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1 July 2010 Advertisement If there is an individual whom you feel would benefit by receiving this e-newsletter, please forward this to him or her to subscribe. Look for the next issue of ICD-TEN in August. Welcome to ICD-TEN Welcome to AHIMA's ICD-TEN, created to better prepare you for the transition to ICD-10-CM and ICD-10-PCS. Each monthly issue contains top emerging news, educational opportunities, practical information on coding with the new ICD-10- CM/PCS, preparatory steps for implementation, and more. Good News, Bad News: ICD-10 Facts And Insights That Make The Difference HCSC Reps Run Down ICD-10's Ups and Downs at Conference By Sydney Ross-Davis, M.D., Jean Burns, Chris Armstrong, and Ian C. Bonnet Imagine for a moment hearing knowledgeable healthcare industry insiders explain how federal ICD-10 mandates will change healthcare payers internal processes and functions in such significant ways that your knowledge, skills and experience will likely be in high demand for the next few years. That s good news! Next, the insiders explain that no matter how good you and your colleagues are at your craft, the coming changes in reporting and processing code sets could make it more difficult for payers to identify potential abuse or fraudulent patterns in health care claims submissions. That s bad news. As a result, the insiderss continue, there will likely be increased need for well- and trained, hands-on coders and support staff for at least the next few years, whatever the state of the economy. That sounds like good news. However, providers widely varying levels of understanding, receptiveness expectations during such wholesalee changes in claims processing and payment are likely to drive increases in claim payment disputes, as well as higher adjustment and pend rates. That definitely sounds like bad news! It was at this good news/bad news crossroads that AHIMA members from every corner of the nation crowded into a standing-room-only session to hear the timely presentation of the facts and perspectives by representatives of Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), and Deloitte LLP Register for the live broadcast of AHA Coding Clinic 2010 Review Part 1 and Part 2 by August 11, and receive the audio CD of both broadcastss FREE! Visit krm.com/ahacentraloffice/2010review for details. Events July New Orleans, LA August 12 ICD-10-CM Coding Guidelines: An Overview August IL Chicago, September 30- October 2 Orlando, FL

2 during the Second Annual ICD-10 Conference at the Washington, D.C. Hilton on April 12. October 28 ICD-10-PCS: Bridging the Gap in Anatomy and Physiology Advancing the Academic Transition to ICD-10-CM/PCS On January 16, 2009, the Department of Health and Human Services published the final rule for ICD-10-CM/PCS adoption, setting a compliance date of October 1, Although more than a year has passed since the rule was published, many educators continue to have questions regarding how academia will meet the challenges of transitioning ICD-10-CM/PCS into the HIM curriculum. This practice brief is a follow-up to the April 2009 brief Transitioning to ICD-10- CM/PCS An Academic Timeline and provides answers to some of the questions being asked. November 8-9 Chicago, IL November 10 ICD-10-CM/PCS Transition: Fundamentals of General Equivalent Maps (virtual meeting) November Denver, CO November 18 Coding Clinic 2010: A Closer Look Rooting Out ICD-10 Procedure Codes, Part 5 By Kathy DeVault, RHIA, CCS Editor s note: This is the fifth of a nine part series discussing the nine root operation groupings. There are 31 root operations in the medical and surgical procedure section of ICD- 10-PCS. These root operations are arranged into nine groups that share similar attributes. This article will focus on two of these groups: root operations that alter the diameter/route of a tubular body part; and root operations that define other repairs. It is important to remember in choosing the appropriate root operation for the procedure being performed that the full definition of the root operation as contained in the tables must be applied. Root Operations that Alter the Diameter/Route of a Tubular Body Part This group of operations includes: Restriction Occlusion Dilation Bypass December Procedure Code Updates December 16 CY11 CMS OPPS Updates View a complete listing of all AHIMA events and audio seminars/webinars. Upcoming AHIMA Convention & Exhibit Dates and Locations September 25 30, 2010 Orlando, FL October 1 6, 2011 Salt Lake City, UT Online Courses ICD-10-CM Overview: Deciphering the Code

