Preparing for ICD-10. Preparing for ICD-10. Preparing for ICD-10
|
|
- Eleanor Webb
- 8 years ago
- Views:
Transcription
1 Preparing for ICD-10: What You Should Be Doing Now PHCA November 11, 2014 Presented by: Reinsel Kuntz Lesher LLP Senior Living Services Consulting Stephanie Kessler, Partner Karin Sherman, Senior Consultant Timeline 1979 ICD-9 was introduced 1990 ICD-10 was endorsed by The World Health Assembly The UK & France implemented ICD Australia transitioned to ICD Canada moved to ICD United States scheduled to implement ICD-10 Preparing for ICD-10 Implementation of the International Classification of Diseases, 10th Edition, Clinical Modification and Procedure Coding System (ICD-10-CM/ICD-10-PCS) within the United States health care industry from ICD-9-CM for medical diagnosis and inpatient hospital procedure coding is scheduled for October 1, The ICD-10-related implementation date of October 1, 2015, was announced in final rule published in the federal register on August 4, This final rule is available at 1
2 Preparing for ICD-10 Are you ready?? Preparing for ICD-10 Who is effected by ICD-10-CM implementation? On October 1, 2015 medical coding in U.S. health care settings will change from ICD-9-CM to ICD-10- CM. The transition requires businesses and systems to change throughout the health care industry. Everyone who is covered by the Health Insurance Portability and Accountability Act (HIPAA) must make the transition, not just those who submit Medicare or Medicaid claims. Preparing for ICD-10 The compliance dates are firm? Prepare now and avoid potential reimbursement issues for services received 10/1/2015 and later. There is no impact on Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. 2
3 Preparing for ICD-10 Partial code freeze October 1, 2011 The last regular, annual updates were made to both code sets. October 1, 2012 through October 1, 2014 Only limited code updates for new technologies and new diseases were made to both code sets (Section 503(a) of Public Law ). October 1, 2015 Only limited code updates for new technologies and new diseases will be made to the ICD-10 code set. No further updates will be made to ICD-9-CM on or after October 1, 2015, as it will no longer be used for reporting. October 1, 2016 Regular updates to ICD-10 will start. Differences between ICD-9-CM and ICD-10-CM ICD-9-CM has approximately 14,000 diagnosis codes and ICD-10-CM will have approximately 70,000 diagnosis codes ICD-10-CM codes are longer and use more alpha character to provide greater clinical detail and specificity when describing the diagnosis Terminology and disease classification have been updated to be consistent with current clinical practice. Differences between ICD-9-CM and ICD-10-CM Benefits of ICD-10-CM coding will provide better data to: Measure the quality and efficiency of care Support operational and strategic planning Monitor resource utilization Improve clinical, financial, and administrative performance 3
4 Differences between ICD-9-CM and ICD-10-CM Project Planning ICD-10-CM Project Planning Administration needs to be involved in planning this transition. Determine who currently utilize ICD-9-CM codes. Who should be involved in training for ICD-10-CM? C Suite Management Health Information Management staff Nursing Unit Secretaries MDS Coordinators/RNACs Admissions Billing Rehabilitation Department, Medical Directors, Vendors, etc., etc. 4
5 ICD-10-CM Project Planning The project planning will be different at each facility If you have not already, start now There is no crosswalk Step 1 Task Force Step 2 Budget Step 3 Educate Step 4 Implement and Test Step 5 - Transition ICD-10-CM Project Planning Considerations EHR Paper chart Vendors Billing Physicians The Task Force may have subcommittees to ensure all areas are covered and on track Budget for education, re-education, orientation, materials costs (i.e., manuals, new forms), and potential delays in claims processing ICD-10-CM Project Planning Determine education needed by determining those who assign or are involved currently with ICD-9-CM codes Consider basic versus in-depth training Develop a timeline to ensure adequate preparation Contact your software vendor to determine: When their upgrades will be completed Determine when dual coding will be a possibility 5
6 ICD-10-CM Project Planning Project any possible MDS and/or billing backlogs in advance and work to gain compliance prior to October 1, 2015 Determine additional staff that will be required to maintain a current status through the 10/1/2015 implementation date Implementation 6
7 Possible consequences of delays Decreased accuracy and productivity of staff related to ICD-10-CM coding Increased risk of claims rejection and lack of payments Decreased time with patients and impact on patient care Decline in staff morale Assess current coders strength and weaknesses to determine training requirements; Consider need for refresher courses in anatomy and physiology, medical terminology and pharmacology before starting the ICD-10-CM training due to level of specificity of ICD-10-CM codes. AHIMA recommends from hours of ICD-10-CM training depending on the experience and credentialing of the person completing the coding. Testing November 17-21, 2014 This testing week will give trading partners access to the Medicare Administrative Contractor s (MACs) and Common Electronic Data Interchange (CEDI) for testing with real-time help desk support. The event will be conducted virtually. What you can expect during testing: Test claims with ICD-10 codes must be submitted with current dates of service (i.e. October 1, 2014 through November 17, 2014), since testing does not support future dated claims. 7
