Bill Roush, HIM Consultant RHIA, BSHI, AHIMA-Approved ICD-10-CM Trainer February 2019
|
|
|
- Jeffery Francis
- 5 years ago
- Views:
Transcription
1 Bill Roush, HIM Consultant RHIA, BSHI, AHIMA-Approved ICD-10-CM Trainer February 2019
2 Participants will understand Basic concepts of what the coding process with ICD-10 involves. Impact of ICD-10 on PDPM and how it drives the 10 Clinical Categories. Specific examples of the 24,118 codes that will be rejected October 1, Specific examples of the 40,920 codes that will be accepted October 1, Gain a knowledge in strategies for coding success under PDPM in their own facility.
3 GOOGLING codes is BAD! The Office of the Inspector General expects that the codes we use accurately reflect what is documented in the chart. Upcoding is considered fraud. Undercoding leaves money on the table. You must be trained (and have your coding audited). The payors have been going very easy relative to coding errors, they have been paying claims with Principal Diagnosis codes that break coding rules. These will be rejected October 1, 2019.
4 Z Presence of right artificial hip joint This has been paid as Principal Diagnosis Z WILL NOT BE PAID EFFECTIVE OCTOBER 1 if reported as Primary Diagnosis on the MDS! Wake up!
5 Guidelines: Patient with severe degenerative osteoarthritis of the hip, underwent hip replacement and the current encounter/admission is for rehabilitation, report code Z47.1, Aftercare following joint replacement surgery, as the first-listed or principal diagnosis. Z Presence of right artificial hip joint (used in a secondary position)
6 Your coder must have a current 2019 ICD-10-CM code book ($180) Codes go into effect October 1 each year Your coder must have a copy of the 120 pages of 2019 Guidelines: /2019-icd-10-cm.html Your coder must have read (and reread) the Guidelines!
7 Step 1: Find the condition in the alphabetic index. Begin the process by looking for the main term in the alphabetic index.
8 Step 2: Verify the code and identify the highest specificity. The tabular index. Excludes 1 and Excludes 2 status.
9 Step 3: Review the chapter-specific coding guidelines.
10 Are your coders GOOGLERS? We must be coding right because we are getting paid! We are going to wait to see if we get denials, then we will look at doing training Speak to the Emperor (you forgot your pants!)
11 Participants will understand the impact of ICD- 10 on PDPM and how it drives the Clinical Categories.
12 On 7/31/18, CMS issued Final Rule to replace the (RUGs) Resource Utilization Groups with the new PDPM system effective October 1 st, You can download it here:
13 Found on page 114 of Final Rule: Each code reported as Primary Diagnosis on MDS is mapped to one of the above 10 Clinical Categories A large number of codes will be rejected as: RETURN TO PROVIDER
14 MDS Changes: New & Revised Items (1) SNF Primary Diagnosis: Item I0020B (New Item) This item is for providers to report, using an ICD-10- CM code, the patient s primary SNF diagnosis What is the main reason this person is being admitted to the SNF? Coded when I0020 is coded as any response 1 13
15 Patient Surgical History: Items J2100 J5000 (New Items) These items are used to capture any major surgical procedures that occurred during the inpatient hospital stay that immediately preceded the SNF admission (i.e., the qualifying hospital stay) Similar to the active diagnoses captured in Section I, these Section J items will be in the form of checkboxes Source: CMS PDPM Call 12/11/18: 11-PPS.html?DLPage=1&DLEntries=10&DLSort=0&DLSortDir=descending
16 Patient Surgical History:Items J2100 J5000 (New Items) These items are used to capture any major surgical procedures that occurred during the inpatient hospital stay that immediately preceded the SNF admission (i.e., the qualifying hospital stay) Similar to the active diagnoses captured in Section I, these Section J items will be in the form of checkboxes Source: CMS PDPM Call 12/11/18:
17 CMS PDPM website: But what will we find there Mr. Bill?
18 Fact Sheets This section includes fact sheets on a variety of PDPM related topics. PDPM Payments for SNF Patients with HIV/AIDS Concurrent and Group Therapy Limit PDPM Functional and Cognitive Scoring Interrupted Stay Policy MDS Changes
19 PDPM Frequently Asked Questions This section contains frequently asked questions (FAQs) related to PDPM policy and implementation. PDPM FAQs PDPM Training Presentation This section includes a training presentation which can be used to educate providers and other stakeholders on PDPM policy and implementation. PDPM Presentation
20 PDPM Resources This section includes additional resources relevant to PDPM implementation, including various coding crosswalks and classification logic. PDPM Classification Walkthrough PDPM GROUPER Logic (SAS) ICD-10 Clinical Category Crosswalk ICD-10 NTA Comorbidity Crosswalk
21 Participants will see specific examples of the 24,118 codes that will be rejected October 1, 2019
22 S72499D: Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing Make sure that you are not using UNSPECIFIED side of the body codes!
