1 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 take a moment to adjust the audio volume on your device. Audio is strongly recommended, but not required. Closed captioning will appear to the left of the screen throughout the majority of the course. When you are ready to begin, please click "Get Started!"
2 1.2 COURSE AGENDA Welcome to the course agenda. Click on the link for Lesson One to enter the course content. Each time you complete a lesson, you will be directed back to this page. Just click on the next lesson. Once you have completed all six lessons, you will be able to exit the course.
3 2. LESSON ONE 2.1 LESSON 1: INTRODUCTION
4 2.2 COURSE OBJECTIVES Once you have completed this course, you should understand the role of ICD-10-CM in Skilled Nursing Facilities, recognize the importance of documentation, understand Medicare requirements, and identify the documentation requirements for ICD-10-CM.
5 2.3 SKILLED NURSING FACILITY CHALLENGES A challenge skilled nursing facilities encounter when providing services is ensuring all diagnoses and services are documented appropriately. This documentation, including diagnoses, is not optional. Without the required documentation, there can be financial and regulatory compliance consequences.
6 3. LESSON TWO 3.1 LESSON 2: ICD-10-CM IN SKILLED NURSING FACILITIES
7 3.2 SKILLED NURSING FACILITY DOCUMENTATION Documentation must include detailed records proving the level of care provided by the skilled nursing facility is necessary. ICD-10-CM requires detailed patient diagnostic and assessment information.
8 3.3 DOCUMENTATION KNOWLEDGE In this course, we will discuss the reasons why ICD-10-CM requires a deeper and more complete knowledge of anatomy and physiology. ICD-10-CM codes are more logical, specific, and provide a better clinical picture. With ICD-10 codes, the amount of information required from the physician increases dramatically.
9 4. LESSON THREE 4.1 LESSON 3: DOCUMENTATION
10 4.2 DOCUMENTATION PURPOSES Documentation provided regarding a patient encounter is very important as it affects data entry of diagnostic orders and Current Procedural Terminology (CPT) equivalents of tests provided. This is critical for quality of care and reimbursement for all providers. Orders, Medical Necessity, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), and Advanced Beneficiary Notices of Non-Coverage (ABNs) are intertwined with ICD-10.
11 4.3 PHYSICIAN ORDERS Lab services must be ordered by physicians. They may be ordered in one of three ways: written document, electronic transmission, or by telephone.
12 4.4 PHYSICIAN ORDERS For a physician order to be valid, it must include a diagnosis and adequate information for the type of test needed. If these requirements are not met, the lab must hold the order until a compliant reason for the test is submitted by the physician.
13 4.5 PHYSICIAN ORDERS A missing diagnosis (proof of medical necessity) may cause care to be delayed or could result in inappropriate care. Claims may result in rejection, payment denial, or payment reduction.
14 4.6 DOCUMENTATION ADEQUACY A current issue with ICD-9 is inadequate documentation. The new challenge with ICD- 10 is the increased specificity needed for accurate coding. Changes will require providers to document new information as well as expand on information currently captured. ICD-10 takes health care to a higher level of standardization in communication to improve quality of care and accuracy of services provided.
15 4.7 MEDICAL NECESSITY Many times the diagnosis or reason for the service is missing from lab orders. Medical necessity is critical to insurer coverage and payment. Without necessary clinical documentation to prove medical necessity, claims are often denied and compliance concerns occur.
16 5. LESSON FOUR 5.1 LESSON 4: MEDICARE
17 5.2 NCDS & LCDS Insurers have documents that outline their coverage requirements and medical necessity criteria. For Medicare, the documents are National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs). Review this page to identify the differences in the two document types.
18 5.3 MEDICARE COVERAGE DATABASE The Centers for Medicare and Medicaid Services (CMS) is the government agency which oversees Medicare. You can find all of Medicare's NCDs and LCDs housed in the Medicare Coverage Database. You may access this database by clicking on the 'Welcome to Medicare Coverage Database' banner on this page. Link:
19 5.4 LOCAL COVERAGE DETERMINATION Medicare Administrative Contractors (MACs) process claims for Medicare. Therefore, MACs use NCDs and LCDs when determining coverage for a claim. You can see an example of a Local Coverage Determination for a Prostate Specific Antigen (PSA) test on this page.
20 5.5 ADVANCED BENEFICIARY NOTICE If a service is not expected to be paid through Medicare as it is not likely to be deemed a medically necessary procedure, the provider must present an Advanced Beneficiary Notice of Non-Coverage (ABN). This allows the beneficiary to make an educated decision regarding his or her healthcare keeping in mind he or she may be responsible for the full cost of the procedure.
