Coder ICD-10 Productivity: A Time Study

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Coder ICD-10 Productivity: A Time Study"

Transcription

1 Coder ICD-10 Productivity: A Time Study

2 Funded Research University Hospital Cincinnati, Ohio Over a 5 month period, UASI in conjunction with the University of Cincinnati & University Hospital conducted a research study to measure ICD-10 productivity time loss. Objectives Determine the variance in coder productivity using ICD-9-CM vs. the ICD-10-CM/PCS coding classifications and to calculate the potential initial productivity loss due to the transition to ICD-10-CM/PCS. Hypothesis Null hypothesis indicates there will be no difference in coding productivity when coders utilize ICD-9-CM and ICD-10-CM/PCS classification systems. The alternative hypothesis indicates coding productivity using ICD-10-CM/PCS will be significantly lower than coding productivity using the ICD-9-CM classification system. Impacts on Coding Productivity The study took into consideration several factors that would impact productivity in today s ICD-9-CM environment. Such factors included: Complexity of cases Health record format paper, hybrid and EMR Coder familiarity with record format Individual reading speed Coding methodology book, logic based encoder and book based encoder System access issues such as downtime Sufficient health record documentation

3 Study Methodology The study was designed to simulate the current coding reality by using 2 record sets of equivalent types of cases. One record set coded in ICD-9-CM and the other record set coded in ICD-10-CM/PCS. The coders used the 3M encoder for all cases. Sample Selection Records selected from University Hospital Inpatient acute care cases reflected the most common inpatient cases. Records were analyzed to verify all documentation was complete with a representative sample of Medical and Surgical cases. The sample reflected the most common inpatient cases and all information was in the hospital EHR. The sample resulted in two groups of equivalent cases. Coding Quality Scoring Study participants compared to experts were given a quality score for each record coded with ICD-10-CM/PCS. Description Quality Score Complete match for Principal Diagnosis 5 One digit behind the decimal point is different 4 Two digits behind the decimal point are different 3 The three digits before the decimal point match 2 The code begins with the same alpha character 1 No part of the code matches 0 Study Participants All study participants were experts in ICD-9-CM coding, with varying levels of ICD-10-CM/PCS coding expertise including Basic, Advanced (AHIMA-Approved ICD-10 Trainers), and Expert (AHIMA ICD-10 Academy Faculty). Study participants also varied in terms of education level and professional credentials.

4 The Results Overall Productivity Overall productivity with ICD-9-CM compared to productivity with ICD-10-CM/PCS: ICD-9-CM Avg. Coding Time minutes. ICD-10-CM/PCS Avg. Coding Time minutes. Overall, on average it took, minutes (or 69%) longer to code a record in ICD-10-CM/PCS. Coder Differences The six coders included increased coding time anywhere from an additional 10.6 minutes (31.6%) to minutes (89.8%) on average. Three coders who had earned AHIMA ICD-10 trainer certification increased coding time by an additional 14.7 minutes (54.4%) per case on average. Two who received basic training needed an additional 17.0 minutes (81.8%) on average. Quality Overall quality score in comparison to Gold Standard 3.37 across all coders. As the time spent per record increases, the coding quality decreases. Study Implications It appears that previous estimates of initial coder productivity loss may have been understated. Prior to the implementation delay from October 1, 2013 to October 1, 2014, estimates projected around 50% loss in productivity. Expect significant return on investment from training. There is no perfect ICD-10-CM coder. Experience and/or education did not appear to have an impact. A coder s current speed in ICD-9-CM is not necessarily a predictor of his/her speed with ICD-10-CM/PCS. More time spent on a record does not translate to higher quality.

5 About the Company UASI is a leading national provider of revenue cycle solutions designed to help healthcare facilities achieve correct reimbursement in the quickest possible time. Our services include: Remote Coding, Onsite Coding, Clinical Documentation Support, Coding Compliance Audits, ICD-10 Support Services, Revenue Integrity Audits, and Health Information Interim Management solutions. Based in Cincinnati, Ohio with service nationally, UASI is unique in its ability to fuse technology and professional services to deliver superior financial performance.

