360 Coder ICD-10 Education: What Organizations Need To Know Now

Transcription

1 360 Coder ICD-10 Education: What Organizations Need To Know Now

2 2 Copyright Information Copyright 2013 HCPro, Inc. The 360 Coder Education: What You Need To Know Now webcast materials package is published by HCPro, Inc. For more information, please contact us at: 75 Sylvan Street, Suite A-101, Danvers, MA Attendance at the webcast is restricted to employees, consultants, and members of the medical staff of the Licensee. The webcast materials are intended solely for use in conjunction with the associated HCPro webcast. The Licensee may make copies of these materials for internal use by attendees of the webcast only. All such copies must bear the following legend: Dissemination of any information in these materials or the webcast to any party other than the Licensee or its employees is strictly prohibited. In our materials, we strive to provide our audience with useful and timely information. The live webcast will follow the enclosed agenda. Occasionally, our speakers will refer to the enclosed materials. We have noticed that non-hcpro webcast materials often follow the speakers presentations bullet-by-bullet and page-bypage. However, because our presentations are less rigid and rely more on speaker interaction, we do not include each speaker s entire presentation. The enclosed materials contain helpful resources, forms, crosswalks, policies, charts, and graphs. We hope that you will find this information useful in the future. Although every precaution has been taken in the preparation of these materials, the publisher and speaker assume no responsibility for errors or omissions, or for damages resulting from the use of the information contained herein. Advice given is general, and attendees and readers of the materials should consult professional counsel for specific legal, ethical, or clinical questions. HCPro, Inc., is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks; the Accreditation Council for Graduate Medical Education, which owns the ACGME trademark; or the Accreditation Association for Ambulatory Health Care (AAAHC).

3 Presented by: Speaker Photo Here Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, currently serves as the Director of HIM and Coding for HCPro, Inc. She manages the instructors of the Certified Coder Boot Camps, which cover physician and outpatient hospital coding and inpatient hospital facility coding. McCall is HCPro s Revenue Cycle Institute lead coding expert, where she works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues. McCall has extensive experience with coding for both physician and hospital services. She has been instructing ICD-10 related content since 2010.

4 Types of Coders Hospital services coders Inpatient coders Outpatient coders Includes ambulatory surgery, clinics, ancillary departments (e.g., lab, pathology, radiology, emergency department) Assign codes for the facility portion of the payment Usually employed by the hospital Per the AHA, there are about 5700 registered hospitals in the U.S. (based on 2011 data)

5 Types of Coders Professional services coders Assign codes for the physician/professional portion of the payment Usually employed by the physician practice, not the hospital But don t forget, hospitals may want to include the physician practices in negotiating education for ICD-10!!! Per the Federation of State Medical Boards, there are approximately 850,000 physicians in the U.S. (based on 2010 data)

6 Two Principal Types of Coding Systems Diagnosis Coding System Used to Report Why the Patient Received Health Care Services ICD-9-CM Volumes 1-2 Procedure Coding Systems Used to Describe What Services/Items the Patient Received ICD-9-CM Volume 3, CPT and HCPCS II

7 ICD-9-CM Transition to ICD-10-CM/PCS Hospital Inpatient Hospital Inpatient ICD-9-CM Vols 1-2 to ICD-10-CM ICD-9-CM Vol 3 to ICD-10-PCS

8 ICD-9-CM Transition to ICD-10-CM/PCS Hospital Outpatient Hospital Outpatient ICD-9-CM Vols 1-2 to ICD-10-CM CPT and HCPCS II NO CHANGE

9 ICD-9-CM Transition to ICD-10-CM/PCS Professional Services Professional Services ICD-9-CM Vols 1-2 to ICD-10-CM CPT and HCPCS II NO CHANGE

10 Coder Roadmap Hospital Inpatient 10

11 Coder Roadmap Physician/Hospital Outpatient 11

12 What To Look For In Education CEUs available for all major credentialing bodies (AHIMA, AAPC, ACDIS, CME, ANCC) Number of credits vary Extremely valuable if organization supports coding credential maintenance for employees If maintenance is the responsibility of the employee, it will be viewed as an added perk paid for by their organization Instructors who are not sub-contracted out Make sure you know who will teach your class Look for a proven track record of providing quality coder education

13 HCPro Coding Boot Camps Certified Coder Boot Camp (Live classroom-based training, onsite, online) 5 day class or 4 week online Perfect first step for a new coder Prepares for the AAPC s CPC exam CCBC-Inpatient (live; open reg and onsite) 5 day class; ideal for cross training outpatient coders to inpatient coders Proficient ICD-9 coders will only make EXCELLENT ICD-10 coders!