23 M62.81: Muscle weakness (generalized) R19.6: Halitosis R29.6: Repeated falls F40.232: Fear of other medical care
24 C44.311: Basal cell carcinoma of skin of nose G25.0: Essential tremor G44.53: Primary Thunderclap Headache G44.482: Headache associated with sexual activity
25 R40.1 Stupor Catatonic stupor Semicoma Excludes1: catatonic schizophrenia (F20.2) Is your coder watching for Excludes 1 notes? These are two codes that cannot be used together.
26 R46.1: Bizarre Personal Appearance R46.0: Very low level of personal hygiene R46.2: Strange and inexplicable behavior
27 S72499D Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing Make sure that you are not using UNSPECIFIED side of the body codes! If you have been tuning me out, this is probably the most important thing to know regarding the majority of denied codes.
28 S72499D Other fracture of lower end of unspecified femur, subsequent encounter for closed fracture with routine healing Make sure that you are not using UNSPECIFIED side of the body codes!
29 Participants will see specific examples of the 40,920 codes that will be accepted October 1, 2019
30 Chapter 1: Certain Infectious and Parasitic Diseases (A00-B99) ARE ALL ACCEPTED This is the only chapter where every code is accepted as Primary Diagnosis on the MDS A41.9: Sepsis, unspecified organism B04: Monkeypox
31 A41.9: Sepsis, unspecified organism Clinical Category: ACUTE INFECTIONS B04: Monkeypox Clinical Category: MEDICAL MANAGEMENT
32 F41.9 Anxiety disorder, unspecified Clinical Category: MEDICAL MANAGEMENT F53.0 Postpartum depression Clinical Category: MEDICAL MANAGEMENT F55.2 Abuse of laxatives Clinical Category: MEDICAL MANAGEMENT
33 F84.5 Asperger s syndrome Clinical Category: MEDICAL MANAGEMENT F94.0 Selective mutism Clinical Category: MEDICAL MANAGEMENT G35 Multiple Sclerosis Clinical Category: ACUTE NEUROLOGIC
34 F10.97 Alcohol use, unspecified with alcohol induced persisting dementia Clinical Category: MEDICAL MANAGEMENT F12.93 Cannabis use, unspecified with withdrawal Clinical Category: MEDICAL MANAGEMENT I Hemiplegia and Hemiparesis following unspecified cerebrovascular disease affecting right non-dominant side Clinical Category: ACUTE NEUROLOGIC
35 M80822D: Other osteoporosis with current pathological fracture, left humerus, subsequent encounter for fracture with routine healing Clinical Category: NON-SURGICAL ORTHOPEDIC/MUSCULOSKELETAL M84321D: Stress fracture, right humerus, subsequent encounter for fracture with routine healing Clinical Category: NON-SURGICAL ORTHOPEDIC/MUSCULOSKELETAL
36 N39.0: Urinary tract infection, site not specified Clinical Category: ACUTE INFECTIONS Q70.13: Webbed fingers, bilateral Clinical Category: NON-SURGICAL ORTHOPEDIC/MUSCULOSKELETAL R26.89: Other abnormalities of gait and mobility Clinical Category: NON-SURGICAL ORTHOPEDIC/MUSCULOSKELETAL
37 R40.3: Persistent vegetative state Clinical Category: MEDICAL MANAGEMENT S08.811D: Complete traumatic amputation of nose, subsequent encounter Clinical Category: NON-ORTHOPEDIC SURGERY
38 S72.492R: Other fracture of lower end of left femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with malunion Clinical Category: ORTHOPEDIC SURGERY (EXCEPT MAJOR JOINT REPLACEMENT OR SPINAL SURGERY)
39 Participants will gain a knowledge in strategies for coding success under PDPM in their own facility.
40 The Book: Do they still need a 2019 book (codes effective 10/1/18)? Are they Google coders (aka Googlers)? Training: Check in with your coder, do they need training? Eradication: Work on eradicating UNSPECIFIED side of the body codes
41 Review the coding process for new admissions in your building: How is the coded diagnosis profile created? Who is sequencing diagnoses? Who determines what the Principal/Primary diagnosis is? Is your DON completing a Diagnosis Sheet for new admissions for your coder?
42 Bookmark the CMS website: Service-Payment/SNFPPS/PDPM.html Download 5 page Changes to MDS document Review these changes with your MDS Nurse Secure training on ICD-10 coding if you need it Don t be a Googler, buy the code book!
43 Talk to your software vendor: Ask how they are going to address PDPM for your building. Will there be increased software costs? Will they somehow flag the 25,000 codes that will be rejected? Is this a good time to switch to a more prepared vendor? Is this a good time to switch to a more prepared vendor?
44 Talk to your Acute Hospital contacts: Your staff will need Operative Reports from Acute in order to correctly assign the resident to one of the 30 Surgical Categories Study the mapping spreadsheet
45 Participants will understand the impact of ICD-10 on PDPM and how it drives the Clinical Categories. Participants will see specific examples of the 24,118 codes that will be rejected October 1, 2019 Participants will see specific examples of the 40,920 codes that will be accepted October 1, 2019 Participants will gain a knowledge in strategies for coding success under PDPM in their own facility.