6 UASI ICD-10 Support Services Documentation Gap Analysis Through an intensive medical record review, UASI provides an action plan to identify and correct documentation gaps and/or provide specific areas of focus for your Clinical Documentation Improvement (CDI) program. Reimbursement Impact Analysis To minimize financial impact, UASI coding professionals evaluate potential shifts and changes in the case mix index by comparing MS-DRG assignments based on ICD-9-CM codes to those based on ICD- 10-CM/PCS codes in a representative sampling of inpatient cases. Results are analyzed to identify variances and provide well-supported financial projections for transitioning to ICD-10-CM/PCS. Targeted Training on Documentation Gaps Customized Training to Address Identified Documentation Gaps for Clinicians, Clinical Documentation Specialists and Health Information Management Professionals. Targeted Application-based ICD-10 Training Support Complete ICD-10-CM/PCS coder training onsite or remote including practice coding in ICD-10- CM/PCS for Medical Coding Professionals. Coding Workforce Solutions

7 Experienced Coders available for supplemental coding. With proven experience in high volume, high quality coding, UASI is uniquely positioned to provide workforce solutions tailored to your organization ranging on-site and remote coding staff augmentation to complete coding outsourcing. ICD-10 Coding Accuracy Reviews Action Plans for Improved Medical Coder Accuracy Rates. For more information or questions related to ICD-10 Coding Productivity Loss, UASI s ICD-10 Support Services and Post Go-Live Coding & Audit Solutions, contact us: Ph or

ICD-10-CM/PCS Coder Training. Success Strategy

ICD-10-CM/PCS Coder Training. Success Strategy ICD-10-CM/PCS Coder Training Success Strategy UASI Training Strategies Cincinnati, Ohio Introduction Most would agree the transition from ICD-9 to ICD-10 brings about significant differences in the code

More information

the rationale for dual coding Dual Coding in Preparation for ICD-10: Emerging Best Practice Lisa Fink, MBA, RHIA, CPHQ Kathy M.

the rationale for dual coding Dual Coding in Preparation for ICD-10: Emerging Best Practice Lisa Fink, MBA, RHIA, CPHQ Kathy M. the rationale for dual coding Dual Coding in Preparation for ICD-10: Emerging Best Practice Lisa Fink, MBA, RHIA, CPHQ Kathy M. Johnson, RHIA Table of Contents 3 Introduction 4 Rationale for Dual Coding

More information

ICD-9 or ICD-10, That is the Question How to Choose the Right Medical Coding Training for Your New Career

ICD-9 or ICD-10, That is the Question How to Choose the Right Medical Coding Training for Your New Career ICD-9 or ICD-10, That is the Question How to Choose the Right Medical Coding Training for Your New Career Making a career change is a big decision, and of course you want to ensure you re choosing the

More information

Challenges of the. Opportunities and. ICD-10 Transition

Challenges of the. Opportunities and. ICD-10 Transition Opportunities and Challenges of the ICD-10 Transition Liz Curtis, RHIA, CHP Administrative Director, Medical Information Management The Ohio State University Wexner Medical Center Learning Objectives 1.

More information

Computer Assisted Coding: A Path to Mitigate Risk & Reduce Cost

Computer Assisted Coding: A Path to Mitigate Risk & Reduce Cost Computer Assisted Coding: A Path to Mitigate Risk & Reduce Cost Valerie Wilson, RHIA Senior Consulting Product Analyst HCA Mary Bessinger, MBA, RHIA, CCS, CPHQ AVP Consulting and Management Services Parallon

More information

Practice Coding: Market Drivers and Demand Forecast

Practice Coding: Market Drivers and Demand Forecast : Market Drivers and Demand Forecast Synopsis A long-standing shortage of qualified medical coders continues to persist nationwide. The greatest impact to date appears to be in larger organizations or

More information

ICD-10 Transition for Providers: Mitigate the Financial Risks

ICD-10 Transition for Providers: Mitigate the Financial Risks ICD-10 Transition for Providers: Mitigate the Financial Risks INTRODUCTION The ICD-10 transition will have tremendous impact on a provider organization, and this impact will be felt for years after the

More information

Options for Coder Shortage

Options for Coder Shortage Making the Most of the ICD-0 Delay: Implementing a Training Schedule That Works for You Options for Coder Shortage ! Health information management (HIM) departments have faced an ever-worsening shortage

More information

ICD-10-CM and PCS Implementation in the U.S.