14 HCPro Coding Boot Camps ICD-10 Basics (Onsite live training only and elearning) 1 or 2 day live class (ICD-10-CM only or ICD-10- CM/PCS modules) Step 1 in learning the ICD-10-CM and ICD-10-PCS classification systems. Taught using comparisons of ICD-9-CM codes to ICD- 10 codes

15 HCPro Coding Boot Camps CCBC- ICD-10- CM only (Classroom-based training, onsite, online, and elearning) Step 2 for those necessitating only ICD-10-CM knowledge (e.g. hospital outpatient, professional services, ancillary coders) Perfect for those who must sit for the AAPC s ICD-10- Proficiency Exam (available October 2013) to maintain coding credentials!! Includes 75 question ICD-10-CM Practice Proficiency Exam

16 HCPro Coding Boot Camps CCBC- ICD-10-CM and ICD-10-PCS (Classroom-based training, onsite, elearning) Step 2 in mastering ICD-10-CM and ICD-10-PCS Includes all the ICD-10-CM only content and benefits Plus in depth review of ICD-10-PCS Practical code assignment of operative notes and entire inpatient records Developed for experienced inpatient coders Inexperienced?? Start with CCBC-Inpatient

17 Pairing HCPro Education Hospital Inpatient CCBC- Inpatient Hospital Inpatient ICD-10 Basics CM and PCS CCBC- ICD-10 CM/PCS

18 Pairing HCPro Education Hospital Outpatient CCBC Hospital Outpatient ICD-10 Basics CM Only CCBC- ICD-10 CM Only

19 Pairing HCPro Education Professional Services CCBC Professional Services ICD-10 Basics CM Only CCBC- ICD-10 CM Only

20 ICD-10 Challenges Facing Coding Professionals Fear of learning a new coding system (ICD-9 has been used since 1979) Many contemplate retiring! Productivity losses not as much memory coding Integration of computer assisted coding (CAC) A computer software application that analyzes health care documents and produces appropriate medical codes for specific phrases and terms within the document Can be used to assign ICD-9, CPT and ICD-10 codes Coders audit the output of the CAC to determine accuracy Advantages over manual coding Increased productivity and efficiency in coding Consistent application of coding rules However, the cost of the software and the increased potential for errors are potentially detrimental

21 Challenges Facing Coding Professionals with ICD-10 Increased need for understanding HOW procedures are performed due to added details in the ICD-10-PCS codes Some coders lack formal training in coding and anatomy/physiology because they were trained OJT (on the job). Dual coding Many will have to code in both ICD-9 and ICD- 10 for 6+ months prior to ICD-10 implementation date Ensuring documentation supports the detail provided in ICD- 10-CM/PCS (with the help of CDI specialists)

22 Why Choose HCPro? Proven track record of providing quality coding education The Certified Coder Boot Camp programs are the pioneers of intensive boot camp training formats Imitation is the highest form of flattery Over 10 years of providing coding boot camp training in the U.S. Teach all types of coding outpatient/physician, hospital inpatient Even CDI programsi!! Instructors average evaluations are 4.8 on a 5.0 scale

23 Why Choose HCPro? We don t HIDE who will teach your class Our instructors are not sub-contracted out Leave the instruction of coding to those who KNOW how to teach coding Our instructors have years experience in teaching coding We ve been teaching ICD-10 since September 2010 Don t gamble with your invested $$$ by asking internal employees to become trainers on a system they may have just learned themselves

24 Why Choose HCPro? CEUs available for all major credentialing bodies (AHIMA, AAPC, ACDIS, CME, ANCC) Number of credits vary Extremely valuable if your organization supports coding credential maintenance for employees saves $$ If maintenance is the responsibility of the employees, it will be viewed as an added perk paid for by their organization Not all companies may be approved by both AHIMA and AAPC (especially if they plan to present canned materials from AHIMA Train the Trainer programs) We also provide continuing education through Justcoding.com

25 Why Choose HCPro? Convenience - we come to you! No travel costs for attendees Planned on dates you choose $$$$ Savings $$$$ Average savings approximately 60% off sending individuals to an open registration course Don t forget travel costs! (+$ /pp - 5 day class) The more people you have to train the more cost effective it can become! Consistent message in coding training across all departments Opportunity for attendees to network within the organization

26 Educational Content Our educational content is developed as rules-based learning Using recognized source authorities such as the Official Guidelines for ICD-10-CM and ICD-10-PCS Coding Guidelines Modules are created in an intensive learning format to maximize comprehension of complex topics. Traditionally, the modules are arranged with broader concepts and then progressively narrow to more specific ones For example, ICD-10-CM as a system Specific conventions applicable to the whole manual Coding issues specific to the each chapter within the manual.

27 Educational Content We teach then test in a step by step manner Coding is an activity therefore learning is not truly experienced without doing the activity Each module teaches a set of concepts During the modules there are various examples to code as a group so that everyone stays engaged At the end of each module we also ask questions related to those concepts to measure comprehension (completed individually) Increasing in complexity throughout the course Example: Correctly assign ICD-10-CM codes, then ICD-10- PCS, then both (outpatient and inpatient) We provide answer keys and rationale to all exercises

28 Educational Content How can we make it specific to our organization rather than general training? All of our ICD-10 boot camps are really generalized training (but in varying intensities/length) Generalized not specific to any one organization Customized elements added that are solely directed or structured around one organization

29 Educational Content Customization Suggestions How can you customize for us? CCBC-ICD-10 CM only: 2 day live class Custom ½ day add-on that uses the facility s records for a mini- lab coding ICD-10-CM. Need about 50 records. CCBC-ICD-10 CM/PCS: 4.5 day live class Custom ½ day add-on that uses the facility s inpatient records for a mini- lab coding ICD-10-CM/PCS. Need about 5-7 records.

30 30 Don t wait Contact us now Learn more about how HCPro can help with your education and training. Contact your dedicated HCPro Account Manager at sales@hcpro.com

31 Q & A 31