ICD-9-CM Diagnostic & Reimbursement for Physician Services 2010 edition
Welcome to ICD-10 in-services
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Transcript of Welcome to ICD-10 in-services
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DEVRY UNIVERSITY COMMUNITY HOSPITAL
ALICIA COOPERJANUARY 2015
Welcome to ICD-10
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THIS IS ONE OF THE 12 MONTH IN-SERVICES TO HELP WITH THE
TRANSITION DATE. OUR FACILITY WILL BE SETTING UP TEST DATES FOR THE ICD-10 CODES FOR SUBMISSION TO INSURANCE
COMPANIES THROUGHOUT THE YEAR.
Devry Community Hospital
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THE US DEPARTMENT OF THE HEALTH AND HUMAN SERVICES HAS MANDATED THE REPLACEMENT OF THE ICD-9-CM
CODE SETS USED TODAY. THE IMPLANTATION DATE FOR THE ICD-10
SETS IS EFFECTIVE OCTOBER 1ST 2015 .
About ICD-10
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T H E W O R L D H E A LT H O R G A N I Z AT I O N WA N T E D T O U N D E RTA K E T H E G L O B A L L E V E L O F T H E I C D - 1 0
S Y S T E M . W I T H T H E I C D - 9 O U T D AT E A N D N O T E X PA N D A B L E T H E Y A R E B R A N C H I N G O U T O N A N
I N T E R N AT I O N A L L E V E L . H TT P: / /
L I B R A RY. A H I M A . O R G / X P E D I O / G R O U P S / P U B L I C / D O CU M E N T S / A H I M A / B O K 3 _ 0 0 5 5 6 8 . H C S P ? D D O C N A M E = BO K 3 _ 0 0 5 5 6 8
About ICD-1o
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I C D - 1 0 - C M D I A G N O S I S C O D E SR I G H T O R L E F T A C C O U N T F O R > 4 0 % O F C O D E S
F I R S T D I G I T I S A L P H AD E C I M A L I S P L A C E D A F T E R T H E T H I R D C H A R A C T E R
7 D I G I T SD I G I T 1 I S A L P H A ; D I G I T 2 I S N U M E R I C
D I G I T S 3 – 7 A R E A L P H A O R N U M E R I CD E C I M A L I S P L A C E D A F T E R T H E T H I R D C H A R A C T E R
“ X ” P L A C E H O L D E R S6 9 , 0 0 0 C O D E S T O B E TT E R C A P T U R E S P E C I F I C I T Y
E X T E N S I V E S E V E R I T Y PA R A M E T E R SE X T E N S I V E C O M B I N AT I O N C O D E S T O B E TT E R
C A P T U R E C O M P L E X I T Y2 T Y P E S O F E X C LU D E S N O T E S
What you may find different
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UPCOMING TRAINING WORKBOOKS
THANK YOU
Required in-services
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DEVRY COMMUNITY HOSPITAL FEBRUARY 2015 IN-SERVICE
ALICIA
ICD-10 Overview
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- OVERVIEW - STRUCTURE AND USES
- ACTIONS AND TIMELINES
Lets get started
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ICD -1 0 ICD -1 0 – REPL ACES ICD - 9 D IAGNOS IS COD E
S ETS - ICD -1 0 CM WIL L BE USED TO ID ENTITY
D IAGNOSIS COD ES ACROSS AL L H EALTH CARE S ETTINGS
EVERY ORGANIZ ATION IN AMERICAN WIL L BE IMPACTED BY ICD -1 0 AND MUS T MAK E TH E
TRANS ITION, TH E F INAL RUL E WAS ANNOUNCED AUGUS T 2 4 , 2 0 1 2 . H H S REL EAS ES A F INAL MAND ATE TH AT EVERY ONE COVERED UND ER H IPPA COD ES STARTING OCTOBER 1 ,
2 0 1 5 AFTER TH E 2 0 1 4 PUSH BACK.
ICD-10 Overview
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I C D - 9 C M I S O U T D AT E D - 3 0 Y E A R S O L D – T E C H N O L O G Y H A S C H A N G E D
- M A N Y C AT E G O R I E S F U L L - N O T D E S C R I P T I O N E N O U G H
- R E I M B U R S E M E N T W O U L D E N H A N C E A C C U R AT E PAY M E N T F O R S E RV I C E S R E N D E R E D
- Q UA L I T Y W O U L D FA C I L I TAT E E VA LUAT I O N O F M E D I C A L P R O C E S S E S A N D O U T C O M E S
- W H AT C H A R A C T E R I S T I C S A R E N E E D E D I N A C O D I N G S Y S T E M
- F L E X I B L E E N O U G H T O Q U I C K LY I N C O R P O R AT E E M E R G I N G D I A G N O S I S A N D
P R O C E D U R E S - E XA C T E N O U G H T O I D E N T I F Y
D I A G N O S E S A N D P R O C E D U R E S P R E C I S E LY I C D - 9 I S T O O O L D T O A N D N O T A B L E T O H A N D L E
T H E E X PA N D I N G O F H E A LT H C A R E .