8 Testing November 17-21, 2014 (cont d) What you can expect during testing: Test claims will be subject to all existing EDI frontend edits including Submitter authentication and NPI validation. Test claims will receive the 277CA or 999 acknowledgement as appropriate, to confirm that the claim was accepted or rejected in the system. Testing will not confirm claim payment or produce remittance advice. MACs and CEDI will be staffed to handle increased call volume during this week. ICD-10 Limited End-to-End Testing with Submitters for 2015 On January 26-30, 2015, CMS will offer end-to-end testing to a small sample group of providers. End-toend testing includes the submission of test claims to CMS with ICD-10 codes and the provider's receipt of a Remittance Advice (RA) that explains the adjudication of the claims. The goal of this testing is to demonstrate that: Providers or submitters are able to successfully submit claims containing ICD-10 codes to the Medicare FFS claims systems; ICD-10 Limited End-to-End Testing with Submitters for 2015 CMS software changes made to support ICD-10 result in appropriately adjudicated claims (based on the pricing data used for testing purposes); and Accurate RAs are produced. The sample will be selected from providers, suppliers, and other submitters who volunteered to participate. Registration for the January week of end to end testing is now closed. Providers will still be able to send test cases through traditional testing even if not chosen for end to end testing. More information will be sent out if you are selected once the registration forms are reviewed. 8
9 Training: January through March 2015 (cont d) Assess quality of current clinical documentation by physicians and staff to identify improvement opportunities; Complete review of random sample of charts; Focus on high volume diagnoses; and Identify diagnoses known to cause documentation problems. Determine best solution to improve documentation; Modify any forms or templates utilized for documentation both manual and EHR; and Provide educational opportunities addressing documentation requirements. Training: January through June 2015 (cont d) Provide training for all staff that utilize the ICD-10-CM codes. ICD-10-CM training is available from professional associations, commercial vendors, and independent consultants ICD-10-CM training can be accomplished with online self-paced or instructor-led courses and/or onsite or off-site face to face training Training: January through June 2015 (cont d) Follow training with hands on practice Determine if those individuals who code utilize a list of frequently seen ICD-9-CM codes and convert the codes on the list to have corresponding ICD-10-CM codes, when possible. Transitioning from ICD-9-CM to ICD-10-CM: January through June 2015 Improved documentation will now allow for more in depth ICD-9-CM coding similar to what will be utilized in ICD-10- CM, allowing both practice for the person coding and ease of transition in the future. 9
10 Transitioning from ICD-9-CM to ICD-10-CM: January through June 2015 (cont d) Print or copy current long term residents diagnosis lists and add the ICD-10-CM diagnoses to this sheet. Divide the long term population by the 13 weeks in this time period and practice coding that number of diagnosis sheets each week; Save the residents diagnosis lists with ICD-10-CM codes to utilize when dual coding is available by your software provider. Transitioning from ICD-9-CM to ICD-10-CM: January through June 2015 (cont d) Contact your software provider to determine a date when (or if) dual coding capability will be available to begin data entry. The key to this time period is to continue practicing and becoming familiar with looking up and identifying the correct ICD-10-CM code to utilize Transitioning from ICD-9-CM to ICD-10-CM: January through June 2015 (cont d) General Equivalence Mappings (GEMs) are designed to help with mapping links concepts in two code sets without consideration of resident clinical record information only and will not take place of individually coding each resident appropriately with ICD-10-CM codes ICD-10-CM books are available from existing ICD-9-CM code book publishers. ICD-10-CM is available free of charge in PDF and XML formats from: 10
11 Transitioning from ICD-9-CM to ICD-10-CM: July through September 2015 Verify that dual coding capacity is working and ready to use. Continue dual coding of both ICD-9-CM and ICD-10-CM for: New Admissions; Hospital Returns; Long term residents - follow the MDS ARD schedule to code ICD-10-CM codes as assessments are due, utilizing the diagnosis lists that were saved from practice coding last quarter until all diagnosis lists are updated. Transitioning from ICD-9-CM to ICD-10-CM: October 1, 2015 and Beyond Utilize ICD-10-CM codes only for all diagnoses for dates of service/admissions starting October 1, 2015 and utilize in medical record documentation and billing. Maintain the ICD-9-CM Diagnosis list for verification if any claim denials occur. Transitioning from ICD-9-CM to ICD-10-CM: Billing Claims All claims submitted for services on or before 9/30/2015 will use ICD-9-CM; All claims submitted for services on or after 10/1/2015 will use ICD-10-CM; Claims cannot contain both ICD-9-CM and ICD-10- CM codes Claims for services 10/1/2015 and after with ICD-9- CM codes will be REJECTED. 11
12 Physician education is very important Documentation is crucial for accurate coding Other Areas ICD-10-CM Other Areas Additional areas impacted by ICD-10-CM coding: Survey Minimum Data Set, version 3 MDS 3.0 Section I Active Diagnoses Quality Measures Pressure ulcers Falls UTI 12
13 Code Features ICD-10-CM Code Features ICD-10-CM diagnosis codes are three to seven characters; The first character is always alpha (all letters except U are used); The second character is numeric; Characters 3-7 are either alpha or numeric A decimal is placed after the third character. Example: A69.21 Meningitis due to Lyme disease ICD-10-CM Code Features ICD-10-CM codes have laterality (left, right, bilateral) Example: L L89.xxx Pressure ulcer xxx.02x - Left elbow xxx.xx2 - Stage II ICD-10-CM codes have combinations codes certain conditions with common associated symptoms and manifestations Example: I Atherosclerotic heart disease of native coronary artery with unstable angina pectoris 13