ICD-10-CM and PCS Implementation in the U.S. ICD-10-CM and PCS Implementation in the U.S. Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA AHIMA-Approved ICD-10-CM/PCS Trainer Objectives Where do we stand as of May, 2014 We ll cover The U.S. Classification Experience

More information

To Receive CPE Credit

To Receive CPE Credit The Five Ws of ICD-10 Training & How to Develop a Training Plan Presented by Ann Zeisset, RHIT, CCS, CCS-P AHIMA-Approved ICD-10-CM/PCS Trainer February 13, 2013 To Receive CPE Credit Participate in entire

More information

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

360 Coder ICD-10 Education: What Organizations Need To Know Now 360 Coder ICD-10 Education: What Organizations Need To Know Now 2 Copyright Information Copyright 2013 HCPro, Inc. The 360 Coder Education: What You Need To Know Now webcast materials package is published

More information

A Guide to Education and Training for ICD-10 Implementation

A Guide to Education and Training for ICD-10 Implementation A Guide to Education and Training for ICD-10 Implementation Table of Contents Chapter One: Phases of implementation Chapter Two: Timelines for implementation Chapter Three: Part One: Part Two: Part Three:

More information

ICD-10-CM Transition

ICD-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 information

Course Catalog. Libman Education Inc. offers the following training and education opportunities for HIM professionals:

Course Catalog. Libman Education Inc. offers the following training and education opportunities for HIM professionals: Libman Education Inc. offers the following training and education opportunities for HIM professionals: ANATOMY & PHYSIOLOGY/MEDICAL TERMINOLOGY Anatomy & Physiology Skills Assessment Knowledge of anatomy

More information

BUYERS GUIDE. AdvantEdge Healthcare Solutions Call now: 877-501-1611 ahsrcm.com

BUYERS GUIDE. AdvantEdge Healthcare Solutions Call now: 877-501-1611 ahsrcm.com 2011 Coding &Revenue BUYERS GUIDE 3M Health Information Systems is a global provider of medical record coding, terminology, and reimbursement solutions designed to improve clinical and financial performance.

More information

REIMBURSEMENT CODING SERIES

REIMBURSEMENT CODING SERIES REIMBURSEMENT CODING SERIES Occ. Work Prob. Effective Last Code No. Class Title Area Area Period Date Action 4839 Reimbursement Coder 02 445 6 mo. 00/00/00 Rev. 4840 Reimbursement Coding Specialist 02

More information

Insights and Best Practices for Clinical Documentation Improvement Programs

Insights and Best Practices for Clinical Documentation Improvement Programs Insights and Best Practices for Clinical Documentation Improvement Programs In the face of alarming predictions about ICD-10 s administrative impact and its veritable explosion of new codes to wrangle

More information

ICD-10 Transition Project Planning. Kristen Heffernan MicroMD Director of Prod Mgt and Marketing

ICD-10 Transition Project Planning. Kristen Heffernan MicroMD Director of Prod Mgt and Marketing ICD-10 Transition Project Planning Kristen Heffernan MicroMD Director of Prod Mgt and Marketing 1 ICD-10 Transition Project Planning Agenda What is ICD-10? Why ICD-10? Realistic expectations Comparing

More information

THE ROAD TO ICD-10: DOES YOUR CHC HAVE AN IMPLEMENTATION STRATEGY IN PLACE?

THE 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 information

Market Leader of Revenue Cycle Management Services

Market Leader of Revenue Cycle Management Services Market Leader of Revenue Cycle Management Services Empowering healthcare organizations to optimize investments through End-to-End Revenue Cycle Management Services Revenue Cycle Management Services Unprecedented

More information

REIMBURSEMENT CODING SERIES

REIMBURSEMENT CODING SERIES REIMBURSEMENT CODING SERIES Occ. Work Prob. Effective Last Code No. Class Title Area Area Period Date Action 4839 Reimbursement Coding Representative 02 445 6 mo. 11/15/15 Rev. 4840 Reimbursement Coding

More information

Revenue Integrity Boot Camp. Coding. Agenda

Revenue Integrity Boot Camp. Coding. Agenda Annie Lee Sallee MBA, RHIT, CPC, CPMA AHIMA Approved ICD-10-CM/PCS Trainer Revenue Cycle Education Specialist Home Town Health Jenan Custer CPC, CCS AHIMA Approved ICD-10-CM/PCS Trainer and Ambassador