46 Bill Roush (916)
47 For all your Therapy, MDS, Nursing and Medical Records consultation and training needs, contact: Babak Amali, President
PATIENT DRIVEN PAYMENT MODEL
Fact Sheet: PDPM Patient Classification Last Revised: 2-14-19 Background Under PDPM, payment is determined through the combination of six payment components. Five of the components are case-mix adjusted,
ICD 10 CM Coding and Documentation
ICD 10 CM Coding and Documentation Adult Day Health Care Council Karen L. Fabrizio, RHIA, CHTS CP, CPRA April 10, 2014 Presented by: Karen Fabrizio, RHIA CHTS CP CPRA is an AHIMA Approved ICD 10 CM/PCS
Prepared by: Pam Scott, RHIT, CCS, CRC, CCDS AHIMA Approved ICD-10-CM/PCS Trainer First Class Solutions, Inc
Long Term Care Coding Prepared by: Pam Scott, RHIT, CCS, CRC, CCDS AHIMA Approved ICD-10-CM/PCS Trainer First Class Solutions, Inc 1 Speaker Information Pamela L. Scott, RHIT, CCS, CRC, CCDS Senior Compliance
ICD-10-CM Coding and Documentation for Long Term Care
ICD-10-CM Coding and Documentation for Long Term Care June 3, 2014 Chris Hoskins, MA, RHIA, CTR, CHC Karen Fabrizio, RHIA CHTS-CP AHIMA Approved ICD-10-CM/PCS Trainers Objectives Review 2014 Coding Guidelines
ICD-10-CM. International Classification of Diseases, 10th Revision, Clinical Modification
ICD-10-CM International Classification of Diseases, 10th Revision, Clinical Modification ICD-10 stands for the International Statistical Classification of Diseases and Related Health Problems, 10 th revision
REIMBURSEMENT AND ICD-10 CODING. December RB Health Partners, Inc.
REIMBURSEMENT AND ICD-10 CODING December 2018 - RB Health Partners, Inc. Objectives Objectives Ø Participants will learn Ø The role of diagnosis coding in the Patient Driven Payment Model (PDPM). Ø The
3/20/2013. "ICD-10 Update Understanding and Analyzing GEMs" March 10, 2013
"ICD-10 Update Understanding and Analyzing GEMs" March 10, 2013 1 Leola Burke MHSA, CCS AHIMA-approved ICD-10-CM/PCS Trainer Independent Coding Consultant & ICD-10-CM/PCS Expert, Raleigh, NC & Jacksonville,
ICD-10-CM 101 9/19/2016
Presented by Cathy Jennings, BS, CPC, CPC-I, CEDC, CHONC AHIMA Approved ICD-10-CM/PCS Trainer Managing Consultant October 5, 2016 Disclaimer The speaker has no financial relationship to any products or
ICD-10-CM Countdown: Are You Ready?
ICD-10-CM Countdown: Are You Ready? Prevalence of conditions Number of codes be converted Number of new patients per month Number of bills sent each month Scope of the Implementation ICD-10-CM Official
ICD-10-CM Coding Tips
ICD-10-CM Coding Tips for clients of: www.teamtsi.com 800.765.8998 Content developed and presented by: 3030 N. Rocky Point Drive, Suite 240 Tampa, FL 33607 800.275.6252 www.polaris-group.com ICD-10-CM
Physical Therapy Diagnosis and Documentation Tips
1 This tool is designed to assist the Physical Therapist in consultation with the physician, in the selection of an appropriate according to Medicare coverage guidelines. The documentation tips will add
ICD-10 RSPMI Provider Education April 16, Cathy Munn MPH RHIA CPHQ Sr. Consultant
ICD-10 RSPMI Provider Education April 16, 2014 Cathy Munn MPH RHIA CPHQ Sr. Consultant Agenda Status of ICD-10 Transition Who, What, Where, When & Why Industry Update Impact of the Change Providers Payers
9/1/2015. Studies (AHIMA)
9/1/2015 IC CD 10 Coding Supplemental Case Studies Amy Franklin, RN, RAC MT, ICD 10 CM/PCS Trainer (AHIMA) 1. DM Case Study 62 y.o. Mr. X has DM with insulin in use, DM Neuropathy and DM Renal insufficiency.
