticeship O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: 2026CB Type of Training: Competency-based
More information