3 Obstetric Coding in ICD-10-CM/PCS ICD-10-PCS Overview: Deciphering the Code By Ann Barta, MSA, RHIA ICD-10-CM/PCS will capture a greater level of specificity for obstetric coding. This article highlights some of the new features in coding obstetric cases with ICD-10- CM/PCS. OB Diagnoses Coding with ICD-10-CM Obstetric cases require diagnosis codes from chapter 15 of ICD-10-CM, Pregnancy, Childbirth, and the Puerperium. It includes categories O00 O9A arranged in the following blocks: O00 O08, Pregnancy with abortive outcome O09, Supervision of high-risk pregnancy O10 O16, Edema, proteinuria, and hypertensive disorders in pregnancy, childbirth, and the puerperium O20 O29, Other maternal disorders predominantly related to pregnancy O30 O48, Maternal care related to the fetus and amniotic cavity and possible delivery problems O60 O77, Complications of labor and delivery O80, O82, Encounter for delivery O85 O92, Complications predominantly related to the puerperium O94 O9A, Other obstetric conditions, not elsewhere classified Recorded Audio Seminars, Webinars Available ICD-10-CM and ICD-10-PCS: Prepare for Tomorrow, Today! ICD-10-CM/PCS Impact Assessment Preparing to Implement ICD-10- CM/PCS Curriculum Approval to Accommodate ICD-10-CM/PCS Transitional Instructional Design to Accommodate ICD-10-CM/PCS Readers Weigh In June s "Question of the Month" asked: What are you doing in 2010 to transition to ICD-10-CM/PCS? Thank you to all those who responded. Barbara Lancaster, MHSA, RHIA Medical Records Director at South Georgia Medical Center in Valdosta, GA. We have formed an ICD-10 Committee comprising representatives from Finance, Patient Financial Services, Information Services, Medical Records, Performance Improvement and Quality, Decision Support, Medical Staff, and Compliance to oversee ICD-10 implmentation, as well as the HIPAA 5010 upgrade. Since 5010 implementation comes before ICD-10, our focus is on getting this tested internally this year, followed by external testing next year. Internal testing is scheduled to begin in July. Simultaneously, we have divided ICD-10 planning into 5 tracks: Education and Training, Medical Records, Information Services, Patient Financial Services, and Budget. At our monthly meetings we share any new information received from the Visit The HIM Marketplace for ICD-10 Help The HIM Marketplace is a comprehensive, centralized resource that lets consumers locate providers of HIM-related goods and services, and vice versa. The site s visitor-friendly interface includes: an interactive search engine that permits you to search for vendors located five to 500 miles from your location a downloadable widget members/customers can use to link directly to The HIM Marketplace from their

4 literature, conference calls, webex, etc; track leaders provide an update on their areas, and new assignments are discussed for the next meeting in order to keep the process going. Question of the Month What challenges are you currently encountering with regard to ICD-10 implementation at your facility? Help educate fellow colleagues by sharing examples from your workplace. your response by July 30 for possible inclusion in the August issue of ICD-TEN. AHIMA is also interested in gathering case studies regarding what your organization is doing to prepare for ICD-10 implementation. They need not be formal case studies, but should include steps your organization has already taken, steps planned for the near and distant future, what business areas are getting involved, and any other pertinent information. question of the month responses or relevant case studies to Featured FAQ Q: Will all providers have to renegotiatite their contracts with payers if ICD- 10-CM and ICD-PCS are implemented? computer an interactive form that easily enables you to send requests for information to featured vendors Find mapping tool solutions, HIM systems, Web-based applications, equipment, and much more at The HIM Marketplace. Connect and Network with Your Peers AHIMA offers many opportunities for you to network with others online, ask questions, learn from your peers, and hear about the latest news from AHIMA. Communities of Practice (Members only) Answers, support, and career advice are available through this well-established professional network. AHIMA members enjoy a wide continuum of benefits: A: No, payers could continue to reimburse providers based on existing payment policies. They would simply update these policies using ICD-10-CM and ICD-10- PCS codes. Payers routinely update their existing payment policies each year as a result of the annual updating of the coding system. CMS is planning to map the new coding systems into its current diagnosis-related group (DRG) system. Therefore, hospitals should arrive at the same MS-DRG assignment even though a new coding system is used. There may be a small number of cases where this is not possible because of combination codes within the ICD-10-CM diagnosis system. These cases will be handled on an individual basis, and the most appropriate MS-DRG assignment will be proposed. View more ICD-10 FAQs. AHIMA Academy Trains the Trainers on ICD-10-CM/PCS Planning to educate new coders and establish new electronic, documentation, and process systems? Are you the point guard for your organization and require early, in-depth knowledge of ICD-10? The AHIMA Academy has various methods to help coding professionals in all areas of the profession become proficient in coding with Current coding news and practices Online forums Practical research materials Relevant education resources The Communities of Practice is a benefit of AHIMA membership. If you are already a member, your user name is your AHIMA member ID including the initial zero(s). For information on becoming a member, click here. Become a Fan of AHIMA Check out AHIMA s Official Facebook page. There is also an AHIMA Careers page dedicated to