14 ICD-10-CM Code Features ICD-10-CM codes may have a character x used as a 5 th character placeholder in certain 6 character codes allowing for future expansion of the code and to fill in other empty characters when a code is less than 6 characters in length requires a 7 th character. Example: T46.1x5A Adverse effect of calciumchannel blockers, initial encounter ICD-10-CM Code Features ICD-10-CM coding may utilize Excludes notes: Excludes 1 indicates a code that should never be used with the code where the note is located (do not report both codes). Example: Q03 Congenital hydrocephalus (Excludes 1:acquired hydrocephalus (G91.-) Excludes 2 indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time, in which case both codes can be reported to capture both conditions. Example: L27.2 Dermatitis due to ingested food (Excludes 2: Dermatitis due to food in contact with skin (L23.6, L24.6, L25.4) ICD-10-CM Code Features ICD -10-CM coding includes clinical concepts (did not exist in ICD-9-CM.) Example: T45.526D Under-dosing of antithrombotic drugs, subsequent encounter ICD-10-CM significantly expands a number of codes. Example: E Type 1 diabetes mellitus with diabetic neuropathic arthropathy ICD -10-CM makes distinction between intra-operative complications and post-procedural disorders. Example: D78.21 Post-procedural hemorrhage and hematoma of spleen following a procedure on the spleen vs. D78.01 Intra-operative hemorrhage and hematoma of spleen complicating a procedure of the spleen. 14
15 ICD-10-CM Code Features ICD-10-CM coding includes a 7th character in certain situations. Post acute care providers will most frequently utilize this when coding: injury, musculoskeletal and external cause codes. The seventh character describes encounters: initial, subsequent, and sequela (previously late effect in ICD-9-CM). ICD-10-CM Code Features ICD-9-CM Codes Closed fracture of unspecified part of neck of femur V54.13 Aftercare for healing traumatic fracture of hip ICD-10-CM Codes S72.114A Nondisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture S72.114D Nondisplaced fracture of greater trochanter of right femur, subsequent encounter for closed fracture with routine healing ICD-10-CM Code Features Additional changes in ICD-10-CM coding: Injuries are grouped by anatomical site not type of injury; Some new code definitions to reflect current medical knowledge; Restructuring and reorganization of disease classification reflecting current medical knowledge; and V codes or E codes, as in ICD-9-CM, are incorporated into main classifications. 15
16 ICD-10-CM Code Features Nonspecific codes ( unspecified or not otherwise specified ) are available to use when detailed documentation to support more specific coding is not available. A few other coding features are encompassed in ICD-10- CM coding that post acute care settings will most likely not encounter. ICD-10-CM coding book continues with an alphabetic index and a tabular index as ICD-9-CM was divided. ICD-10-CM codes should be looked up in the alphabetic index and then verified in the tabular index. ICD-10-CM Code Features ICD-10-CM Code Features An Introduction to ICD-10 fact sheet is available on the CMS website at 16
17 Take Away Task Force + Needs Assessment + Education + Implementation + Execution = Smooth Transition Resources include:
18 RKL ICD-10-CM Education SAVE THE DATE March 10-11, 2015 York, PA Contacts Stephanie Kessler Partner Reinsel Kuntz Lesher LLP Karin Sherman Senior Consultant Reinsel Kuntz Lesher LLP 18
ICD-10 Transition & Implementation Information
ICD-10 Transition & Implementation Information I ICD-10 Implementation Compliance Date: October 1, 2015 ICD-10-CM diagnoses codes will be used by all providers in every health care setting. ICD-10-PCS
More informationElectronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014.
Electronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014 Fallon Health Plan Christine Grondalski, Director Risk Adjustment & Analytics
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 informationIntroduction to ICD-10-CM. An Introduction to the Transition from ICD-9-CM to ICD-10-CM
Introduction to ICD-10-CM An Introduction to the Transition from ICD-9-CM to ICD-10-CM 1 Purpose Explain why the transition from ICD-9-CM to ICD- 10-CM is needed Describe the differences between ICD-9-CM
More informationMaking the Transition: ICD-10-CM Diagnosis Codes ICD-10-CM: International Classification of Diseases, 10th Edition, Clinical Modification
1 COA Fact Sheet Making the Transition: ICD-10-CM Diagnosis Codes ICD-10-CM: International Classification of Diseases, 10th Edition, Clinical Modification Mandated Transition to ICD-10 Codes: October 1,
More informationIntroduction to ICD-10: A Guide for Providers. Centers for Medicare & Medicaid Services
Introduction to ICD-10: A Guide for Providers Centers for Medicare & Medicaid Services 1 Table of Contents Compliance Date: October 1, 2014» What is ICD-10?» Why ICD-10 matters» Why transition to ICD-10»
More informationICD-10 Coding for Audiology
ICD-10 Coding for Audiology Mary Sue Fino-Szumski, Ph.D., M.B.A. Vanderbilt University School of Medicine Vanderbilt Bill Wilkerson Center Department of Hearing and Speech Sciences Disclosure Financial
More informationICD-10 FROM A NURSE PERSPECTIVE. Learning Objectives 4/22/2015. Adoption of ICD-10 Classification of Diseases CD-10-CM Diagnostic Codes
ICD-10 FROM A NURSE PERSPECTIVE Learning Objectives 1. New ICD-10-CM diagnostic system for Dermatology. 2. Impact of new codes on nursing and clinical support staff. 3. Education and resources available.
More informationICD-10... What Are You Waiting For?