21 5.6 ADVANCED BENEFICIARY NOTICE There are specific guidelines that must be followed when issuing ABNs. Look over this page to become more familiar with these guidelines. You will have the opportunity to explore the Advanced Beneficiary Notice of Non-coverage on the next page.
22 5.7 ADVANCED BENEFICIARY NOTICE
24 Take some time to review the ABN form on this page.
25 5.8 ICD-10 and ABNS It is expected that with the introduction of ICD-10-CM, the use of Advanced Beneficiary Notices will increase.
26 6. LESSON FIVE 6.1 Lesson 5: ICD-10-CM
27 6.2 WHY IS ICD-10-CM DIFFERENT? A brief history lesson on the International Classification of Diseases (ICD) before we get started reviewing the changes for ICD-10. ICD-9-CM was written in As you are aware, health care and technology have both advanced greatly since then. Unfortunately, ICD-9 was not created with these things in mind. ICD-10-CM, on the other hand, takes into account that both health care and technology are always changing.
28 6.3 ICD-9-CM VERSUS ICD-10-CM Here you can see a side by side comparison of ICD-9 and ICD-10 for the same condition, gout.
29 6.4 ICD-9-CM VERSUS ICD-10-CM Here is another comparison which details the information ICD-10-CM provides and is required.
30 6.5 AXIS OF CLASSIFICATION ICD-10-CM is a multiaxial system, meaning there are multiple components that comprise the code. The main axis is anatomy. Other axes include etiology, disease site, type of disease, and morphology.
31 6.6 EXAMPLES OF THE AXES Many diseases are organized based on multiple axes. You can review some examples of these diseases on this page.
32 6.7 SEVEN-CHARACTER CODES ICD-10 codes can be up to seven characters in length. The initial three character codes work the same as ICD-9. In a few cases, these three characters are enough. Usually, they are considered category codes which lead to the need for 4th, 5th, 6th, and sometimes 7th characters. You can review the codes for an acute embolism and thrombosis of deep veins of the lower extremities to see how these codes work.
33 6.8 SEVEN-CHARACTER CODES Beginning with the fourth character in ICD-10 codes, subcategories are added. These define the axis of classification by describing granular details, such as site, etiology, and the treatment level for the disease. Each subcategory requires specific documentation regarding the disease process to support the corresponding character. Review this slide to become more familiar with the 5 th, 6 th, and 7 th characters of ICD-10 codes before you move on to the next page to review a detailed example.
34 6.9 SEVEN-CHARACTER CODES Review this chart to see how the 5 th, 6 th, and 7 th characters add details to the ICD code.
35 6.10 LATERALITY Laterality within ICD-10 allows the health care provider to identify which side or sides are affected. Not all conditions that could encompass a left, right, or bilateral site will require laterality to be identified. Conditions that will require laterality include fractures, burns, neoplasms, and pressure ulcers. Using unspecified codes may result in claims pending or even being rejected.
36 6.11 LATERALITY Review this chart and the use of laterality in the ICD-10 coding.
37 6.12 SITE The anatomical site is required when documenting for ICD-10 as it provides optimal support of disease severity, medical necessity, and diagnostic options.
38 6.13 SITE Review these examples in which the anatomical site is crucial for laboratory orders.
39 6.14 TYPE The specific type of a patient's disease or manifestation has significant effect on treatment and supports medical necessity for the services provided. Using an unspecified code due to lacking documentation may eliminate the reporting of a diagnosis which qualifies as a complication or co-morbidity (CC) or major complication or co-morbidity (MCC). This has negative effects not only on data collection but also reimbursement.
40 6.15 TYPE Here is a comparison between ICD-9 and ICD-10. While the general terms may have been sufficient with ICD-9, ICD-10 will require the use of more specific terms. Review this page to identify and become more familiar with the specific terms listed for these conditions.
41 6.16 INCREASED SPECIFICITY Review these additional examples of changes within ICD-10.
42 6.17 SEVENTH-CHARACTER The seventh-character conveys level of care and severity. It helps expedite billing and provides a clearer picture of services and treatment provided. In the following code examples, notice the level of specificity and the documentation detail required for fractures, including the type of encounter, the type of fracture, the type of healing, and the fracture classification.
43 6.18 COMPLICATIONS Skilled nursing facilities often serve patients with postoperative complications. Coding guidelines for these complications has expanded and moved to support site-specific complications. ICD-10 codes make a distinction between intraoperative complications and post procedural disorders. Codes for complications of care can only be assigned when a provider clearly documents the relationship between the condition and the procedure.
44 6.19 COMPLICATIONS Provider documentation for complications of care must identify the relationship between the condition and the care or procedure. There must be a cause-and-effect relationship between the care provided and the condition, and an indication in the documentation that it is a complication. Review this chart for examples of codes in ICD-10 for complications.