Why we are moving forward
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S T R U C T U R E D I F F E R E N C E S I C D - 1 0 C M D I A G N O S I S
I C D - 1 0 C M – D I A G N O S I S C O D I N GC H A N G E I N S T R U C T U R E A N D VO LU M E
- 6 9 0 0 0 C O D E S F O R I C D - 1 0- A D D E D S P E C I F I C I T Y A N D A D D E D C O M P L E X I T Y
- E L E C T R O N I C C R O SS WA L K C R E AT E D A N D F R E E F R O M C M S
- I C D - 1 0 H A S T H R E E VO LU M E S A N D 3 - 7 D I G I T S- T H E 1 S T D I G I T I S A N A L P H A A - Z
-T H E 2 N D D I G I T I S N U M E R I C-T H E 3 - 7 D I G I T I S A L P H A O R N U M E R I C
Structure of ICD-10
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WE WILL BE COMPLETING A 12 MONTH IN-SERVICE FOR A UPDATE ON ICD-10 . ICD10 WE WILL BE GOING LIVE ON
OCTOBER 1 S T 2015 , THERE WILL BE APRIL 1 S T AND SEPTEMBER 1 S T OUR TEST DATES. COMPETITION OF THE ICD-10 WORKBOOK
Action and timeline
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MARCH 5 T H 2015 AT 9 :00AM PLEASE PLAN TO ATTEND
Next in-service
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Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA
MARCH 5 T H 2015
Regulations ICD-10
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T H E D E PA R T M E N T O F H E A LT H A N D H U M A N S E R V I C E S P U B L I S H E D T H E F I N A L R E G U L AT I O N 4 5 C F R 1 6 2 , 1 0 0 2- W H I C H R E Q U I R E D T H E U S E O F I C D - 1 0 C O D E S E T S I N
A L L H I P PA T R A N S A C T I O N.-T H I S I S F E D E R A L M A N D AT E D T H AT A L L
C L E A R I N G H O U S E , H E A LT H P L A N S P R O V I D E R S A R E U S I N G T H E E L E C T R O N I C T R A N S A C T I O N T H AT M U S T
T R A N S I T I O N T O T H E I C D - 1 0 C O D E S E T S O N T H E D AT E O F S E R V I C E .
Regulation
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NEXT MEETING APRIL 15 T H 2015PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL APRIL 15 T H 2015
ALICIA
The Benefits
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U S A G E O F C U R R E N T M E D I C A L T E R M I N O L O G Y
U S A G E S O F C O D E W I T H G R E AT E R S P E C I F I C I T Y A N D D E TA I L
I M P R O V E D C O D I N G B A S E D O N A D V A N C E M E N T S I N H E A LT H C A R E
I M P R O V E D H E A LT H C A R E M E A S U R E M E N T A N D R E P O R T I N G W I T H L E S S E R R E J E C T E D C L A I M S
I M P R O V E D D ATA E X C H A N G E A N D P AT I E N T C A R E B Y C O L L E C T I N G M O R E D E S C R I P T I V E D ATA R E S U LT I N G I N I M P R O V E D P AY M E N T
P R O V I D I N G C O D E S T O A L L O W C O M P A R I S O N O F M O R TA L I T Y A N D M O R B I D I T Y D ATA W H I C H M A K E S F O R B E T T E R C L I N I C A L
D E C I S I O N S
Benefits
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T H E D I F F E R E N C E B E T W E E N R I G H T A N D L E F T
I T S P E C I F I E S I N I T I A L V E R S U S S U B S E Q U E N T E N C O U N T E R
I T D E S C R I B E S R O U T I N E A N D D E L AY E D H E A L I N G N O N U N I O N O R M A L- U N I O N
What was not in ICD-9 that will be in ICD-10
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PLEASE PLAN ATTEND NEXT MEETING MAY 10 T H 2015
Thank you
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DEVRY COMMUNITY HOSPITAL MAY 10 T H 2015 ALICIA COOPER
HAPPIER THAN A CAMEL ON WEDNESDAYS
How happy are we about ICD-10?
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THE FUTURE OF ICD-10 IS STARTING VERY SOON.
ICD-10 WILL CHANGE EVERYTHING
The future of ICD-10
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CHANGES ARE GOING TO THROUGH THE WHOLE HOSPITAL TO THE PHYSICIANS TO
US CODERS. DOCUMENTATION CHANGES WILL BE VERY IMPORTANT ON SELECTING THE CURRENT
CODE.
Changes
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TO KEEP UP WITH THE CHANGES ONLINE
TOOLS CAN HELP
HTTP: / /WWW.CMS.GOV/MEDICARE/CODING/ICD10/
PROVIDERRESOURCES.HTML
HTTP: / /WWW.AAPC.COM/ICD-10 /TRAINING.