ICD-10... What Are You Waiting For? What is it? International classification for all general epidemiological, many health management purposes, and clinical use Published by the World Health Organization
More informationICD-10: Navigating the Change. Presented by: Shelley Garrett, CPC, CMC, CMOM, CMIS
ICD-10: Navigating the Change Presented by: Shelley Garrett, CPC, CMC, CMOM, CMIS A journey of a thousand miles begins with a single step -Confucius 5010 Conversion January 1, 2012 5010 Conversion Version
More informationCelebrating ICD-10: A New Tradition of Codes.
Celebrating ICD-10: A New Tradition of Codes. Delayed. Now What? Stop training entirely? Continue training as originally planned? Alter the course of training? Important Dates January 16, 2009 February
More information1. ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES
1. ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES 1.1 ICD-10-CM, SKILLED NURSING FACILITIES, AND LAB SERVICES Welcome to the ICD-10-CM, Skilled Nursing Facilities, and Lab Services training. Please
More informationMedicare 101 Series: Part 3- ICD-10
Medicare 101 Series: Part 3- ICD-10 Part B Provider Outreach and Education Cahaba GBA January 22, 2014 Housekeeping Tips When you called in, did you enter your attendee code? Dial-in number: 1-800-791-2345
More informationFinancial Disclosure. Teri Thurston does not have any relevant financial relationships with any commercial interests
Financial Disclosure Teri Thurston does not have any relevant financial relationships with any commercial interests Transitioning to ICD-10 Planning the Journey for Implementation 2 Brief History of ICD-10
More informationICD 10 CM: Presented by:
ICD 10 CM: Presented by: ICD-10-CM Mission 2014 Why ICD-10? Mechanics of ICD-10 Why ICD-10? Why are we doing this? Here is an excerpt taken from the final ruling [T]he ICD-10 code sets provide a standard
More informationInternational Classification of Diseases (ICD)-10: Are You Ready? Note! Contents are subject to change and are not a guarantee of payment.
International Classification of Diseases (ICD)-10: Are You Ready? Note! Contents are subject to change and are not a guarantee of payment. Objectives Provider community ICD-10 compliance What you can expect
More informationSouth Dakota Medicaid ICD-10 Provider Education Series
South Dakota Medicaid ICD-10 Provider Education Series Lori Lawson, Deputy Medicaid Director, DSS Jane Beth Turner, RHIA, AHIMA ICD-10 Approved Trainer, Cognosante 1 Agenda Brief overview of transition
More informationCoding for ICD-10-CM: More of the Basics
Centers for Medicare & Medicaid Services MLN Connects Video Transcript 12/1/14 Nguyen Intro Coding for ICD-10-CM: More of the Basics I am Nguyen, from the Provider Communications Group here at CMS. I would
More informationHow To Transition From Icd 9 To Icd 10
ICD-10 FAQs for Doctors What is ICD-10? ICD-10 is the 10 th revision of the International Classification of Diseases (ICD), used by health care systems to report diagnoses and procedures for purposes of
More informationGuidelines Most Significantly Affected Under ICD-10-CM. May 29, 2013
Guidelines Most Significantly Affected Under ICD-10-CM May 29, 2013 Guidelines Most Significantly Affected Under ICD-10-CM A look at the new system and how it compares to ICD-9-CM Presented by Therese
More informationOverview of ICD10 Transition Impact on Physician Practices Presented by Theresa Mendoza Director of Quality, BI and Data Services
Overview of ICD10 Transition Impact on Physician Practices Presented by Theresa Mendoza Director of Quality, BI and Data Services What is ICD10? ICD10 is a diagnostic/procedural coding system implemented
More informationICD 10: Final Steps for Successful Implementation
ICD 10: Final Steps for Successful Implementation Gayle R. Lee, JD Matt Elrod, PT, DPT, MEd, NCS Presenters Gayle Lee, JD, has more than 15 years of experience working on health care issues impacting the
More informationHow To Get A Blue Cross Code Change
OVERVIEW 1. What is an ICD Code? The International Classification of Diseases (ICD) code set is used primarily to report medical diagnosis and inpatient procedures. ICD codes are mandated by the Centers
More informationTransition to ICD-10: Frequently Asked Questions
This reference document was developed to answer provider questions about the mandated transition to the ICD-10 code sets. It will be updated as additional information becomes available. We encourage you
More informationTRANSITIONING FROM ICD-9 TO ICD-10 CODES PRESENTED OCTOBER 8, 2015 NATALIE RIVERA, RN, MS, BSN, CCM, CNLCP
TRANSITIONING FROM ICD-9 TO ICD-10 CODES PRESENTED OCTOBER 8, 2015 NATALIE RIVERA, RN, MS, BSN, CCM, CNLCP ICD-10: INTERNATIONAL CLASSIFICATION OF DISEASES 10 TH REVISION International Classification of
More informationWelcome to ICD-10 CLINICAL CLOSE-UP
Welcome to ICD-10 CLINICAL CLOSE-UP Topics ICD-10 Overview About ICD-10 Why ICD-10 Matters ICD-9 vs ICD-10 Clinical Close-Up ICD-10 Documentation GEMs Mapping Tool GEMS vs Coding Manual Bi-Directional
More informationPreparing for the ICD-10 Transition By Melody W. Mulaik President: Coding Strategies, Inc.