5 the ICD-10-CM/PCS coding systems. The academy also prepares attendees to train other coding professionals in those systems. The AHIMA Academy includes a combination of two online courses (self-paced) and three days of face-to-face training. The online courses provide basic training in ICD-10-CM and ICD-10-PCS and are required to be completed prior to the workshop. The three-day workshop focuses on engaging the trainer with in-class intermediate and advanced ICD-10-CM/PCS coding exercises, while modeling training techniques. After successful completion of both the online and face-toface training portions, attendees may complete an assessment in order to receive an AHIMA Trainer Certificate. The, Building Expert Trainers in Diagnosis and Procedure Coding, will be held on: July 29-31, New Orleans, LA August 18-20, Chicago, IL September 30-October 2, Orlando, FL November 18-20, Denver, CO students and recent graduates pursuing a career in the health information field. Become a fan of one (or both) of these pages and join in the discussions. Follow AHIMA Resources on Twitter Become a follower of the AHIMA Resources Twitter page. Join the AHIMA LinkedIn Group Join AHIMA s LinkedIn group for additional networking opportunities. Non-Inpatient Coders Offered Unique Training on ICD-10-CM Long-term care, physician office and home health coders face unique challenges in training on ICD-10-CM. While large scale hospital systems might be able to afford sending several coders to training workshops, smaller facilities usually can only send a select few representatives for training, who then return and share the information. Coders in long term care, physician offices and home health seeking train-thetrainer programs are the focus of a new AHIMA educational session, AHIMA Academy for ICD-10, Building Expert Trainers in Diagnosis Coding. This dynamic training program focuses on material for all ICD-10-CM coders, and teaches coding professionals ICD-10-CM coding system proficiency while instructing them about training other professionals in the system. Attendees can expect a combination of one online course (self-paced) and one-and-a-half (1½) days of face-to-face training. The online course provides basic training in ICD-10- CM and must be completed prior to the workshop. The workshop engages the trainer with in-class, intermediate and advanced ICD-10-CM coding exercises while modeling training techniques. The, Building Expert Trainers in Diagnosis Coding, will be held November 8-9, in Chicago, IL.

6 Take Part in the AHIMA Member Referral Initiative Participate in the 2010 AHIMA member referral program and share the benefits of AHIMA membership with colleagues for a chance to win prizes, including a $1,000 American Express gift card. Click here for more information. Contribute to the ICD-10 Implementation CoP Did you know there is an ICD-10 Implementation Community of Practice? Visit here to view community announcements, FAQs, resources, and more. Participate in the community discussions by posting a thread or commenting on another post. The Communities of Practice are a benefit of AHIMA membership. Not a member? Join now. ICD-10-CM Coder Training Manual Ann M. Zeisset, RHIT,CCS-P, CCS, Kathy DeVault, RHIA, CCS, and Ann Barta, MSA, RHIA Experienced ICD-9-CM coders trained by AHIMA-certified ICD-10-CM trainers can use this manual to build their knowledge of ICD-10-CM. In addition to a textual adaptation of AHIMA s ICD-10-CM Overview: Deciphering the Code, a distance education course that is a prerequisite to AHIMA s ICD-10 Academies, the manual contains references to and explanations of ICD-10-CM coding guidelines and conventions. It provides ICD-10-CM coding exercises at the beginning, intermediate, and advanced level. These exercises emphasize all aspects of the coding classification system to allow students to apply their knowledge of coding principles and definitions. Answers are also provided. Overview of ICD-10-CM, with review questions, that establishes base of understanding from which to build knowledge and skill ICD-10-CM coding conventions and coding guidelines review Case scenarios by chapter, including site-specific cases (home health, LTC, physician, hospital inpatient, hospital outpatient) Beginning, intermediate, and advanced coding exercises in ICD-10-CM for inpatient and outpatient cases Detailed, complex ICD-10-CM case studies and scenarios from health records Lists of ICD-10-CM resources and references

7 Order the ICD-10-CM Coder Training Manual here. ICD-TEN is published twelve times a year by the American Health Information Management Association (AHIMA), 233 N. Michigan Ave., 21st Floor, Chicago, IL AHIMA respects its members' and nonmembers' Internet privacy and right to choose which communications they want to receive. You are currently subscribed to ahima_list7_icdten as %% Addr_%%. If you prefer not to receive AHIMA ICD-TEN click unsubscribe and you will be removed. Copyright 2010 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher.