Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC Vice President, Business and Member Development

Similar documents
Dial-In: (800)

Introduction to ICD Andrea Devlin, CPMA, CPC Alta Partners, LLC 2015

ICD-10: Navigating the Change. Presented by: Shelley Garrett, CPC, CMC, CMOM, CMIS

CODING CHANGESICD-10!! Presented by: Colleen Grope CPC, CCS-P

Electronic Health Records Next Chapter: Best Practices, Checklists, and Guidelines ICD-10 and Small Practices April 30, 2014.

ICD 10 CM: Presented by:

Common Pathology Diagnoses: ICD-9 to ICD-10 Mapping

ICD-10 Clinical Documentation Requirements

Getting Ready for ICD-10. Part 2: ICD-10 Coding

ICD-10 Transition & Implementation Information

Certified Registered Nurse Anesthetist ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for CRNA s and Top 25 Codes

Guidelines Most Significantly Affected Under ICD-10-CM. May 29, 2013

ICD-10-CM KEVIN SOLINSKY, CPC, CPC-I, CEDC, CEMC PRESIDENT HEALTHCARE CODING CONSULTANTS, LLC

ICD What Are You Waiting For?

ICD-10-CM: Training. Presented by: Anna M. Cruz CCS, CCS/P,CPC-A ICD10CM/PCS AHIMA Approved Trainer & Sonya Shebala CPC, CPC-H

Using the ICD-10-CM. The Alphabetic Index helps you determine which section to refer to in the Tabular List. It does not always provide the full code.

Billing Guideline. Subject: Colorectal Cancer Screening Exams (Invasive Procedures) Effective Date: 1/1/2012 Last Update Effective: 4/16

Basic ICD-10-CM Documentation and Coding. Effective date: October 1, Presented by: Jenna Glenn, CPC May 6,

Head Start to Implementation: Preparing Now for ICD-10 (Focus on PCS)

Home Health Care ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Home Health Care and Top 20 codes

ICD-10-CM Official Guidelines for Coding and Reporting

Anesthesia ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Anesthesia and Top 25 Codes

ICD-10-CM Overview and Coding Guidelines. Presented by: Katherine Abel/Rhonda Buckholtz

ICD-10 CM. Presented to Maryland AAHAM May 20, Basic Overview & Comparison

ICD-10 Specified or Unspecified?

Long term care coding issues for ICD-10-CM

ICD-10 Provider Preparation

Introduction to ICD-10-CM. An Introduction to the Transition from ICD-9-CM to ICD-10-CM

Documentation Strategies in an ICD-10 World

Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association

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

ICD-10 Spotlight: Know the codes

The Top 20 ICD-10 Documentation Issues That Cause DRG Changes

ICD-10 Update and Top Ten Professional Diagnoses* 2014 Blue Cross Blue Shield of Michigan

ICD-10 FROM A NURSE PERSPECTIVE. Learning Objectives 4/22/2015. Adoption of ICD-10 Classification of Diseases CD-10-CM Diagnostic Codes

ICD-10-CM: Changes Ahead For the Clinical Work Process

ENGAGING PHYSICIANS FOR ICD-10: ALL ABOARD Engaging Physicians for ICD-10: All Aboard

It s Time to Transition to ICD-10

Diabetes Mellitus in ICD 10 CM

Cardiology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Cardiology

ICD-10-CM AND THE EMERGENCY PHYSICIAN

Why Does ICD-9-CM Need to Be Replaced? Differences Structural changes Organizational revisions New features

ICD-10-CM For Orthopedics. Lynn M. Anderanin, CPC, CPC-I, COSC, AHIMA ICD-10-CM Certified Trainer

Diabetes ICD9-CM Crosswalk to ICD10-CM 2015

Alpha-fetoprotein

Highlights of the Revised Official ICD-9-CM Guidelines for Coding and Reporting Effective October 1, 2008

Fracture Care Coding September 28, 2011

TRANSITIONING FROM ICD-9 TO ICD-10 CODES PRESENTED OCTOBER 8, 2015 NATALIE RIVERA, RN, MS, BSN, CCM, CNLCP

ICD-10 IS COMING OCTOBER 1, 2014

CHAPTER 19 INJURY, POISONING AND CERTAIN OTHER CONSEQUENCES OF EXTERNAL CAUSES (S00-T88)

IRF Coding: Changing the Culture to Strengthen the Team

The ICD 10 Transition: What Does It Mean for IHS?