Preparing for the ICD-10 Transition By Melody W. Mulaik President: Coding Strategies, Inc. On October 1, 2014, after more than 30 years with the ICD-9-CM coding system, the U.S. healthcare industry will
More informationICD-10 Frequently Asked Questions
ICD-10 Frequently Asked Questions ICD-10 General Overview... 3 What is ICD-10?... 3 Why are we adopting ICD-10?... 3 What are the benefits of the ICD code expansion?... 3 What does ICD-10 compliance mean?...
More informationPreparing for ICD-10. What Your Practice Needs to Know
WRS Health Preparing for ICD-10 2 Executive Summary The healthcare industry is set to undergo an important change on October 1, 2014, when the mandatory adoption of the ICD-10 codes go into effect. The
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 informationRoad to 10: The Small Physician s Route to ICD-10. Implementation Guide
Road to 10: The Small Physician s Route to ICD-10 Implementation Guide ICD-10 Implementation Guide for Small and Medium Practices 1 Version 2.0 18 August 2014 Table of Contents 1. Introduction... 2 Introduction
More informationASDIN 8th Annual Scientific Meeting
WHO World Health Organization Developed in 1994 AN INITIAL UNDERSTANDING OF Sarah Reed, CPC Coding and Compliance Coordinator Meritas Health Corporation Implementation 138 countries mortality 99 countries
More informationTHE ROAD TO ICD-10: DOES YOUR CHC HAVE AN IMPLEMENTATION STRATEGY IN PLACE?
CPAs & ADVISORS experience perspective // THE ROAD TO ICD-10: DOES YOUR CHC HAVE AN IMPLEMENTATION STRATEGY IN PLACE? AGENDA ICD-10 development Implementation timelines Organizational strategy Project
More informationICD-10 Compliance Date
ICD-10 Implementation Frequently Asked Questions Updated September 2015 ICD-10 Compliance Date The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing October 1,
More informationREVISION, PROCEDURE CODING SYSTEM (ICD-10-PCS) VERSION 2.2
NCPDP IMPLEMENTATION TIMELINES AND RECOMMENDATIONS FOR INTERNATIONAL CLASSIFICATION OF DISEASES, 10TH REVISION, CLINICAL MODIFICATION (ICD-10- CM) AND THE INTERNATIONAL CLASSIFICATION OF DISEASES, 10TH
More informationICD-10 Readiness for Private Practice and Hospitals Presenter Lisa Asbell, RN ICD 10 Specialist
ICD-10 Readiness for Private Practice and Hospitals Presenter Lisa Asbell, RN ICD 10 Specialist 1 Purpose of Today s Seminar #1. To motivate you to fully engage your organization in the ICD-10 transition.
More informationThe International Statistical Classification of Disease and Related Health Problems, ICD- 10, is a medical classification system for coding of:
ICD-10-CMs OVERVIEW The International Statistical Classification of Disease and Related Health Problems, ICD- 10, is a medical classification system for coding of: Diseases Injuries Symptoms Procedures
More informationICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014
ICD-10 Update* Mental and Behavioral Health ICD-10-CM Codes Blue Cross Blue Shield of Michigan 2014 *NOTE: The information in this document is not intended to impart legal advice. This overview is intended
More informationPreparing for ICD-10 WellStar Medical Group Toolkit
Preparing for ICD-10 WellStar Medical Group Toolkit Preparing for ICD-10 On Oct. 1, 2015, WellStar will transition from ICD-9 to ICD-10 coding for all medical diagnoses and hospital procedures Systemwide.
More informationICD-10 CD-10 AND ONCOLOGY: WHAT YOU NEED TO DO NOW AND IN THE NEAR FUTURE
ICD-10 CD-10 AND ONCOLOGY: WHAT YOU NEED TO DO NOW AND IN THE NEAR FUTURE ION Community Counts Practice Effectiveness Web Series April 10, 2014 Risë Marie Cleland, Oplinc Inc. www.oplinc.com Important
More informationIntroduction to ICD - 10. Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015
Introduction to ICD - 10 Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015 Agenda Introduction Benefits of ICD-10 Features of ICD-10 ICD-9 vs. ICD-10 ICD-10 Structure Question & Answer Introducing ICD-10
More informationCODING CHANGESICD-10!! Presented by: Colleen Grope CPC, CCS-P
CODING CHANGESICD-10!! Presented by: Colleen Grope CPC, CCS-P 1 AGENDA Differences between ICD-9 and ICD-10 Basic ICD-10 Coding Guidelines Implementation Strategies Potential Revenue Ramifications 2 ICD-9
More informationIntroduction to ICD-10-CM and PCS. ICD Background. ICD Use ICD Codes are reported on the hospital/physician claim form
Introduction to ICD-10-CM and PCS Sheila Goethel, RHIT, CCS Coding Consultant and AHIMA ICD-10 Certified Trainer Rural Wisconsin Health Cooperative June 2011 ICD Background The INTERNATIONAL CLASSIFICATION
More informationICD-9 Basics Study Guide
Board of Medical Specialty Coding ICD-9 Basics Study Guide for the Home Health ICD-9 Basic Competencies Examination Two Washingtonian Center 9737 Washingtonian Blvd., Ste. 100 Gaithersburg, MD 20878-7364
More informationICD-10 FAQ. How Long Has ICD-9-CM Been In Use?
ICD-10 FAQ How Long Has ICD-9-CM Been In Use? What Code Set Does ICD-9-CM Define? What Code Set Does ICD-10 Define? When was ICD-10-CM Created? What agency maintains ICD-10? Why is ICD-10 better than ICD-9?
More informationICD 10: Implications For Content Conversion in Vendor Products
ICD 10: Implications for Content Conversion in Vendor Products Ardith Campbell, CPC, CPC H, CCP Manager, Charge and Revenue Integrity Services MedAssets ICD 10: Implications for Content Conversion in Vendor
More informationForget the Fear and Panic:
ICD-10 White Paper Forget the Fear and Panic: It s Time for a Sensible Approach to ICD-10 Implementation pulseinc.com Forget the Fear and Panic The mere mention of ICD-10 within the healthcare industry
More informationCountdown to ICD-10. August 27, 2015
Countdown to ICD-10 August 27, 2015 Disclaimers This presentation was current at the time it was published or uploaded onto the web. Medicare policy changes frequently so links to the source documents
More informationWhat You Need to Know for the Upcoming Transition to ICD-10. Written by the AMA CPT Medical Informatics Department
What You Need to Know for the Upcoming Transition to ICD-10 Written by the AMA CPT Medical Informatics Department W H I T E P A P E R J U N E 2 0 1 2 This white paper is for educational purposes only and
More information11/18/2015 ICD-10 Presented b y Noridian Provider Outreach and Education Jurisdiction D DME MAC November 2015 1
ICD-10 Presented by Noridian Provider Outreach and Education Jurisdiction D DME MAC November 2015 1 Disclaimer This information release is the property of Noridian Healthcare Solutions, LLC. It may be
More informationFrequently Asked Questions about ICD-10-CM/PCS
Frequently Asked Questions about ICD-10-CM/PCS Q: What is ICD-10-CM/PCS? A: ICD-10-CM (International Classification of Diseases -10 th Version-Clinical Modification) is designed for classifying and reporting
More informationREVISION, PROCEDURE CODING SYSTEM (ICD-10-PCS) VERSION 2.Ø
NCPDP IMPLEMENTATION TIMELINES AND RECOMMENDATIONS FOR INTERNATIONAL CLASSIFICATION OF DISEASES, 10TH REVISION, CLINICAL MODIFICATION (ICD-10- CM) AND THE INTERNATIONAL CLASSIFICATION OF DISEASES, 10TH
More informationICD-10 Basics. August 22, 2013
ICD-10 Basics August 22, 2013 Medicare Learning Network This MLN Connects National Provider Call (MLN Connects Call) is part of the Medicare Learning Network (MLN), a registered trademark of the Centers
More informationICD-10 Action Plan: Your 12-Step Transition Plan for ICD-10. Written by the AMA CPT Medical Informatics Department
ICD-10 Action Plan: Your 12-Step Transition Plan for ICD-10 Written by the AMA CPT Medical Informatics Department P R A C T I C E T O O L S E P T E M B E R 2 0 1 2 This resource is for educational purposes
More informationICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015
ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015 1 Why the Conversion to ICD-10-CM? ICD-10-CM provides more specific data than ICD-9-CM Better reflection of current medical
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services GENERAL EQUIVALENCE MAPPINGS FREQUENTLY ASKED QUESTIONS
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services GENERAL EQUIVALENCE MAPPINGS FREQUENTLY ASKED QUESTIONS ICN 901743 June 2015 This publication provides the following information
More informationThe ICD-10 Mandate. ICD-10 implementation is scheduled for October 1, 2015.
ICD-10 Transition The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice.
More informationChange is Coming in 2014! ICD-10 will replace ICD-9 for Diagnosis Coding
Change is Coming in 2014! ICD-10 will replace ICD-9 for Diagnosis Coding Clinical Coding Diagnosis Codes Clinicians select ICD-CM codes to describe a patient s diagnoses, symptoms, and clinical findings.
More informationICD-10 Frequently Asked Questions For Providers
ICD-10 Frequently Asked Questions For Providers ICD-10 Basics ICD-10 Coding and Claims ICD-10 s ICD-10 Testing ICD-10 Resources ICD-10 Basics What is ICD-10? International Classification of Diseases, 10th
More informationICD-10 Compliance Date. Frequently Asked Questions. ICD-10 Implementation Frequently Asked Questions Updated September 2014
ICD-10 Implementation Frequently Asked Questions Updated September 2014 ICD-10 Compliance Date The U.S. Department of Health and Human Services (HHS) issued a rule on July 31, 2014 finalizing October 1,
More informationPREPARING FOR ICD-10 IDENTIFYING THE STEPS TO BE TAKEN AND THE TIMELINE MAY 2014
PREPARING FOR ICD-10 IDENTIFYING THE STEPS TO BE TAKEN AND THE TIMELINE MAY 2014 Diane Taylor, BSN, RN Selman-Holman & Associates LLC, Senior Associate Selman-Holman & Associates, LLC Diane Taylor, BSN,
More informationICD-10: Facts for Hospitals
ICD-10: Facts for Hospitals July 16, 2015 Shana Olshan Director, National Standards Group Centers for Medicare and Medicaid Services 1 Today s Presentation Topics ICD-10-CM and ICD-10-PCS overview ICD-10
More informationHome Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes
Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes Chapter 4: Endocrine, Nutritional and Metabolic Diseases (E00-E99) ICD-10-CM diabetes mellitus
More informationICD-10-CM and ICD-10-PCS Frequently asked questions for HIM and Patient Financial Services Leaders