Special Thanks. What is ICD-10-CM? CDQ Education Department. Coding on the River Executive Committee. Seth Canterbury Stacey Dingman Wanda Brown
Special Thanks CDQ Education Department Seth Canterbury Stacey Dingman Wanda Brown Coding on the River Executive Committee Virginia Outlaw What is ICD-10-CM? Clinical modification of the WHO s ICD-10 morbidity/mortality
This way to ICD 10 1
This way to ICD 10 1 Quick Review We currently report diagnoses with ICD 9 codes Effective with date of service 10 1 14 we must report services using ICD 10 diagnosis codes Many more codes to choose from
ICD-10 for Beginners Four-Part Series
ICD-10 for Beginners Four-Part Series www.jluhealth.com 1 ICD-10-CM: Introduction to Coding Fundamentals PRESENTER: Joan L. Usher, BS, RHIA, ACE AHIMA Approved ICD-10-CM Trainer JLU HEALTH RECORD SYSTEMS
SNF Medicare Part A Training for Therapy Professionals. Montero Therapy Services Copyright
SNF Medicare Part A Training for Therapy Professionals Montero Therapy Services Copyright 1 6 Components ALL COMPONENTS ADDED TOGETHER = DAILY RATE Montero Therapy Services Copyright 2 PDPM Breakdown Summary
DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE:
DIAGNOSIS CODING ESSENTIALS FOR LONG-TERM CARE: THE BASICS Preferred Clinical Services for Leading Age Florida August 26-27, 2015 WHAT IS ICD-10-CM? International Classification of Diseases, 10 th Revision,
3/20/2017. CONNECTING THE LATEST GUIDANCE FY2017 FOR ICD-10 MATTERS Kyla D. Harrison, RN, BSN, HCS-D, COS-C Visiting Nurse Association of Kansas City
CONNECTING THE LATEST GUIDANCE FY2017 FOR ICD-10 MATTERS Kyla D. Harrison, RN, BSN, HCS-D, COS-C Visiting Nurse Association of Kansas City Coding needs met in many different ways: 1. Fulltime Coders HCS-D
Top 10 ICD-10 Coding Errors (and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus
(and how to fix them!) Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Top 10 ICD-10 Coding Errors (and how to fix them!) Top 10 Primary Diagnoses In ICD-10 ICD-10 Codes
ICD-10 CM Training. Orthopaedic
ICD-10 CM Training Orthopaedic ICD-10-CM Compliance Dates ICD-10-CM will be valid for dates of service on or after October 1, 2015 Outpatient dates of service of October 1, 2015 and beyond. Inpatient hospital
Nicole D. Harper, Ph.D., MBA, RHIA, CCS-P, C-CDI Director, Revenue Cycle St.Vincent Health Indiana
Nicole D. Harper, Ph.D., MBA, RHIA, CCS-P, C-CDI Director, Revenue Cycle St.Vincent Health Indiana Pat Schmitter CPC, CPC-I Senior Healthcare Consultant Approved ICD-10-CM Trainer AHIMA/AAPC VEI Consulting
Learning Objectives. Slide 1. Slide 2. Slide 3 Speakers
Slide 1 Slide 2 Learning Objectives Identify the similarities and differences between ICD-9 and ICD-10. How to determine the correct ICD-10 codes. Describe a mapping of ICD-9 to ICD-10 for common conditions
FY 2017 ICD-10-CM Guideline Updates. Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer
FY 2017 ICD-10-CM Guideline Updates Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA, AHIMA-Approved ICD-10-CM/PCS Trainer How to Review Guideline Changes 1. Download the FY 2017 ICD-10-CM
About Your Faculty. National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction. Take a Deep Breath!
National Alliance of Medical Auditing Specialists (NAMAS) ICD-10-CM CM Introduction Presented by: John Burns, CPC, CPMA, CPC-I, CEMC Approved NAMAS Instructor ICD-10 Ambassador & AHIMA Approved ICD-10
Home Health Prospective Payment System. Overview
Overview Version 6117 January 2017 PBL-046 Java is a registered trademark of Oracle and/or its affiliates. Table of Contents Overview of the... 5 Background and versioning... 5 Changes for this version...