More information

Continuous Quality Monitoring

Continuous Quality Monitoring Continuous to Maximize ICD-10 Proficiency and Organizational Benefits 1 2 The New Role of 3 Continuous ! A common strategy to maintain coding accuracy, continuous quality reviews have taken on greater

More information

Extreme Makeover - ICD-10 Code Edition: Demystifying the Conversion Toolkit

Extreme Makeover - ICD-10 Code Edition: Demystifying the Conversion Toolkit Extreme Makeover - ICD-10 Code Edition: Demystifying the Conversion Toolkit Deborah Kohn, MPH, RHIA, FACHE, CPHIMS, FHIMSS Principal - Dak Systems Consulting, San Mateo CA DISCLAIMER: The views and opinions

More information

Solutions for Clinical Documentation Improvement and Information Integrity

Solutions for Clinical Documentation Improvement and Information Integrity Solutions for Clinical Documentation Improvement and Information Integrity Improve patient care. Optimize reimbursement. Ensure regulatory compliance. Each of these mission-critical imperatives depends

More information

Optimizing Clinical Documentation Improvement AT THE INTERFACE OF CLINICAL OPERATIONS AND THE REVENUE CYCLE

Optimizing Clinical Documentation Improvement AT THE INTERFACE OF CLINICAL OPERATIONS AND THE REVENUE CYCLE Optimizing Clinical Documentation Improvement AT THE INTERFACE OF CLINICAL OPERATIONS AND THE REVENUE CYCLE Optimizing Clinical Documentation Improvement AT THE INTERFACE OF CLINICAL OPERATIONS AND THE

More information

PREPARING 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 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 information

Dedicated online adult-focused healthcare education company for 20 years. Proprietary learning management system (LMS) supporting up to 100,000 users

Dedicated online adult-focused healthcare education company for 20 years. Proprietary learning management system (LMS) supporting up to 100,000 users Company Background Dedicated online adult-focused healthcare education company for 20 years 100% in-house staff AHIMA & AAPC approved educational courses Leading online healthcare educator Proprietary

More information

Webinar sponsored by Gateway EDI

Webinar sponsored by Gateway EDI Webinar sponsored by Gateway EDI Agenda Overview of changes Where you should be focused now Changes needed for coders and clinicians Documentation changes Successful implementation Overview 2014 Implementation

More information

Making the Transition: ICD-10-CM Diagnosis Codes ICD-10-CM: International Classification of Diseases, 10th Edition, Clinical Modification

Making 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 information

South Dakota Medicaid ICD-10 Provider Education Series

South 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 information

Fast Tracking ICD-10 Developing the Budget

Fast Tracking ICD-10 Developing the Budget Fast Tracking ICD-10 Developing the Budget By Deborah Grider CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, CCS-P, CDIP AHIMA Approved ICD-10 Trainer Clinical Documentation Improvement Practitioner Indiana Health

More information

Check the url for more information http://www.careerstep.com/ap/greatbasin

Check the url for more information http://www.careerstep.com/ap/greatbasin Great Basin College is offering online training for Inpatient/Outpatient Medical Coding and Billing Certificate of Achievement (34 credits) Or Recognition of Achievement (28 Credits) will begin in Fall

More information

Regulatory Compliance Policy No. COMP.RCC 4.70 Title:

Regulatory Compliance Policy No. COMP.RCC 4.70 Title: I. SCOPE: Regulatory Compliance Policy No. COMP.RCC 4.70 Page: 1 of 9 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)

More information

* Dignity Health. Success

* Dignity Health. Success * Dignity Health. Tools for Success Table of Contents ICD 10 Overview Physician Practice Checklist Financial Planning for ICD 10 ICD 10 Education for Physicians ICD 10 Education for Staff ICD 10 Impacts

More information

KNOW G2N A COMPANY PROFILE

KNOW G2N A COMPANY PROFILE KNOW G2N A COMPANY PROFILE KNOW G2N A COMPANY PROFILE I felt that getting accurate coding established early was key to our plan to optimize our reimbursement. CFO Trios Health Kennewick, Washington G2N

More information

ICD-10 Transition ROLES AND RESPONSIBILITIES

ICD-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 information

Meeting 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 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 information

Preparing 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. 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 information

Objectives. ICD Background. Introduction to ICD-10 and what you need to know for a Successful Transition