ICD-10-CM and ICD-10-PCS Frequently asked questions for HIM and Patient Financial Services Leaders Executive questions What is the current status of ICD-10? The U.S. Department of Health and Human Services
More informationCountdown to ICD-10. Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, CPCD, COBGC, CCS-P, CDIP Senior Manager. AMA Author
Countdown to ICD-10 Deborah Grider, CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, CPCD, COBGC, CCS-P, CDIP Senior Manager AMA Author ICD-10 Implementation Guide, Make the Transition Manageable Principles of ICD-10-CM
More informationICD-10 in the Provider Newsletter
ICD-10 in the Provider Newsletter ICD-10 CM Code Structure, July 2013 ICD-10 Implementation, April 2013 ICD-10 Manual, January 2013 ICD-10 Back on Track, October 2012 ICD-10 Training, July 2012 ICD-10
More informationPreparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com
Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD drbrownlow@pmi-eyes.com International Classification of Diseases (ICD-9, ICD-10) Both include codes for all medical conditions,
More informationICD-10-CM: Training. Presented by: Anna M. Cruz CCS, CCS/P,CPC-A ICD10CM/PCS AHIMA Approved Trainer & Sonya Shebala CPC, CPC-H
1 ICD-10-CM: Training Presented by: Anna M. Cruz CCS, CCS/P,CPC-A ICD10CM/PCS AHIMA Approved Trainer & Sonya Shebala CPC, CPC-H Partial Freeze of Revisions to ICD-9-CM and ICD-10-CM/PCS CDC.gov 2 October
More informationFrequently asked questions: ICD-10
Frequently Asked Questions Frequently asked questions: ICD-10 To help health care providers and payers prepare for ICD-10, Optum has prepared the following answers to frequently asked questions. ICD-10
More informationICD-10 Preparation for Non- Coders in the Revenue Cycle
ICD-10 Preparation for Non- Coders in the Revenue Cycle September 24, 2015 Arkansas HFMA Revenue Cycle Seminar Susan Wallace, MEd, RHIA, CCS, CCDS, CDIP, FAHIMA Program Objectives Explain the impact of
More informationMeeting the ICD-10 Compliance Date. Are You Going to Be Ready?! HCCA Regional Conference November 2011
Meeting the ICD-10 Compliance Date. Are You Going to Be Ready?! HCCA Regional Conference November 2011 1 Speaker Gloryanne Bryant, RHIA, CCS, CCDS Regional Managing Director HIM Revenue Cycle, Kaiser Permanente
More informationICD-10-CM Transition
KY HFMA Spring 2014 Annual Meeting ICD-10-CM Transition Heather Greene, MBA, RHIA, CPC, CPMA Vice President, Compliance Services AHIMA Approved ICD-10 CM/PCS Trainer Myth # 1 Implementation planning should
More informationCoding for ICD-10-CM: More of the Basics. December, 2014
Coding for ICD-10-CM: More of the Basics December, 2014 How to Obtain a Code Book Free ICD-10-CM pdf ftp://ftp.cdc.gov/pub/health_statistics/nchs/publications/icd10cm/2015 Code books and associated tools
More informationGetting Ready for ICD-10. Part 2: ICD-10 Coding
Getting Ready for ICD-10 Part 2: ICD-10 Coding Introduction In the United States, on October 1, 2015 the ICD 9 code set used to report medical diagnoses and inpatient procedures will be replaced by International
More informationIt s Time to Transition to ICD-10
July 22, 2015 It s Time to Transition to ICD-10 What do the changes mean to your SNF? Presented by: Linda S. Little, RN-BSN Clinical Consultant HMM Consulting Office: (631) 265-6289 E-Mail: llittle@horanmm.com
More informationICD-10-CM AND THE EMERGENCY PHYSICIAN
ICD-10-CM AND THE EMERGENCY PHYSICIAN BACKGROUND Technically known as the International Statistical Classification of Diseases and Related Health Problems, the International Classification of Diseases
More informationICD-10-CM Official Guidelines for Coding and Reporting
2013 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2012 version Italics are used to indicate revisions to heading changes The Centers for Medicare
More informationICD-10-CM Training Module for Dental Practitioners. Presented by Workgroup for Electronic Data Interchange
ICD-10-CM Training Module for Dental Practitioners Presented by Workgroup for Electronic Data Interchange Disclaimer This presentation is for discussion and educational purposes only and is not intended
More informationMolina Healthcare Post ICD 10 FAQ
Molina Healthcare Post ICD 10 FAQ On March 31, 2014, the Senate voted to approve a bill to delay the implementation of ICD-10-CM/ PCS by at least one year. President Obama signed the bill into law on April
More informationCountdown to Change. DSM-5 and ICD-10. Sharon A. Shover, CPC, CEMC sshover@blueandco.com 502.992.3511
Countdown to Change DSM-5 and ICD-10 Sharon A. Shover, CPC, CEMC sshover@blueandco.com 502.992.3511 Today s Discussion Differences between DSM and ICD Specificity of the code sets Financial Impacts Implementation
More informationICD-10 Transition ROLES AND RESPONSIBILITIES
Welcome to ICD-10 Transition ROLES AND RESPONSIBILITIES Training Spotlight for Physicians and Other Providers Topics for Discussion ICD-10 Transition: Roles and Responsibilities ICD-10 Overview A few facts
More informationICD-10 Overview. The U.S. Department of Health and Human Services implementation deadline for compliance with ICD-10, Mandate is October 1, 2014.