6 semanas de embarazo. Icd 10 status post total hip replacement. Inicio / Embarazo / 6 semanas de embarazo
Inicio / Embarazo / 6 semanas de embarazo 6 semanas de embarazo Icd 10 status post total hip replacement Jan 1, 2018. Preoperative Functional/Health Status Assessment.. decreasing the development of surgical
Rules of Engagement: Adapting to Change
Rules of Engagement: Adapting to Change Stephanie Johnson, CCS Coding Supervisor, Education, Training, and Consultation Uniform Data System for Medical Rehabilitation Carol Harper, COTA/L Manager, Education,
PHPG. Utilization and Expenditure Analysis for Dually Eligible SoonerCare Members with Chronic Conditions
PHPG The Pacific Health Policy Group Utilization and Expenditure Analysis for Dually Eligible SoonerCare Members with Chronic Conditions Prepared for: State of Oklahoma Oklahoma Health Care Authority April
Financial Implications of ICD 10 in 2016
Financial Implications of ICD 10 in 2016 Matthew Menendez Takeaways 1. ICD 10 is not finished it has just begun 2. Continue to refine your ICD 10 strategy 3. What percentage of specified codes is your
4/1/2014 ICD-10 CM/PCS. Benefits to ICD-10. Fewer queries and/or requests for additional clarification. Fewer denials based on medical necessity
Clinical Documentation and ICD-10 Presented by: Altegra Health 1 ICD-10 CM/PCS ICD-10 will be the official HIPAA-transaction set to communicate all patient conditions and all inpatient treatments, beginning
ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think
ICD-10-CM Recertification Prep: Proper Prepping Isn t as Bad as You Think Julie Orton Van, CPC, CPC-P, CEMC Product Manager Coding Solutions 2015 AAPC HEALTHCON, Las Vegas NV Publisher s Notice: Although
ICD What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software
ICD-10... What Are You Waiting For? Presented by Jennifer Warfield, BSN, HCS-D, COS-C Education Director, PPS Plus Software ICD-10... What Are You Waiting For? What is it? International classification
FY 2017 ICD-10-CM Code Updates
FY 2017 ICD-10-CM Code Updates Webinar I Presented by: Melanie Endicott, MBA/HCM, RHIA, CHDA, CDIP, CCS, CCS-P, FAHIMA AHIMA- Approved ICD-10-CM/PCS Trainer Senior Director, HIM Practice Excellence, AHIMA
Our Goals 10/2/2013. ICD-10 Transition: Five Phases. Hot Topics in Billing and Coding: Transitioning to ICD-10
Hot Topics in Billing and Coding: Transitioning to ICD-10 HCCA HAWAII 2013 REGIONAL CONFERENCE Jeri Leong, RN, CPC, CPC-H, CPC-I, CPMA Healthcare Coding Consultants of Hawaii LLC 1 Our Goals Introduce
Introduction to ICD-9 Code Selection. Laura Sullivan, CPC Coordinator Corporate Compliance Auditing & Education Summer 2010
Introduction to ICD-9 Code Selection Laura Sullivan, CPC Coordinator Corporate Compliance Auditing & Education Summer 2010 1 Legal Stuff The information provided here is personal opinion only and should
COUNTDOWN TO ICD-10. Transitioning from ICD-9 to ICD-10 4/6/2015. April 7, Suzy Harvey, RN Managing Consultant
COUNTDOWN TO ICD-10 Transitioning from ICD-9 to ICD-10 April 7, 2015 Suzy Harvey, RN Managing Consultant sharvey@bkd.com Deborah Lake, RN Senior Managing Consultant ddlake@bkd.com 1 TO RECEIVE CPE CREDIT
ICD-10 Diagnosis Coding for Patient-Driven Payment Model
ICD-10 Diagnosis Coding for Patient-Driven Payment Model Maureen McCarthy, BS, RN, RAC-MT, QCP-MT, DNS-MT, RAC-MTA President/CEO Celtic Consulting www.celticconsulting.org 1 Maureen McCarthy, RN, BS, RAC-MT,
presented by the APMA Coding Committee LIVE: January 9, pm ET
Welcome to the APMA ICD-10 is Here Webinar Series presented by the APMA Coding Committee LIVE: January 9, 2014 8pm ET 1 Tonight s Webinar: ICD-10-CM Timelines / Rules / Basics 2 Welcome to the APMA ICD-10-CM
WASHINGTON perspectives
An Analysis and Commentary on Federal Health Care Issues by Larry Goldberg CMS Announces Final Inpatient Psychiatric Facilities PPS Update for FY 2017 The Centers for Medicare and Medicaid Services (CMS)
Medicare Update or Planning for ICD-10. Maureen Brooks February 20, 2014
Medicare Update or Planning for ICD-10 Maureen Brooks February 20, 2014 Partial Code Freeze October 1, 2013 a partial update to include new technology and new diseases published October 1, 2014 no update
PDPM Calculation Worksheet for SNFs 1
PDPM Calculation Worksheet for SNFs 1 The purpose of this Patient-Driven Payment Model (PDPM) calculation worksheet is to illustrate how a resident is classified for payment purposes and how per diem payment
ICD-10 Open Discussion
ICD-10 Open Discussion Presentation to: Providers, Trading Partners and Billing Firms Presented by: Camillia Harris, ICD-10 Communications Lead Erica Baker, ICD-10 Communications Consultant October 29,
ICD-10-CM For Long-Term Care
ICD-10-CM For Long-Term Care June 2015 Karen L. Fabrizio, MBA RHIA CHTS-CP CPRA AHIMA Approved ICD-10-CM Trainer Objectives Review code structure; Review format of ICD-10-CM Volumes 1 and 2 Review coding
ICD-10-CM Coding Tips
ICD-10-CM Coding Tips for clients of: www.teamtsi.com 800.765.8998 Content developed and presented by: 3030 N. Rocky Point Drive, Suite 240 Tampa, FL 33607 800.275.6252 www.polaris-group.com ICD-10-CM
Bundle Payments. Healthcare Systems & Services Presenters: Larry Litman, Tyler Litman
Bundle Payments Healthcare Systems & Services Presenters: Larry Litman, Tyler Litman To determine the average cost of the SNF portion of a bundle through the analysis of our client data-base. Our Objective:
Meet the Presenter. Welcome to PMI s Webinar Presentation. Understanding the ICD- 10-CM Guidelines. On the topic:
Welcome to PMI s Webinar Presentation Brought to you by: Practice Management Institute pmimd.com Meet the Presenter On the topic: Understanding the ICD- 10-CM Guidelines Libby Purser, CHI, CMC, CMIS, CMOM,
ICD-10 Documentation and Cash Flow. Webinar Subscription Access Expires December 31.
