ICD-10 Board of Diagnosis - Latest Medical Billing Requirements
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2 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 learning management system (LMS) supporting up to 100,000 users Partner branding capabilities Senior management team with extensive Healthcare & HIM backgrounds
3 Corporate Training Outcomes-driven educational programs specifically designed to meet growing demands of healthcare providers to train, retain and develop their employees Leverage the widely-recognized value of investing in employees as they cut cost and improve quality Efficient and cost-effective means for staff members to gain new skills and demands and increase their value to healthcare executive leaders Assessment tools Provide methods to help hiring managers determine readiness of candidates and employees to perform specific aspects of job requirements Gap analysis to identify explicit individual strengths and weaknesses in particular areas of knowledge and skills Pioneers in the design and delivery of online programs Respected and recognized by healthcare industry certification organizations Trusted by key healthcare providers and payers to meet their training and business objectives Accessible and effective for adult learners in busy healthcare environments
4 Initial and Ongoing Training and Development Corporate Training Programs Knowledge and Skills Assessments for employees and candidates ICD-10 Biomedical Sciences Clinical Coder Courses ICD-10 Biomedical Sciences Advanced Assessments ICD-10 Seminars and Workshops ICD-10-CM/PCS Code Set Training ICD-10 Physician Training by Specialty ICD-9 Medical Coding and Billing New and Advanced Student ICD-9 Outpatient to Inpatient Medical Coding and Billing Medical Biller Training
5 ICD-10-focused expertise in coding and adult learning methodologies Sophisticated, online approach enables economical and efficient access, as well as practice and application during learning Optimal retention Minimal learner frustration Modular content delivered via our proprietary Learning Management System (LMS) can also be delivered via SCORM 1.2 packaging Flexibility enables hosting on any compliant system or hosting by Career Step Robust reporting capabilities Immediate access without versioning Designed to ensure clients evaluate needs, receive role- and needs-based training, assess retention and gaps along the way, retrain as needed, practice along the way and are confidently prepared for ICD-10
6 Our Experience and Work Approach Working with large healthcare facility clients on ICD-10 training development since 2009 System wide ICD-10-CM/PCS educational programs Assessments for coding staff s clinical knowledge base on biomedical sciences (1000+ coders to date) with detailed reporting Adult learning with interactive exercises and activities Ann Zeisset, RHIT, CCS and Gail Smith, MA, RFIA, CCS-P national ICD-10 experts, authors and speakers Biomedical Science Courses incorporating ICD-10-CM/PCS characteristics Separate HIM PCS/CM and Professional Services ICD-10 CM code training CM and PCS code set training with periodic instructor-led webinars Project Manager assigned to assist with schedules, reports, and project plan
7 Benefits Programs based on ICD-10-CM Official Guidelines for Coding and Reporting and ICD-10-PCS Coding Guidelines On-Line education accessible 24/7 supported by proprietary LMS Developed and monitored project timelines with status reporting Detailed coding guideline instruction with multi level coding exercises AHIMA and AAPC prior-approved CEU s Interactive and instructional design for adult learners Client branded online training programs with custom capabilities Flexibility to assign staff by programs and timelines Administrative rights allowing review of multiple progress, activity and result reports by staff
8 Project Manager Roles and Responsibilities Assist client Project Manager with creation of project plan Create education schedule and timeline for staff by programs Create client database: staff contact information, login and programs Conduct staff kick-off calls Monitor staff progress and provide status reporting to client s PM Coordinate distribution of study guides Schedule instructor led webinars Coordinate distribution of CEU Certificates upon completion