Objectives. ICD Background. Introduction to ICD-10 and what you need to know for a Successful Transition Introduction to ICD-10 and what you need to know for a Successful Transition Sheila Goethel, RHIT, CCS Coding Consultant AHIMA ICD-10-CM/PCS Certified Trainer May 2011 Objectives Introduction of ICD Brief

More information

Real World Experience In Recoding Charts In ICD-10

Real World Experience In Recoding Charts In ICD-10 Real World Experience In Recoding Charts In ICD-10 By Karen G. Youmans, MPA, RHIA, CCS President, YES HIM Consulting, Inc. YES HIM Consulting, Inc. OVERVIEW AND BACKGROUND INFORMATION During April-May

More information

ICD-10: Prepare, Implement, and Train

ICD-10: Prepare, Implement, and Train ICD-10: Prepare, Implement, and Train Source Medical Solutions, Inc. October 2013 For more information, please visit www.sourcemed.net or call 866-687-2300 1 Executive Summary There are numerous documents

More information

Tax ID: 27-2803409 Address: 2909 West Bay to Bay Blvd., Suite 500, Tampa, FL 33629 Tel: 813-369-5158 Fax: 813-489-2090

Tax ID: 27-2803409 Address: 2909 West Bay to Bay Blvd., Suite 500, Tampa, FL 33629 Tel: 813-369-5158 Fax: 813-489-2090 Revenue Cycle Leadership and Health Information Management Solutions Immediate Expert Solutions Vendor Information Tax ID: 27-2803409 Address: 2909 West Bay to Bay Blvd., Suite 500, Tampa, FL 33629 Tel:

More information

Not all NLP is Created Equal:

Not all NLP is Created Equal: Not all NLP is Created Equal: CAC Technology Underpinnings that Drive Accuracy, Experience and Overall Revenue Performance Page 1 Performance Perspectives Health care financial leaders and health information

More information

Complete Practice Resources Healthcare Coding Consultants of Hawaii Software, Consulting, Coding, Training, and Education

Complete Practice Resources Healthcare Coding Consultants of Hawaii Software, Consulting, Coding, Training, and Education Complete Practice Resources Healthcare Coding Consultants of Hawaii Software, Consulting, Coding, Training, and Education I. SOFTWARE AND CONSULTING Ready10 Basic PACKAGE $589 This web-based software package,

More information

Change 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 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 information

Isn t this just about coding? Understanding the Impact of ICD 10 on Your Revenue Cycle. 2012 LHIMA Annual Convention 4/18/2012. Session Objectives

Isn t this just about coding? Understanding the Impact of ICD 10 on Your Revenue Cycle. 2012 LHIMA Annual Convention 4/18/2012. Session Objectives Understanding the Impact of ICD 10 on Your Revenue Cycle LHIMA ICD-10 SUMMIT June 18, 2013 Presented by Patty Harper, RHIA AHIMA Approved ICD 10 CM/PCS Trainer Certified EHR Implementation Manager Clinical

More information

6/30/2015. Physician Revenue Cycle: Basics and Beginnings. Today s Agenda. Codes by Setting

6/30/2015. Physician Revenue Cycle: Basics and Beginnings. Today s Agenda. Codes by Setting Revenue Cycle: Basics and Beginnings Leigh Williams CPC, CPHIMS AHIMA Approved ICD-10-CM/PCS Trainer Director, Revenue Cycle/HIM Today s Agenda Terminology for code sets ICD Modifier RVU What about ICD-10?

More information

ICD-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 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 information

Countdown 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 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 information

Introduction 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 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 information

Coding Specialist-Physician-Based (CCS-P )

Coding Specialist-Physician-Based (CCS-P ) AHIMA Certified Coding Specialist-Physician-Based (CCS-P ) AHIMA Certified Coding Specialist-Physician-Based (CCS-P ) What is the CCS-P certification and exam? The Certified Coding Specialist-Physician-Based

More information

Frequently asked questions: ICD-10

Frequently 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 information

ICD-10 DELAY: Relief or Grief?