ICD-10 Documentation and Cash Flow Questions Answers Webinar Subscription Access Expires December 31. How long can I access the on demand version? You will find that in the same instructions box you utilized
Who is Using ICD-10-CM?
Conventions and Guidelines You Need to Know Presented by Brenda Edwards, CPC, CPMA, CPB, CPC-I, CEMC, CRC Who is Using ICD-10-CM? 1 Objectives of Presentation Review new conventions and chapter specific
Staying the Course Since ICD 10 Has Been Delayed
Staying the Course Since ICD 10 Has Been Delayed Tricia A. Twombly BSN RN HCS D HCS O COS C CHCE AHIMA Approved ICD 10 CM Trainer Senior Director, DecisionHealth Chief Executive Officer, BMSC 1 ICD 10
ICD 10 CM. What does it mean to YOU? It s all about specificity
ICD 10 CM What does it mean to YOU? It s all about specificity ICD TIMELINE ICD-9 Published by WHO in 1978 ICD-10 Endorsed by WHO in 1990 ICD-10-CM draft released in 1995 ICD-10 Used for mortality in the
ICD-9 to ICD-10 Crosswalk Adult Codes
ICD- to ICD- Crosswalk Adult Codes On October 1, 2015, the Centers for Medicare & Medicaid Services (CMS) transitioned to the new International Classification of Diseases, th Revision System (ICD-), which
Tracking of disease processes Classification of causes of mortality Medical research Evaluation of hospital service utilization
1 2 Learning Objectives Explain the reasons and importance of coding diagnoses. Describe the importance of matching the correct diagnostic code to the appropriate procedural code. Differentiate between
Icd 10 code for ambulatory dysfunction
P ford residence southampton, ny Icd 10 code for ambulatory dysfunction Icd 10 code for ambulatory dysfunction -- The funding would include follow icd 10 hip fracture boot prints. Despite the fact that
Partial Hospitalization Program Program for Evaluating Payment Patterns Electronic Report. User s Guide Sixth Edition. Prepared by
Partial Hospitalization Program Program for Evaluating Payment Patterns Electronic Report User s Guide Sixth Edition Prepared by Partial Hospitalization Program Program for Evaluating Payment Patterns
Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association
Where Are You on the ICD-10-CM Radar Screen? Presented to the Indiana Medical Group Management Association ICD-10 Final Rule On January 16, 2009, the U.S. Department of Health and Human Services (HHS)
Answer: To report this service use: Z Encounter for screening for other musculoskeletal disorders
Scoliosis Screening March 17, 2016 How do you report screening for scoliosis when the patient is sent by the school nurse or the pediatrician but, after the examination, there is no scoliosis identified?
MOVE IN THE RIGHT DIRECTION: Malnutrition Diagnosis, Documentation & Physical Assessment!
4/3/2014 PRESENTERS MOVE IN THE RIGHT DIRECTION: Malnutrition Diagnosis, Documentation & Physical Assessment! Michelle Hoppman, RD, LRD, CDE Allison Ferguson, RD, CNSC Director, Nutrition Division Executive
The Role of Physiatry in the Care of Adults and Children with Hydrocephalus
The Role of Physiatry in the Care of Adults and Children with Hydrocephalus Scott E. Brown, MD Chairman Department of Physical Medicine and Rehabilitation Sinai Hospital of Baltimore Who Are We? PHYSICAL
Coding for Risk Adjustment: Module: 3
Coding for Risk Adjustment: Risk Adjustment Conditions and Coding Guidance Module: 3 Presented by: Revenue Program Management Highmark NOTE: This information is intended to assist with documentation only,
Billing WorkSafeBC for
Please note that the physiotherapy clinic must have a valid contract in order to provide services under Standard or Post-Surgical Eligibility and Assessment Blocks (Standard and Post-Surgical ) Does the
ICD-10 Q&A AAPC will offer training on each step and they will be available for CEU's. CEU's are not given for any exam.
ICD-10 Q&A 3-31-11 Question With the Coder's Roadmap that you are showing, will AAPC be offering classes/training for each of the steps? Will CEU's be offered for these steps, because I see that CEU's
ICD-9-CMCoding I Common Course Outline
ICD-9-CMCoding I Common Course Outline Course Information Organization South Central College Revision History 2008-2009 Course Number HC 1920 Department Health Careers Total Credits 3 Description This
Health TALK. Take charge. Health4Me TM. Prepare to see your provider.