ASPX
Keeping up with the changes
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NEXT MEETING JUNE 1 S T 2015 PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA COOPER
JUNE 1 S T 2015
The Plan
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-OUR GO LIVE DATE IS SEPTEMBER 30 T H 2015
-NO BILLING WILL GO ON UNTIL AFTER OCTOBER 1 S T 2015
QUESTIONS?
Go live date
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W I T H T H E T R A N S I T I O N P E R I O D T H E R E W I L L B E N O B I L L I N G D U R I N G T H I S T I M E . T H I S W I L L
A L L O W O U R C O D E R S T O W O R K I N O N T H E E N C O U N T E R S.
-T R A N S I T I O N P E R I O D I S S E P T E M B E R 2 7 T H T H R O U G H O C T O B E R 1 S T 2 0 1 5 .
- I N T H I S P E R I O D I C D - 9 W I L L N O T B E A L L O W E D W E W I L L O N LY U S E I C D - 1 0 C O D E B O O K S.
Transition Period
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NEXT MEETING JULY 23 R D 2015PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA
JULY 23 R D 2015
Potential issues
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- POTENTIAL ISSUE WITH ANOTHER DELAY
- BEING UN PREPARED- NOT HAVING THE CURRENT TOOLS
-
Issues that may come
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TO HELP WITH TO LIMITED THE ISSUES WE HAVE IMPLANTED THE 12 MONTH
TRAINING FOR THE ICD-10
Training is the key
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NEXT MEETING AUGUST 20 T H 2015PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA
AUGUST 20 T H 2015
Impact on Business
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IT WILL NOT BE EASY TO DETERMINE DRG GROUPER BASED ON ICD-10 CODES. WE MAY HAVE A LIMITED DISPUTE
WINDOW; WE NEED TO UP TO DATE WITH ALL OUR CONATIONAL AGREEMENTS
THE ICD-10 MAY HAVE A RIPPLE EFFECT ON MANAGED CARE PLANS COVERAGE AND
PAYMENT POLICIES AND REPORTING SYSTEMS THAT ARE BASED ON ICD-10 .
WE WILL BE LOOKING INTO OUR CONTRACTS WITH OUR PAYERS, TO
NEGOTIATIONS WITH CHARGES WITH THE UPCOMING ICD-10
Impacting Business
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NEXT MEETING SEPTEMBER 20 T H 2015PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL SEPTEMBER 20 T H 2015
ALICIA
Coding for Hospitals
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PROCEDURE CODING SYSTEM WILL REPLACE THE CURRENT ICD-9 CM
PROCEDURES ICD-10 PCS HAS 7 DIGITS
EACH CAN BE EITHER ALPHA OR NUMERIC
-NUMBERS 0 -9LETTERS O AND I ARE NOT USED TO
AVOID CONFUSIONEXAMPLES:
0FB03ZX- EXCISION OF LIVER PERCUTANEOUS APPROACH
ICD-10 PCS
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NEXT MEETING OCTOBER 30 T H 2015PLEASE PLAN TO ATTEND
Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA
OCTOBER 30 T H 2015
Out patient coding
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ICD-10 CM HAS 3 -7 DIGITS DIGIT 1 IS ALPHA A-ZDIGIT 2 IS NUMERIC
DIGIT 3 ALPHA OR NUMERIC DIGIT 4 -7 ARE ALPHA OR NUMERIC
EXAMPLES :A66 YAWS
A69.20 LYME DISEASE UNSPECIFIED
Outpatient ICD-10-CM
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PLEASE PLAN TO ATTEND NEXT MEETING NOVEMBER 10 T H 2015
Thank you
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DEVRY COMMUNITY HOSPITAL NOVEMBER 10 T H 2015
ALICIA
Changes to the Department
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HIM DEPARTMENT CHANGES-DOCUMENTATION CHANGES/ MEDICAL
RECORDS NEED TO BE SPECIFIED TO SUPPORT ICD-10 CODE SETS
- WITH OUT THE DETAIL THAT IS NEED TO SUPPORT THE CODE WILL HAVE A
NEGATIVE IMPACT ON REIMBURSEMENT.
ICD-10 changes to department
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Focus areas for HIM
Average record completion time
Common blockage Data interface with
code material Timely record
retrieval and management if in-house patient records
Training for ICD-10 Code work booksUpdate tools for
coding Helping physicians
and nursing staff with documentation with the completation
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PLEASE PLAN TO ATTEND DECEMBER 15 T H 2015
Thank you
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DEVRY COMMUNITY HOSPITAL ALICIA
Working in Codebooks
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Working in codebooks
Outpatient coding We are going to split
the room into two groups
Outpatient coding workbook pages 3-6
Inpatient coding We are going to split
the room into two groups
Inpatient coding workbook 7-9
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I HOPE EVERYONE HAD A GREAT TIME TODAY.
Thank you