ICD-10 Overview ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health Organization
More informationICD10 for Therapy Ready, Set, Go!
ICD10 for Therapy Ready, Set, Go! June, 2015 2015 Optima Healthcare Solutions Training Objectives Define ICD10 Discuss Purposes of ICD10 Compare/Contrast ICD9 / ICD10 Discuss Code Selection Apply ICD10
More informationPreparing for the Conversion from ICD-9 to ICD-10: What You Need to Be Doing Today
Preparing for the Conversion from ICD-9 to ICD-10: What You Need to Be Doing Today Currently in the United States, ICD-9 is the code set used to report diagnoses and inpatient procedures. ICD-9 stands
More informationHow To Transition From Icd 9 To Icd 10
1 TRANSITION FROM ICD-9 TO ICD-10: MANAGING THE PROCESS Joy Burnette, RN, BSN, AACC, HITPro-IM, CPHIMS July 29, 2013 2 TRANSITION FROM ICD-9 TO ICD-10: MANAGING THE PROCESS By October 14, 2014 the transition
More informationWelcome to AlohaCare s ICD-10 Information Session
Welcome to AlohaCare s ICD-10 Information Session 1 Overview AlohaCare Introduction ICD-10 Primer AlohaCare & ICD-10 ICD-10 Coding Workflow Considerations for Outpatient Orders Questions/Comments This
More informationAnthem Workers Compensation
Anthem Workers Compensation ICD-10 Frequently Asked Questions What is ICD-10? International Classification of Diseases, 10th Revision (ICD-10) is a diagnostic and procedure coding system endorsed by the
More informationICD-10 Diagnostic Coding for. Breast Reconstruction
ICD-10 Diagnostic Coding for Webinar Hosted by: Breast Reconstruction December 5, 2013 Presented by: Kim Pollock, RN, MBA, CPC Meet Kim Pollock RN, MBA, CPC Kim Pollock, RN, MBA, CPCspecializes in streamlining
More informationSarah Hanna President ECS Billing & Consulting North
Presented By: Sarah Hanna President ECS Billing & Consulting North 252 W. Market St. Tiffin, Ohio 44883 419-448-5332 ext. 102 www.ecsbillingnorth.com sarahhanna@ecsbillingnorth.com This presentation was
More informationSpeaker s Disclaimer
Surviving the Conversion to ICD 10: A Glimpse of What s to Come Richard E. Moses, D.O., J.D. 2015 Annual Scientific Meeting Pennsylvania Society of Gastroenterology Lancaster Marriott at Penn Square Lancaster,
More informationGetting Ready for ICD-10. Part 1: The Basics
Getting Ready for ICD-10 Part 1: The Basics Introduction In the United States, on October 1, 2015 the ICD 9 code set used to report medical diagnoses and inpatient procedures will be replaced by the International
More informationICD-10-CM For Orthopedics. Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer
ICD-10-CM For Orthopedics Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer Healthcare Information Services (HIS) HIS is a physician management company based in Chicago, IL specializing
More informationLong term care coding issues for ICD-10-CM
Long term care coding issues for ICD-10-CM Coding Clinic, Fourth Quarter 2012 Pages: 90-98 Effective with discharges: October 1, 2012 Related Information Long Term Care Coding Issues for ICD-10-CM Coding
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICD-10-CM/PCS THE NEXT GENERATION OF CODING
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICD-10-CM/PCS THE NEXT GENERATION OF CODING ICN 901044 April 2013 This publication provides the following information on
More informationIRF Coding: Changing the Culture to Strengthen the Team
IRF Coding: Changing the Culture to Strengthen the Team Stephanie Johnson, CCS Sr. HIM Coding Specialist 2014. The UDSMR logo is a trademark of, a division of UB Foundation Activities, Inc. Objectives
More informationICD-10 Overview. The 411 on ICD-10. Camillia Harris, ICD-10 Communications Lead Eric Hendrick, ICD-10 Functional Deputy Project Lead
ICD-10 Overview The 411 on ICD-10 Presented by: Camillia Harris, ICD-10 Communications Lead Eric Hendrick, ICD-10 Functional Deputy Project Lead June 18, 2013 0 Mission We will provide Georgians with access
More informationMedical Billing and ICD-10 - Know Your Patients
AHLA N. ICD-10 Transition: What Health Lawyers Need to Know Julie E. Chicoine Senior Assistant General Counsel OSU Wexner Medical Center Columbus, OH Denise J. Hall PYA Atlanta, GA Institute on Medicare
More informationTransitioning to EDI HIPAA 5010 and ICD-10
Transitioning to EDI HIPAA 5010 and ICD-10 Challenges & Opportunities October 17, 2010 Outline I. HIPAA 5010 EDI Changes HIPAA 5010 Overview Transactions Affected CORE Certification II. III. IV. ICD-10
More informationPlease Bypass The Screen Below For audio call 1-877-669-3239 Event number: 663 841 450 MUTE YOUR PHONE
Please Bypass The Screen Below For audio call 1-877-669-3239 Event number: 663 841 450 MUTE YOUR PHONE ICD-10 August 9, 2013 Presenter: Miki Hoppe, Manager ICD-10 Business Solutions ICD10@HMSA.com Agenda
More informationDial-In: (800) 933-2547
GE Healthcare Dial-In: (800) 933-2547 Coding in ICD-10 Planning and Executing for Success 2011 General Electric Company All rights reserved. This does not constitute a representation or warranty or documentation
More information