ICD-10 Provider Frequently Asked Questions Online Specialty Education
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1 ICD-10 Prvider Frequently Asked Questins Online Specialty Educatin What specialty educatin mdules are available in The Cmmns? Anesthesilgy Bariatric Surgery Breast Surgery Cardiac Electrphysilgy Cardiac Surgery Dermatlgy Emergency Medicine Endcrinlgy Family Medicine Part 1 Family Medicine Part 2 Gastrenterlgy General Orthpedic Surgery General Surgery Gyneclgy Gyneclgy Onclgy Hematlgy Hspitalist/Internal Medicine Part 1 Hspitalist/Internal Medicine Part 2 Infectius Disease Interventinal Cardilgy Interventinal Radilgy Medical Cardilgy Nenatlgy Nephrlgy Neurlgy 1
2 Neursurgery General Neursurgery Spine and Extremity Neursurgery Head Neursurgery Spine Obstetrics Onclgy Ophthalmlgy Orthpedic Ft Orthpedic Hand Orthpedic Spine Orthpedic Ttal Jint Orthpedic Trauma Otlarynglgy Pain Management Pathlgy Pediatrics Plastic Surgery Plastic Hand Surgery Physical Medicine and Rehabilitatin Psychiatry/Behaviral Health Pulmnlgy Radiatin Onclgy Rheumatlgy Surgical Onclgy Trauma Surgery Urlgy Vascular Surgery 52 nline specialty educatin mdules are available in The Cmmns and mre are cming. We will cntinue t develp educatin mdules and tls thrughut the year. Prvidence and Swedish specialists have reviewed the specialty mdules and prvided infrmatin at the beginning f the mdules t guide yu t the mst valuable cntent. If there isn t an educatin mdule n yur specialty, take the ne that is clsest. Hw d I cmplete the nline educatin? Instructins: 1. Cpy and paste in yur brwser. 2
3 2. Enter yur username (the address yu used t register) and passwrd (TheCmmns1). 3. Sign in (first time: yu will be prmpted t change yur passwrd). 4. Click the Learn Tab at the tp f yur brwser. 5. Select the educatin mdule yu wuld like t cmplete. 6. Cmplete the mini quiz at the end f the mdule t recrd cmpletin. Please save yur username and passwrd. The nline educatin is being delivered via The Cmmns, ur nline educatin tl. The Cmmns allws individuals t pst questins and cmments within the mdules and has a user-friendly interface. Feedback is appreciated. Please nte: These mdules are nt n HealthStream. Hw d I get t the mdules in The Cmmns? Select the Learn Tab n yur tp tlbar: If yu cannt find the apprpriate learning mdules, please cntact TheCmmns@prvidence.rg. In yur request, please include yur full name, regin, lcatin, specialty and a descriptin f the cntent yu need. Are there any technical requirements fr accessing The Cmmns? Yu can use a PC, flashed-enabled Mac, Windws phne, ipad, iphne and ipd. Please use Flash 10 and FireFx 3+, Chrme BETA+, Internet Explrer 8+, Safari 4+ and Andrid 2+ fr the best results. Internet Explrer 7 is the minimum required brwser designed t wrk; hwever, the educatin mdules will wrk better if yu use Internet Explrer 8+. What d I d if I frget my username r passwrd? Yur username is the address yu registered. Cpy and paste this link int yur brwser t recver yur passwrd If yu cannt access yur accunt, please TheCmmns@prvidence.rg with yur full name, regin, lcatin and specialty. We will cntact yu within tw business days. Hw d I access the nline educatin if I can t lgin? If yu are nt able t lg in, please first try any alternate address yu may have used t register fr The Cmmns. If yu re still unable t lg in, request an individual accunt by ing TheCmmns@prvidence.rg. Please prvide yur full name, regin, lcatin and specialty. Reginal leaders will need t verify the requestr s eligibility. Once yu have been granted access, yu will receive an autmated frm this address thecmmns=prvidence.rg@mailgun.rg with yur username and passwrd. If I need technical assistance with The Cmmns, wh d I cntact? Please cntact yur lcal help desk fr technical assistance. If I need assistance in cmpleting the nline educatin in The Cmmns, wh d I cntact? Please cntact TheCmmns@prvidence.rg. 3
4 If I have a questin n the ICD-10 educatin cntent, wh d I cntact? Please pst yur questins, feedback and cmments in the Jin the Cnversatin sectin within each nline mdule. If I have a questin n ICD-10 prvider educatin, wh d I cntact? Please cntact ICD10QUESTIONS@prvidence.rg. What general educatin is available in The Cmmns? If yu have nt already attended an in-persn educatin sessin r cmpleted the nline general educatin mdule, please take the nline educatin mdule. If yu practice in an inpatient setting, take the inpatient mdule. If yu practice in an utpatient setting, take the utpatient mdule. If yu practice in bth an inpatient and utpatient setting, take the inpatient mdule. Is there cntinuing medical educatin credit fr cmpleting