ICD-10 DELAY: Relief or Grief? ICD-10 DELAY: Relief or Grief? PETER EDU MD, CPC, CPC-I, CCS Healthcare Sr. Training Manager TeleDevelopment Services, Inc. OUTLINE 1. Background 2. What s new with ICD-10? 3. Impact of ICD-10-CM implementation

More information

ICD-10 FAQs for Doctors

ICD-10 FAQs for Doctors 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 information

Defining the Core Clinical Documentation Set

Defining the Core Clinical Documentation Set Defining the Core Clinical Documentation Set for Coding Compliance Quality Healthcare Through Quality Information It is time to examine coding compliance policy and test it against the upcoming challenges

More information

Below are some frequently asked questions that may assist your practice.

Below are some frequently asked questions that may assist your practice. Dear Providers: With the recent announcement in the delay for the implementation for ICD-10-CM/PCS we wanted to provide an update on Blue Cross and Blue Shield of Vermont s (BCBSVT) implementation. We

More information

Preparing for ICD-10 WellStar Medical Group Toolkit

Preparing 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 information

2015 HIM Educational Summit ICD-10-CM Discussion Panel

2015 HIM Educational Summit ICD-10-CM Discussion Panel 2015 HIM Educational Summit ICD-10-CM Discussion Panel PRESENTED BY Karen Scott, MEd, RHIA, CCS-P, CPC, FAHIMA AHIMA Approved ICD-10-CM/PCS Trainer KScottSeminars@Comcast.net Brian Boyce, BSHS, CPC, CPC-I,

More information

Transitional Instructional Design to Accommodate ICD-10-CM/PCS

Transitional Instructional Design to Accommodate ICD-10-CM/PCS Transitional Instructional Design to Accommodate Webinar October 15, 2009 Practical Tools for Seminar Learning Copyright 2009 American Health Information Management Association. All rights reserved. Disclaimer

More information

ICD-10: A Coders Perspective

ICD-10: A Coders Perspective ICD-10: A Coders Perspective Karla VonEschen, CPC AHIMA Approved ICD-10 Trainer 1 1 ICD-10 REFRESHER 2 What is ICD-10? ICD-10 is the new coding system that will take the place of our current system, ICD-9.

More information

Best Practices for Transitioning to ICD-10

Best Practices for Transitioning to ICD-10 Best Practices for Transitioning to ICD-10 Nearly 20 years after it was first proposed, the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding

More information

2. Provide Specialty Mix

2. Provide Specialty Mix RFP 10049743 ICD 10 Consulting April 14, 2015 Addendum #1 1. Clarification: Several times throughout the RFP document, bidding phase is referenced. This is the complete RFQ. Technical and Pricing proposals

More information

Welcome to ICD-10 CLINICAL CLOSE-UP

Welcome 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 information

Preparing for ICD-10 Expected Impact on Prospective Payment Systems. HSCRC ICD-10 Information Exchange April 2011

Preparing for ICD-10 Expected Impact on Prospective Payment Systems. HSCRC ICD-10 Information Exchange April 2011 Preparing for ICD-10 Expected Impact on Prospective Payment Systems HSCRC ICD-10 Information Exchange April 2011 Agenda ICD-10: A Brief Overview The HSCRC ICD-10 Preparation Process MHA ICD-10 Planning

More information

ICD-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 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 information

Appendix A WORK PROCESS SCHEDULE HIM (HEALTH INFORMATION MANAGEMENT) HOSPITAL CODER O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: TBD

Appendix A WORK PROCESS SCHEDULE HIM (HEALTH INFORMATION MANAGEMENT) HOSPITAL CODER O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: TBD Appendix A WORK PROCESS SCHEDULE HIM (HEALTH INFORMATION MANAGEMENT) HOSPITAL CODER O*NET-SOC CODE: 29-2071.00 RAPIDS CODE: TBD This schedule is attached to and a part of these Standards for the above

More information

New Business Developments in Health Care IT Staffing: How to Reach Qualified Candidates

New Business Developments in Health Care IT Staffing: How to Reach Qualified Candidates New Business Developments in Health Care IT Staffing: How to Reach Qualified Candidates Nov. 15, 2011 Today s ASAPro Webinar is Sponsored by Brought to you by Webinar Audio Options 1. Voice Over Internet

More information

A medical coding specialist is a member of the medical records billing department who aids in insurance reimbursement.