45 6.20 COMBINATION CODES With ICD-10 comes the addition of combination codes. These can represent two diagnoses that often occur together, a diagnosis with a commonly associated manifestation, a diagnosis with a commonly associated complication, or a diagnosis with a more accurate biomedical description and specificity.
46 6.21 COMBINATION CODES Review this page for examples of ICD-10 combination codes.
47 6.22 UNDERLYING AND ASSOCIATED CONDITIONS It is important to include information regarding common conditions associated with the effects of disease progression. Underlying and associated conditions often affect many body systems.
48 6.23 UNDERLYING AND ASSOCIATED CONDITIONS Review this slide for common diseases and their potential associated conditions.
49 7. LESSON SIX 7.1 LESSON 6: CONCLUSION
50 7.2 IN CONCLUSION We have reviewed the ICD-10-CM classification system. We have discovered the major ICD-10-CM documentation changes, and their impacts on the overall specificity required for SNF documentation. The specificity of this system supports improved quality of care, communication, and reimbursement accuracy. Many diseases have been expanded to include recent advances in diagnostics, treatments, and disease prognosis.
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
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
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.
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,
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.
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
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
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.
Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities Question 1: When will the ICD-10 Ombudsman be in place? Answer 1: The
Clarifying Questions and Answers Related to the July 6, 2015 CMS/AMA Joint Announcement and Guidance Regarding ICD-10 Flexibilities Question 1: When will the ICD-10 Ombudsman be in place? (revised 09/22/2015)
Transitioning from ICD-9-CM to ICD-10-CM Tidewater Physicians Multispecialty Group Williamsburg, VA February 22, 2014 Our Agenda Some guidelines for this morning s presentation Our Transformational Point
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
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
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
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
Countdown to Change DSM-5 and ICD-10 Sharon A. Shover, CPC, CEMC firstname.lastname@example.org 502.992.3511 Today s Discussion Differences between DSM and ICD Specificity of the code sets Financial Impacts Implementation
LABORATORY COMPLIANCE AND MEDICAL NECESSITY Jump to: Medical Necessity Local/National Coverage Determinations Advance Beneficiary Notice (ABN) ABN Form in English ABN Form in Spanish Annual Physician Notification
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
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
FAQs on Billing for Health and Behavior Services by Government Relations Staff January 29, 2009 Practicing psychologists are eligible to bill for applicable services and receive reimbursement from Medicare
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»
What is PQRS? The Physician Quality Reporting System (PQRS) is a program through the Centers for Medicare and Medicaid Services (CMS) designed to improve the quality of care to Medicare beneficiaries by
OST 148 MEDICAL CODING, BILLING AND INSURANCE COURSE DESCRIPTION: Prerequisites: None Corequisites: None This course introduces CPT and ICD coding as they apply to medical insurance and billing. Emphasis
ICD-10-CM TRANSITION PREPARE FOR CASH-FLOW IMPACT AN WHITE PAPER Executive Summary Effective October 1, 2015, home health agencies must begin using ICD-10-CM medical codes instead of the current outdated
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: email@example.com
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
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
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
American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues March 20-22, 2013 Introduction to Medical Coding for Payment Lawyers Robert A. Pelaia Senior University Counsel for
Welcome to How to Make a Successful Transition to ICD 10 CM Presenter: Amy Hayes MBA, CCS, CCS P, CHA, CMBS Owner The Office Assistant, LLC www.oabilling.com IHS Organizers: Suzanne Hill Professional Development
Presented By: Sarah Hanna President ECS Billing & Consulting North 252 W. Market St. Tiffin, Ohio 44883 419-448-5332 ext. 102 www.ecsbillingnorth.com firstname.lastname@example.org This presentation was
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,
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
CODING 101 BOOT CAMP CODING SEMINAR FOR NEW PHYSICIANS AND STAFF Chicago Dermatological Society January 26, 2013 Presented by Joy Newby, LPN, CPC, PCS Newby Consulting, Inc. 5725 Park Plaza Court Indianapolis,
AHLA HH. Introduction to Medical Coding for Payment Lawyers Robert A. Pelaia Senior University Counsel University of Florida Jacksonville Jacksonville, FL Institute on Medicare and Medicaid Payment Issues
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
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
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?