ICD-10 educatin? ICD-10 General Awareness educatin des nt meet the criteria fr cntinuing medical educatin credit (CME). Specialty educatin des qualify fr AMA PRA Categry 1 CME credit and will be prvided t emplyed Prvidence and Swedish prviders. Independent prviders are nt eligible t receive CME fr ICD-10 prvider educatin due t ur tax exempt status. T receive credit fr cmpletin, yu must pass the test at the end. If yu d nt pass the test, yu must clse the mdule and repen it. Upn repening the mdule, yu must restart the mdule by chsing NOT t resume where yu left ff. Once the mdule has restarted, scrll dwn and select the Questins slide t retake the quiz. Once yu have passed the test, yu must further click the green Mark Dne buttn t cmplete. Yu will be granted ne hur f CME credit fr each mdule cmpleted. Fr nline educatin, the CME certificates will be sent by t emplyed prviders within 30 days f curse cmpletin. Fr n-site classes, the printed CME certificates will be prvided by the rganizers within 30 days. Is there any Epic ICD-10 educatin available in The Cmmns? Yes! The first Epic ICD-10 educatin mdules, n the diagnsis calculatr, are available in The Cmmns. The diagnsis calculatr helps guide prviders in selecting diagnses when mving frm a generic t a specific diagnsis. The calculatr is nt triggered fr every generic diagnsis, but fr selected generic diagnses requiring additinal specificity. One mdule is geared tward utpatient prviders, and anther is geared tward the inpatient discharge wrkflw. Bth give prviders a preview f the functinality that will be available in Epic. Additinal Epic ICD-10 educatin mdules and tls are in develpment and will be made available thrughut the year. Hw des the diagnsis calculatr in Epic wrk? Abut 25% f diagnses will trigger the diagnsis calculatr in Epic. It will affect certain areas mre than thers (injuries, bstetrical diagnses and diagnses that include laterality). Orthpedic surgery, OB/Gyn, emergency medicine and primary care prviders will encunter this tl mst ften. Fr example, there will n lnger be a generic diagnsis fr Clles fracture ICD-10 requires mre detail. If yu search fr that diagnsis, the diagnsis calculatr will pp up: 4
5 Fill in each f the items abve and hit Accept. The crrect ICD-10 cde will be selected fr yu. If yu knw the cde yu want, yu can als click the List tab and pick the cde yu want frm a list: What educatin is recmmended fr ambulatry prviders? The ICD-10 educatin cntent is weighted tward inpatient care; hwever, specificity f dcumentatin and specificity f diagnsis are identical n matter which envirnment yu are in. In additin, the specificity f diagnsis will be critical t ur Fee Fr Value success, as it is the basis f severity adjustments in ambulatry care as well. If yu mainly prvide utpatient care, please watch the Epic ICD-10 diagnsis calculatr vide first t better understand hw the ICD-10 educatin can imprve yur efficiency. Will I need t cnvert my existing ambulatry prblem lists in Epic? N, existing ambulatry prblem lists in Epic will nt need t be cnverted because mst terms are mapped t bth ICD-9 and ICD-10 cdes. When a term is mapped nly t an ICD-9 cde r an inactive ICD cde, a pencil icn will appear next t the item, prmpting the clinician t use the diagnsis replacer in Epic. What des "dual cding" fr ICD-10 mean fr prviders? Dual cding directly impacts cders but nt prviders. 5
6 Starting n April 1, 2014, prviders wh practice in ambulatry care settings need t: Chse visit diagnses based n ICD-10 clinical terminlgy. Make sure dcumentatin has elements t supprt the mre specific ICD-10 diagnsis requirements (laterality, encunter type (initial, subsequent), healing/nn-healing, etc.). Starting n April 1, 2014, prviders wh practice in acute care settings need t: Make sure dcumentatin includes clinical impressins, why the patient requires admissin, presumptive diagnsis, risk, and plan f treatment with ICD-10 specificity. Clearly state the bjective f the prcedure, laterality if apprpriate, the specific bdy part(s) addressed in a prcedure (name f the tissue/rgan/lbe/etc.), the apprach hw did yu get t the bdy part (site)(pen, percutaneus, via natural pening). The primary prvider needs t acknwledge and agree, when apprpriate, with ther prviders dcumentatin in each encunter t ensure all clinical diagnses will be captured in final cding. What happens if dcumentatin des nt supprt a diagnsis? Yur facility clinical dcumentatin specialists will cntinue t generate clarificatins; hwever, they will be based n ICD-10 dcumentatin requirements. Similar prcess is being cnstructed fr the ambulatry side. 6
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