Guidelines for using V-CODES (Status Codes)

ICD-10 for the Chiropractic Procrastinator

Alameda Alliance for Heath ICD-9 to ICD-10 TRANSLATION CODES E10.10

ICD-10 FAQ. How Long Has ICD-9-CM Been In Use?

CHAPTER 9 DISEASES OF THE CIRCULATORY SYSTEM (I00-I99)

Medicare Advantage. Risk Adjustment Coding

Cancer Surgery Volume Study: ICD-9 and CPT Codes

CMS and AHIMA Webinar: ICD-10 and Clinical Documentation

2/28/2013 ICD-10 AS MANDATED BY ACCME SPEAKERS ARE ASKED TO DISCLOSE ANY REAL OR APPARENT CONFLICT RELATED TO THE CONTENT OF THEIR PRESENTATION

Surgical Chart Auditing. Agenda

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

ICD-10-CM Chapters January 16, Patricia Gowan, RHIA, CPC, AHIMA Approved ICD-10-CM/PCS Trainer

ICD-10 Preparation for Non- Coders in the Revenue Cycle

CPT 2014 Update & ICD-10: Orthopedic Surgery sponsored by CHMB December 18 th, 2013

ICD-10 Readiness for Private Practice and Hospitals Presenter Lisa Asbell, RN ICD 10 Specialist

Pathology ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Pathology and Top 25 codes

Updates are presented in the same sections as appear in the text:

How To Transition From Icd 9 To Icd 10


ICD-9 Basics Study Guide

Rehabilitation Best Practice Documentation

Coding for ICD-10-CM: More of the Basics. December, 2014

ICD-10 Diagnostic Coding for. Breast Reconstruction

ICD-10-CM Training for Medical Office Staff. Presented by: Angie Audler, MBA, RHIT, CCS, CPC, AHIMA Approved ICD-10-CM/PCS Trainer

ICD-10: A Coders Perspective

ICD-10-CM Coding Overview AHCA Spring Convention & Trade Show April 21-23, 2015

Medicare Advantage Risk Adjustment Data Validation CMS-HCC Pilot Study. Report to Medicare Advantage Organizations

The Transition to ICD-10. Topics to Be Covered. Compliance Date 9/13/2013

Measure Name: Follow-Up After Initial Diagnosis and Treatment Of Colorectal Cancer: Colonoscopy Owner: NQF (#0572)

ICD-10 in the Provider Newsletter

Reimbursement Billing and Coding Guide

ICD 10 CM IMPLEMENTATION DATE OCT 1, 2015

ICD 10: Implications For Content Conversion in Vendor Products

CLINICAL DOCUMENTATION ICD-9 and ICD-10

Introduction to ICD 10 CM Documentation for Physicians

Pain Quick Reference for ICD 10 CM

Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes

THE BASICS OF ICD-10-CM CODING

Overview of ICD10 Transition Impact on Physician Practices Presented by Theresa Mendoza Director of Quality, BI and Data Services

PHC4 35 Diseases, Procedures, and Medical Conditions for which Laboratory Data is Required Effective 10/1/2015

Spinal Surgery Functional Status and Quality of Life Outcome Specifications 2015 (01/01/2013 to 12/31/2013 Dates of Procedure) September 2014

The ICD-9-CM uses an indented format for ease in reference I10 I10 I10 I10. All information subject to change

ICD 10: Final Steps for Successful Implementation

Best of AHA Coding Clinic for ICD 10 CM. Disclaimer

ICD-10-CM and ICD-10-PCS Frequently asked questions for HIM and Patient Financial Services Leaders

Gastrointestinal Bleeding

Impact of ICD-10-CM on Your Practice

Errata for ICD-10-CM and ICD-10-PCS Coding Handbook 2014 with Answers

Transcription:

Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC Vice President, Business and Member Development

ICD-10 Changes From 14,000 codes to approximately 69,000 ICD-10 codes All codes have full descriptions for both ICD-10-CM and ICD- 10-PCS ICD-9-CM 2010 14,000 codes ICD-10-CM 2013 69,000

Physician Practices: What Will Change?