A medical coding specialist is a member of the medical records billing department who aids in insurance reimbursement. A medical coding specialist is a member of the medical records billing department who aids in insurance reimbursement. Specifically, a medical coder interprets medical provider and procedure notes in order

More information

Forget the Fear and Panic:

Forget 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 information

Preparing for ICD-10. What Your Practice Needs to Know

Preparing 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 information

Strategy t Overview. South Carolina Health Information Management Association AHIMA Coding Roundtable July 17, 2011

Strategy t Overview. South Carolina Health Information Management Association AHIMA Coding Roundtable July 17, 2011 Strategy t Overview South Carolina Health Information Management Association AHIMA Coding Roundtable July 17, 2011 Provide a brief overview of SCHIMA s approach to ICD-10 training i & implementation program

More information

JOURNAL AHIMA 2014 BUYERS GUIDE CODING AND ICD-10-CM/PCS GUIDE. Journal of AHIMA April 14 / 79

JOURNAL AHIMA 2014 BUYERS GUIDE CODING AND ICD-10-CM/PCS GUIDE. Journal of AHIMA April 14 / 79 JOURNAL AHIMA OF 2014 BUYERS GUIDE CODING AND ICD-10-CM/PCS GUIDE 2014 Journal of AHIMA April 14 / 79 CONTENTS 3M Health Information Systems... 81 Huff DRG Review Services...90 Administrative Consultant

More information

Computer-assisted coding and documentation for a changing healthcare landscape

Computer-assisted coding and documentation for a changing healthcare landscape Computer-assisted coding and documentation for a changing healthcare landscape Reality is, in this new ICD-10 environment, providers will have two options: a) work harder; or b) find a new way to do things.

More information

Preparing for ICD-10. Preparing for ICD-10. Preparing for ICD-10

Preparing for ICD-10. Preparing for ICD-10. Preparing for ICD-10 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

More information

Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA. March 27, 2013

Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA. March 27, 2013 Impact of Productivity on Revenue Prepared for Elsevier by Nadinia Davis, MBA, CIA, CPA, RHIA, CHDA, CCA, FAHIMA March 27, 2013 Agenda Review the ICD-10-CM/PCS timeline Identify possible revenue cycle

More information

ICD-10 Transition Update: What Health Lawyers Need to Know. Learning Objectives

ICD-10 Transition Update: What Health Lawyers Need to Know. Learning Objectives 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 information

Countdown 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 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 information

AGENDA WHAT IS COMPUTER-ASSISTED CODING, REALLY? J03.0 F43.0 I10 A78 R52

AGENDA WHAT IS COMPUTER-ASSISTED CODING, REALLY? J03.0 F43.0 I10 A78 R52 R06.2 F43.0 I10 06BY3ZC J03.0 A78 03HK0MZ R52 0SG1430 COMPUTER-ASSISTED CODING AGENDA Evaluating and Understanding the Technology Review of Lessons Learned from Early Adopters Workflow and Analytics with

More information

Financial 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 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 information

The Landscape of Health Information Management

The Landscape of Health Information Management 1 Benchmark Report The Landscape of Health Information Management Benchmarking Trends and Insights for HIM Leadership Sponsored by himagine solutions Brought to you by himagine solutions, inc. and ADVANCE

More information

Problems & Barriers Associated to Dual Coding. WEDI Winter Forum 2014 Courtney Lakin and Erik Pupo

Problems & Barriers Associated to Dual Coding. WEDI Winter Forum 2014 Courtney Lakin and Erik Pupo Problems & Barriers Associated to Dual Coding WEDI Winter Forum 2014 Courtney Lakin and Erik Pupo Agenda Introduction to Dual Coding What is Dual Coding? Why Dual Code? Dual Coding and Coder Productivity

More information

Documentation Enhancement is the Key to Success!

Documentation Enhancement is the Key to Success! Documentation Enhancement is the Key to Success! ICD-10 Program Reasons for Change Comparing ICD-9-CM CM and ICD-10 Timeline and Implementation Phase Steps to ICD-10 How to Survive and Ensure Smooth Transition

More information

Problem-Centered Care Delivery

Problem-Centered Care Delivery HOW INTERFACE TERMINOLOGY MAKES STANDARDIZED HEALTH INFORMATION POSSIBLE Terminologies ensure that the languages of medicine can be understood by both humans and machines. by June Bronnert, RHIA, CCS,

More information

EMPLOYEES 1,600+ Clients 1,800. HIM Solutions. 40 States. ROI Document Conversion Revenue Cycle