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10 Example Calendar DUAL CODING MAY 2014 COURSE COMPLETION CALENDAR Course Name Begin Date Completion Date Basic Assessment Pt. 1 12/17/12 (wk of) 12/21/12 (wk of) Basic Assessment Pt. 2 12/31/12 (wk of) 01/04/12 (wk of) Medical Terminology (6 wks) 01/07/12 02/15/13 Review Study Guide (Med Term) (3 wks) 02/18/13 03/08/13 Advanced Med Term Assessment 03/11/13 (wk of) 03/15/13 (wk of) Anatomy (6 wks) 03/18/13 04/26/13 Review Study Guide (Anatomy) (3 wks) 04/29/13 05/17/13 Advanced Anatomy Assessment 05/20/13 (wk of) 05/24/13 (wk of) Pathophysiology (6wks) 05/27/13 07/05/13 Review Study Guide (Patho) (3 wks) 07/08/13 07/26/13 Advanced Pathophysiology Assessment 07/29/13 (wk of) 08/02/13 (wk of) Pharmacology (5wks) 08/05/13 09/06/13 Review Study Guide (Pharm) (3 wks) 09/09/13 09/27/13 Advanced Pharm Assessment 09/30/13 (wk of) 10/04/13 (wk of) Additional CCCC Training for staff not meeting goals ICD-10 Training CM (12wks) 10/07/13 01/10/13 ICD-10 Training PCS (16wks) 01/13/14 05/02/14
11 Lessons Learned To Date National surveys are showing that the majority of organizations are behind in planning and training Detail project planning through 2014 is critical Assigning dedicated training times for staff Analyzing production coverage needed during training Reporting tools for tracking staff progress Lack of adequate ICD-10 specific Anatomy and Pathophysiology education
12 3 Tier Modular Approach Online Seminars Online Clinical Concept Training and Assessments Online ICD-10 Code Training Programs
13 3 Tier Modular Approach Online Seminars Online Clinical Concept Training & Assessments Online ICD-10 Code Training Programs
14 Online ICD-10 Code Training Programs ICD-10-CM CODE TRAINING PROGRAMS CM training by chapter with comparisons of I-9 vs. I-10 guidelines ICD-10-CM - 12 weeks of training (23 hours hours per week) Training on all modified and new guidelines Identification of key anatomy and pathophysiology related to diagnoses Online, instructor-driven training with multi-level exercises in all chapters Basic: step by step, instructor driven, one-line diagnoses Intermediate: paragraph case scenarios allowing learners to select pace Learners can immediately proactive coding and move on or review and refresh (fast track) Learners can continue to practice on a step by step path enabling more study before move to more complex exercises Complex: de-identified medical records utilizing the new and more complex guidelines Minimum of two, instructor-led webinars End of program exam
15 Online ICD-10 Code Training Programs ICD-10-PCS CODE TRAINING PROGRAMS PCS training by root operation ICD-10-CM - 14 weeks of training (28 hours hours per week) Training on all new guidelines including 6 character guidelines Identification of key anatomy and pathophysiology related to procedures Online, instructor-driven training with multi-level exercises in all chapters Basic: step by step, instructor driven, one-line diagnoses Intermediate: paragraph case scenarios allowing learners to select pace Learners can immediately proactive coding and move on or review and refresh (fast track) Learners can continue to practice on a step by step path enabling more study before move to more complex exercises Complex: de-identified medical records utilizing the new and more complex guidelines Minimum of two, instructor-led webinars End of program exam
16 Learning Objectives Identify the benefits of efficiently using training time Small increments of curriculum Maximize learner retention through multi-layer exercises Discuss value of systematic training approach ICD-10-CM by chapter & PCS Root operation Key element review of anatomy & pathophysiology Education on all new ICD-10 Coding Guidelines Recognize importance of learning assessments Identify pre-training knowledge Multi-level coding exercises Measure knowledge retention in program final exams
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24 ICD-10 Training Guidelines
25 ICD-10-CM Code Training
26 ICD-10-CM Code Training case discussion with embedded videos
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39 ICD-10-PCS code training - Exercises
40 Instructor Led Training AHIMA-approved ICD-10-CM/PCS Trainers Pre-established timelines based on specific module completion Project Manager customizes webinar content based on report scores, course progression, and solicited questions Instructors also cover main topics and examples from online modules and information provided by Project Manager and client Live webinars/chats with instructor scheduled by Project Manager Minimum two scheduled during ICD-10-CM Minimum two scheduled during ICD-10-PCS Recorded for future access
41 3 Tier Modular Approach Online Seminars ONLINE CLINICAL CONCEPT TRAINING and Assessments Online ICD-10 Code Training Programs