Health TALK SPRING 2018 Health4Me TM Do you have the UnitedHealthcare Health4Me mobile app? Health4Me has many of the same features as your secure member website, myuhc.com/communityplan. You can view
Readmission Analysis Using 3M Methodology
Readmission Analysis Using 3M Methodology Potentially Preventable Readmissions (PPRs) Lisa Lyons, RN, BSN Product Marketing Manager 3M Health Information Systems Vicky Mahn-DiNicola RN, MS, CPHQ Vice President
Professional CGM Reimbursement Guide
Professional CGM Reimbursement Guide 2015 TABLE OF CONTENTS Coding, Coverage and Payment...2 Coding and Billing...2 CPT Code 95250...3 CPT Code 95251...3 Incident to Billing for Physicians..............................................
code it EVOLVE EPS HCPCS Device Codes CPT Codes Physician Coding Elbow Plating System HCPCS Code Description C1713 CPT CODE Description RVUs
HCPCS Device Codes HCPCS codes are developed and maintained by CMS and are used to report items such as medical devices, implants, drugs and supplies. C-codes are a special type of HCPCS code designed
The HIM Times Bringing the HIM Experts to You
The HIM Times Bringing the HIM Experts to You Medical Audit Resource Services, Inc. (352) 385-1881 *News Flash!* MARSI/AHIMA Announce HCC Curriculum Affiliation MARSI is pleased to announce our recent
ICD-10 I m Back October 1, 2015 in 10 min. or less. AAOS Specialty Day 2015 William Beach, MD
ICD-10 I m Back October 1, 2015 in 10 min. or less AAOS Specialty Day 2015 William Beach, MD Conflict of Interest Statement Fellowship Grants Smith Nephew Arthrex Synthes Mitek Share Holder Tuckahoe Surgery
HCC s and Providers: Get Paid For What You Do! Speaker s Disclaimer
HCC s and Providers: Get Paid For What You Do! D. Scott Jones, CHC Chief Compliance Officer, Augusta Health Compliance Official, Augusta Care Partners ACO Speaker s Disclaimer D. Scott Jones, CHC has no
Reject Code Reason for Rejection What to do
Reject Code Reason for Rejection What to do 10 Hospital where services rendered missing or invalid. Input the Hospital where services were rendered on the HCFA. 11 Patient first name missing or invalid.
PerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management. AD ICD-10-CM Frequently Asked Questions
Provider Notice To: From: PerformCare Provider Network Scott Daubert PhD, VP Provider Network & Account Management Date: April 23, 2015 Subject: AD 15 105 ICD-10-CM Frequently Asked Questions The Centers
ICD-10-CM: What Does Your Coder Really Need To Know Part I. Your Speaker A SHORT HISTORY LESSON
ICD-10-CM: What Does Your Coder Really Need To Know Part I IAHHC 2014 ANNUAL COFERENCE Wednesday, May 7, 2014 1:00 p.m.-2:30 p.m. Copyright 2014 FR&R Healthcare Consulting Inc. 1 Your Speaker Bonny Kohr,
Medical Review Robin Leigh, R.N., B.S.N.
Medical Review Robin Leigh, R.N., B.S.N. Medical Review The List Going Beyond The List It s not what we do, it s why we do it Accuracy of Problem Identification Efficiency of Review Process Efficiency
Appropriate Use of 7 th Character in ICD 10 CM
Appropriate Use of 7 th Character in ICD 10 CM Jameel Ahmed RHIA,CCS Corporate, Group HIM Manager SEHA - Abu Dhabi Health Services Co SEHA: Abu Dhabi Healthservices 18,000 Employees 12 Hospitals 57 Ambulatory
Case Review of Inpatient Rehabilitation Hospital Patients Not Suited for Intensive Therapy
U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES OFFICE OF INSPECTOR GENERAL Case Review of Inpatient Rehabilitation Hospital Patients Not Suited for Intensive Therapy OEI-06-16-00360 DECEMBER 2016 SUZANNE MURRIN
OPERATIONALIZING HIERARCHICAL CONDITION CATEGORIES (HCC SCORING)
OPERATIONALIZING HIERARCHICAL CONDITION CATEGORIES (HCC SCORING) OBJECTIVES 1 DEFINE HIERARCHICAL CONDITION CATEGORIES We will cover how Hierarchical Condition Categories (HCC) are determined and the Risk
April 10, 2008 VIA ELECTRONIC MAIL
VIA ELECTRONIC MAIL Donna Pickett, MPH, RHIA Medical Classification Administrator National Center for Health Statistics 3311 Toledo Road Room 2402 Hyattsville, Maryland 20782 Dear Donna: The American Health
ICD-10 Working Group Kick off meeting. John D. Halamka MD Steve Fischer
ICD-10 Working Group Kick off meeting John D. Halamka MD Steve Fischer Agenda Purpose of the workgroup Background - what must we do, when must we do it A typical project plan Thinking about staff and budget
Modular Program Report
Disclaimer The following report(s) provides findings from an FDA initiated query using Sentinel. While Sentinel queries may be undertaken to assess potential medical product safety risks, they may also