Coding Transitions

Diabetes mellitus Significant Change to Diabetes Mellitus There are six (6) Diabetes Mellitus categories in the ICD-10- CM. They are: E08 E09 E10 E11 E13 E14 Diabetes Mellitus due to an underlying condition Drug or chemical induced diabetes mellitus Type I diabetes mellitus Type 2 diabetes mellitus Other specified diabetes mellitus Unspecified diabetes mellitus

Diabetes Mellitus Diabetes mellitus codes expanded to include the classification of the diabetes and the manifestation. Category for diabetes mellitus has been updated to reflect the current clinical classification of diabetes No longer classified as controlled/uncontrolled: E08.22, Diabetes mellitus due to an underlying condition with diabetic chronic kidney disease E09.52, Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene E10.11, Type 1 diabetes mellitus with ketoacidosis with coma E11.41, Type 2 diabetes mellitus with diabetic mononeuropathy

Combination Codes ICD-10-CM consists of greater specificity. Sample Examples I25.110, Arteriosclerotic heart disease of native coronary artery with unstable angina pectoris K50.013, Crohn s disease of small intestine with fistula K71.51, Toxic liver disease with chronic active hepatitis with ascites

Complication Example ICD-10-CM provides 50 different codes for complications of foreign body accidently left in body following a procedure Only one code in ICD-9-CM

Complication Example T81.535-Perforation due to foreign body accidently left in body following heart catheterization T81.530-Perforation due to foreign body accidently left in body following surgical operation T81.524-Obstruction due to foreign body accidently left in body following endoscopic examination T81.516-Adhesions due to foreign body accidently left in body following aspiration, puncture or other catheterization

Fractures Fracture codes require seventh character to identify if fracture is open or closed The fracture extensions are: A Initial encounter for closed fracture B Initial encounter for open fracture D Subsequent encounter for fracture with routine healing G Subsequent encounter for fracture with delayed healing K Subsequent encounter for fracture with nonunion P Subsequent encounter for fracture with malunion S Sequelae S42.022-Displaced fracture of shaft of left clavicle initial encounter for closed fracture Requires 7 th character A for initial encounter S42.022A

Fracture Coding A patient underwent surgery for an open burst fracture of the lumbar vertebra which became unstable First listed diagnosis: S32.012B Seventh character B identifies the initial encounter for the open fracture

Case Examples Fracture Clavicle 24 choices for fracture of clavical (only 1 in ICD-9-CM) Documentation must include: Laterality Displaced (anterior or posterior displacements) Nondisplaced Location; sternal end, shaft, lateral end, unspecified 7 th digit extender; A, B, D, G, K, P, S Example: S42.011B Anterior displaced fracture of sternal end of right clavicle initial encounter open fracture

Case Examples Malignant Neoplasm Breast 54 choices for male/female breast Documentation must include: Laterality Location Use of an additional code to identify estrogen receptor status Example: C50.422 Malignant neoplasm of upper-outer quadrant of the left male breast

Case Example Large and small intestine 26 choices available Documentation must include: Specific site Appendix, caput coli, cecum, colon and rectum, ascending, caput, descending, distal, left, overlapping, pelvic, right, sigmoid, hepatic flexure, sigmoid flexure, duodenum, ileum, jejunum Example: C18.5 Malignant neoplasm of splenic flexure

Case Examples

Case Examples

What Can Today s Practices Do To Prepare?

16 steps for successful ICD-10 implementation 1: Organize the implementation effort 2: Develop ICD-10 communications plan 3: Conduct impact analysis 4: Organize cross-functional efforts 5: Budget development 6: Internal system design and development 7: Develop training plan 8: Contact system vendors 9: Implementation planning 10: Phase I training 11: Business process analysis 12: Phase II Education and training 13: Policy change development 14: Outcomes measurement 15: Deployment of code by vendors to customers 16: Go live implementation compliance

AAPC Benchmark tracker

AAPC Training Options

Resources www.aapc.com/icd-10/resources.aspx Resources for all medical practices solo practitioners-large medical groups www.cms.hhs.gov/icd10 Complete list of code sets for ICD-10-CM and ICD-10 PCS; final rule and Official ICD-10-CM Guidelines

Questions?

2024 © DocPlayer.net Privacy Policy | Terms of Service | Feedback  | Do Not Sell My Personal Information