42 Online Clinical Concept Training BASELINE ASSESSMENTS (BASIC BIOMEDICAL SCIENCES) WITH REPORTING Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (8 AHIMA CEU) Department summary and individualized reports by coder ICD-10-CM/PCS CLINICAL CONCEPTS COURSES (ICD-10 READINESS) Four CCCC online courses (29 AHIMA CEU and 16 AAPC CEU): Medical Terminology focused on ICD-10-CM/PCS concepts Anatomy focused on ICD-10-CM/PCS concepts Pathophysiology focused on ICD-10-CM concepts Pharmacology focused on ICD-10-CM concepts Detailed study guides ICD-10-CM/PCS ADVANCED CLINICAL CONCEPT ASSESSMENTS WITH REPORTING Advanced Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (geared towards ICD-10-CM/PCS) (8 AHIMA CEU) Department summary and individualized reports by coder
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44 ICD-10-CM/PCS Clinical Concept Course: Medical Terminology
45 ICD-10-CM/PCS Clinical Concept Course: Anatomy
46 ICD-10-CM/PCS Clinical Concept Course: Anatomy embedded videos
47 ICD-10-CM/PCS Clinical Concept Course: Anatomy
48 ICD-10-CM/PCS Clinical Concept Course: Anatomy
49 ICD-10-CM/PCS Clinical Concept Course: Anatomy
50 ICD-10-CM/PCS Clinical Concept Course: Anatomy
51 Toolbar
52 Coder Clinical Concept Course: Anatomy (scores)
53 ICD-10-CM/PCS Clinical Concept Course: Pathophysiology embedded videos
54 ICD-10-CM/PCS Clinical Concept Course: Pathophysiology
55 ICD-10-CM/PCS Clinical Concept Course: Pathophysiology
56 ICD-10-CM/PCS Clinical Concept Course: Pharmacology
57 ICD-10-CM/PCS Clinical Concept Course: Pharmacology
58 3 Tier Modular Approach Online Seminars Online Clinical Concept Training and ASSESSMENTS Online ICD-10 Code Training Programs
59 Online Assessments BASELINE ASSESSMENTS (BASIC BIOMEDICAL SCIENCES) WITH REPORTING Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (8 AHIMA CEU) Department summary and individualized reports by coder ICD-10-CM/PCS CLINICAL CONCEPTS COURSES (ICD-10 READINESS) Four CCCC online courses (29 AHIMA CEU and 16 AAPC CEU): Medical Terminology focused on ICD-10-CM/PCS concepts Anatomy focused on ICD-10-CM/PCS concepts Pathophysiology focused on ICD-10-CM concepts Pharmacology focused on ICD-10-CM concepts Detailed study guides ICD-10-CM/PCS ADVANCED CLINICAL CONCEPT ASSESSMENTS WITH REPORTING Advanced Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (geared towards ICD-10-CM/PCS) (8 AHIMA CEU) Department summary and individualized reports by coder
60 Example: Baseline Assessment
61 Immediate Results
62 Example: Reporting
63 Example: Advanced Assessment
64 Example: Advanced Assessment
65 Example: Advanced Assessment
66 3 Tier Modular Approach Online Seminars Online Clinical Concept Training & Assessments Online ICD-10 Code Training Programs
67 Online Seminars ICD-10 AWARENESS SEMINAR 1 HOUR Audience: Senior Management, Overall awareness campaign ICD-10 impact awareness Changes in ICD-10-CM/PCS character layout ICD-10 fundamentals CMS ICD-10 Provider Compliance Timeline ICD-10 OVERVIEW SEMINAR 7 CEU AHIMA / 4.5 AAPC Audience: Managers, PFS, IT, Researchers, Decision Support ICD-10-CM/PCS structure, guidelines, and conventions Data utilization Review GEMS MS-DRGs, and code freezes ICD-10 WORKSHOP 20 CEU AHIMA / 6 AAPC Audience: Coding Leads, CDI, UR Reviewers, Case Managers, Quality and Compliance SMEs, Training Team SMEs, Coder education Detailed ICD-10-CM structure, guidelines, and conventions Detailed ICD-10-PCS surgical scenarios Numerous coding exercises in ICD-10-CM and ICD-10-PCS
68 Awareness Seminar Update: CMS will not enforce compliance until Update: CMS proposed compliance date
69 Overview Seminar embedded videos
70 Overview Seminar embedded videos
71 Overview Seminar
72 Workshop Live webinar with instructor Live webinar with instructor
73 Workshop Embedded video ICD-10-CM PDF file instructions
74 Workshop Embedded Videos
75 Workshop PCS Module
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77 Benefits Programs based on ICD-10-CM Official Guidelines for Coding and Reporting and ICD-10-PCS Coding Guidelines Assigned project manager with weekly reporting on status and scoring Experienced Leaders in HIM, coding, adult education and instructional design AHIMA and AAPC prior-approved CEUs Instructor led webinars in CM and PCS code set training Interactive and instructional design for adult learners Branded online training modules with custom capabilities and staff assignment Administrative rights allowing review of multiple progress, activity and score reports by staff
78 Qualifications of Career Step Authors National leaders in ICD-10-CM/PCS education Published authors Books Articles AHIMA ICD-10 Academy instructors Recognized HIM speakers Experienced academic educators
79 3 Tier Modular Approach Online Seminars AVAILABLE NOW Online Clinical Concept Training and Assessments AVAILABLE NOW Online ICD-10 Code Training Programs AVAILABLE NOW
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