EMPLOYEES 1,600+ Clients 1,800. HIM Solutions. 40 States. ROI Document Conversion Revenue Cycle EMPLOYEES 1,600+ Clients 1,800 40 States HIM Solutions ROI Document Conversion Revenue Cycle Review the rationale and motivation for the IOD Coder Development Program (CDP) Review the construct of the

More information

ICD-10 Compliance Date

ICD-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 information

Top 5 Things You Must Know

Top 5 Things You Must Know THE Top 5 Things You Must Know ABOUT Increasing Your Medical Practice Revenue Presented by Introduction In terms of complexity, NASA S space program might be able to compete with medical practice revenue

More information

ICD 10: Final Steps for Successful Implementation

ICD 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 information

Program Accreditation organization require students to have onsite PPE hours to graduate from our accredited programs.

Program Accreditation organization require students to have onsite PPE hours to graduate from our accredited programs. Tracy Locke, MS, RHIA Commission on Accreditation for Health Informatics & Information Management Program Accreditation organization require students to have onsite PPE hours to graduate from our accredited

More information

Preparing 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 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 information

ICD -10 TRANSITION AS IT RELATES TO VISION. Presented by: MARCH Vision Care, 2013

ICD -10 TRANSITION AS IT RELATES TO VISION. Presented by: MARCH Vision Care, 2013 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

More information

Deirdre Murphy Health Research and Information Division Economic and social Research Institute (ESRI) Dublin, Ireland.

Deirdre Murphy Health Research and Information Division Economic and social Research Institute (ESRI) Dublin, Ireland. Updating Clinical Coding in Ireland - The Journey to 10 Updating the Classification for discharges from 1.1.05 to ICD-10-AM (The Australian Modification of ICD-10 and the Australian Classification of Interventions

More information

Where Healthcare Turns for Quality, Customer-Centric Focus and Savings

Where Healthcare Turns for Quality, Customer-Centric Focus and Savings Where Healthcare Turns for Quality, Customer-Centric Focus and Savings CODING SERVICES Delivering the right people and technology Synernet is committed to quality in everything we do, from the training

More information

Regulatory Compliance Policy No. COMP.RCC 4.71 Title:

Regulatory Compliance Policy No. COMP.RCC 4.71 Title: I. SCOPE: Regulatory Compliance Policy No. COMP.RCC 4.71 Page: 1 of 12 This policy applies to (1) Tenet Healthcare Corporation and its wholly-owned subsidiaries and affiliates (each, an Affiliate ); (2)

More information

Coding and ICD-10-CM/PCS Guide

Coding and ICD-10-CM/PCS Guide BUYERS GUIDE 2013 Coding and ICD-10-CM/PCS Guide This special advertising section is published annually by AHIMA to promote coding and ICD-10-CM/PCS software, products, and services. 80 Coding and ICD-10-CM/PCS

More information

At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration

At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration At the End of the Day Does the Pipeline Deliver: Cerner / WellPoint ICD-10 Pilot Test Collaboration Elaine O Bleness MBA, RHIA, CHP, AHIMA-approved ICD-10 CM/PCS Trainer Cerner Revenue Cycle Executive

More information

ICD-10 Overview and How Does ICD-10 Impact Departments?

ICD-10 Overview and How Does ICD-10 Impact Departments? ICD-10 Overview and How Does ICD-10 Impact Departments? Thursday, November 3, 2011 Greater Cincinnati Health Council Nelly Leon-Chisen, RHIA Director Coding and Classification American Hospital Association

More information

New Health Analytics MS-DRG Grouper-Calculator-Analyzer

New Health Analytics MS-DRG Grouper-Calculator-Analyzer New Health Analytics MS-DRG Grouper-Calculator-Analyzer February, 12 2015 Market Problem Inpatient acute hospitals are paid based on a diagnostic severity grouping system (MS-DRG), a per stay rate. In

More information

is not a subcontractor of the vendor listed in the original proposal? project management from the client side as well?

is not a subcontractor of the vendor listed in the original proposal? project management from the client side as well? QUESTIONS AND ANSWERS REGARDING REQUEST FOR PROPOSALS FOR: ICD-10 Implementation Consultation, Training and Documentation Services Proposal Number 66000-1213-055 1. Q. Will SMMC entertain a proposal from

More information

ICD-10 Frequently Asked Questions

ICD-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 information