WellCare and Harmony Health Plan s claim payment policies are based on publicly distributed guidelines from established industry sources such as the Centers for Medicare and Medicaid Services (CMS), the
Shellie Sulzberger, LPN, CPC, ICDCT-CM Coding & Compliance Initiatives, Inc. Reasonable efforts have been made to provide the most accurate and current information on CPT 2015 code changes. However codes,
1. What is the purpose of changing from ICD-9 to ICD-10? a. To improve clinical data collection and more adequately describe the services provided to policyholders and members in a more organized and detailed
Local Coverage Article: Venipuncture Necessitating Physician s Skill for Specimen Collection Supplemental Instructions Article (A50852) Contractor Information Contractor Name CGS Administrators, LLC Article
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
Medical Necessity and Coding NEW MEXICO HEALTH INFORMATION MANAGEMENT ASSOCIATION FALL CODING WORKSHOP September 14, 2012 Hyatt Downtown Albuquerque, NM Presented by: Andrea Busby, RHIA ADHIMA, INC Goals
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
ICD-10 October 1, 2015 Why is SSIS Changing to ICD-10 CM? Federal Health Insurance Portability and Accountability Act (HIPAA) law requires the use of the International Classification of Diseases, Tenth
DUHS Compliance Presentation Date: September 11, 2013 Medicare National Coverage Determinations (NCD) for Clinical Trials Presented by Jan Collins, Compliance Auditor for Clinical Trials Page 1 Medicare
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
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
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
A Health Data Consulting White Paper 1056 Ave S Edmonds, WA 98020-4035 206-478-8227 www.healthdataconsulting.com ICD-10 DRG Impacts at the Hospital Level Joseph C Nichols MD Principal 12 Nov 2011 TABLE
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
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
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
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
206-478-8227 www.healthdataconsulting.com Getting Specific New ICD-10 codes. Will they make a difference? [First in a series on getting to specific documentation and coding] Joseph C Nichols MD Principal
ICD-10 Post Implementation: News from the Front Lines Presented by: Paula Kleiman, RHIA, CPC, AHIMA ICD-10-CM Trainer CEO/President, Creatively HIM Consulting Services, Inc. Agenda ICD-10 Post Implementation
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
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
KYPHON Balloon Kyphoplasty Procedure Reimbursement Guide ICD-9-CM Diagnosis Codes Providers should report the ICD-9-CM diagnosis code that most accurately describes the patient s condition. Please refer
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,
TUTORIAL: How to Code an Emergency Department (ED) Record Welcome! Assigning ICD-10-CM codes to diagnoses and CPT/HCPCS Level II codes to procedures/services for emergency department office records can
COM Compliance Policy No. 3 THE UNIVERSITY OF ILLINOIS AT CHICAGO NO.: 3 UIC College of Medicine DATE: 8/5/10 Chicago, Illinois PAGE: 1of 7 UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE CODING AND DOCUMENTATION
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
US Reimbursement Guide The information with this notice is general reimbursement information only. It is not legal advice, nor is it about how to code, complete or submit any particular claim for payment.
Preparing for ICD-10 Advance Preparation for Implementation Charles Brownlow, OD email@example.com International Classification of Diseases (ICD-9, ICD-10) Both include codes for all medical conditions,
for Physicians, Providers, Suppliers, and Other Health Care Professionals May 2005 DISCLAIMER This Guide was prepared as a tool to assist providers and is not intended to grant rights or impose obligations.
June 2015 ICD-10 for Ophthalmology UConn Health Introduction Dr. Frank Turner ICD-10 Implementation Physician Advisor 2 Agenda After attending this session, participants will be able to: Describe the challenges
ICD -10 TRANSITION AS IT RELATES TO VISION Presented by: MARCH Vision Care, 2013 INTRODUCTION During the summer of 2008, the Department of Health and Human Services (HHS) initiated the implementation process
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
Emdeon Medical Claims Processing Services ICD-10 Frequently Asked Questions Published Q3 2013 Preface This information is provided by Emdeon for education and awareness use only. Even though Emdeon believes
CPT Coding Update And Other Issues Robert E. Smith, M.D. Alison Lynch, M.D. November 13, 2013 1 Disclaimer This information is for educational and informational purposes only, and represents the understanding
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
FREQUENTLY ASKED QUESTIONS The American Academy of Dental Sleep Medicine provides support for its members in matters relating to insurance reimbursement for oral appliance therapy. The following section
Behavioral Health Provider Manual Provider Behavioral Health 1 May 1, 2014 TABLE OF CONTENTS Chapter I. General Program Policies Chapter II. Member Eligibility Chapter IV. Billing Iowa Medicaid Appendix
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?...
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
UnitedHealthcare Medicare Solutions Readmission Review Program for Medicare Advantage Plans General Clinical Guidelines for Payment Review Updated May 2015 Introduction The UnitedHealthcare Medicare Solutions
ICD-10 Preparation for Dental Providers July 2014 What is ICD-10? The International Classification of Diseases (ICD) is a set of codes used worldwide to classify medical diagnoses and inpatient procedures.
March 2013 How much physicians will engage in and support the implementation of ICD-10 has been a heated topic of water-cooler conversation for the past few years, as it has become common knowledge that