9/27/2011. Improving Revenue Capture: Best Practices in Coding, Documentation and Charge Capture. Educational Breakout Session PRESENTERS
Educational Breakout Session Improving Revenue Capture: Best Practices in Coding, Documentation and Charge Capture Becker s ASC Conference, Breakout Session, October 29, 2011 PRESENTERS Yvonda Moore Director
ICD-10CM, HCC and Risk Adjustment Factor
ICD-10CM, HCC and Risk Adjustment Factor Not everyone is aware of what CMs calls the risk adjustment model. It was developed under the Patient Protection and Affordable Care Act (also known as the PACA)
Inpatient Psychiatric Facilities
Payment Integrity Compass Inpatient Psychiatric Facilities Understanding IPF Calculations Updated 12/05/12 2 Questions from the Group Please use GoToMeeting to Ask a Question Use the Raise Hand function
Stakeholder Perspective on ICD-10 Preparation Coding Committee Meeting Paul Kinberg, DPM, Chair
9312 Old Georgetown Road Bethesda, MD 20814-1621 Tel: 301-571-9200 Fax: 301-530-2752 www.apma.org Stakeholder Perspective on ICD-10 Preparation Coding Committee Meeting Paul Kinberg, DPM, Chair ICD-10
Countdown to ICD-10: Top 10 Things to Do to Prepare for ICD-10
Countdown to ICD-10: Top 10 Things to Do to Prepare for ICD-10 Presentation to: Providers, Trading Partners and Billing Firms Presented by: Camillia Harris, ICD-10 Communications Lead Erica Baker, ICD-10
Dial-In Instructions
Dial-In Instructions Conference Name: Inpatient Rehabilitation Facility Coding and Billing: A team approach to correct code assignment Scheduled Conference Date: Tuesday, July 18, 2006 Scheduled Conference
Changes to Texas Medicaid Hearing Services Benefits to Accompany PACT Transition
Changes to Texas Medicaid Hearing Services Benefits to Accompany PACT Transition Information posted July 31, 2009 Effective for dates of service on or after September 1, 2009, Texas Medicaid clients who
ICD-10-CM Official Guidelines for Coding and Reporting 2014
Appendix VII ICD-10-CM Official Guidelines for Coding and Reporting 2014 Narrative changes appear in bold text Items underlined have been moved within the guidelines since the 2013 version Italics are
ICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting
1 ICD-9 to ICD-10 Conversion Sample for Physical, Occupational and Speech Therapy - SNF Setting ICD-9 Code ICD-9 Description New ICD-10 New ICD-10 Description DM with Neuropathy E11.21 Type 2 diabetes
AROC Outcome Targets Report Inpatient Pathway 3
AROC Outcome Targets Report Inpatient Pathway 3 Anywhere Hospital January 2013 December 2013 Australasian Faculty of Rehabilitation Medicine AROC impairment specific benchmarking process...3 Introducing
1. Improve Documentation Now
Joseph C. Nichols, MD, Principal, Health Data Consulting, Seattle, Washington From Medscape Education Family Medicine: Transition to ICD-10: Getting Started. Posted: 06/19/2012 Target Audience: This activity
Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi.
A Venture of Cheryl Ericson, MS, RN, CCDS, CDIP, AHIMA Approved ICD 10 CM/PCS Trainer Clinical Documentation Program Manager for ezdi HIPAA Code Sets HIPAA legislation required use of the International
ICD-10-CM Official Guidelines for Coding and Reporting 2016
ICD-10-CM Official Guidelines for Coding and Reporting 2016 Narrative changes appear in bold text. Items underlined have been moved within the guidelines since the 2014 version. Italics are used to indicate
Welcome to Navigating ICD-10
A nonprofit independent licensee of the Blue Cross Blue Shield Association Welcome to Navigating ICD-10 This presentation provides general background information and resources to help your office or facility
WELCOME to a PMI WEBINAR PRESENTATION
WELCOME to a PMI WEBINAR PRESENTATION PMI presents: Nancy Maguire on the topic: Primary Care and ICD-10-CM Diagnosis Coding Welcome to Practice Management Institute s Webinar and Audio Conference Training.
Icd 10 code for physical therapy rehab
Icd 10 code for physical therapy rehab Apr 14, 2014. Here are the most common ICD-10 codes for physical therapy. Feb 12, 2016. All HIPAAcovered providers including rehab therapists now must report ICD-
FILE - NEUROSURGERY CPT CODES OPERATION MANUAL ARCHIVE
09 January, 2018 FILE - NEUROSURGERY CPT CODES OPERATION MANUAL ARCHIVE Document Filetype: PDF 112.15 KB 0 FILE - NEUROSURGERY CPT CODES OPERATION MANUAL ARCHIVE Coding Root Operations with ICD-10-PCS-
2018 Cerebrovascular Reimbursement Coding Fact Sheet
The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Cordis Corporation concerning levels of reimbursement, payment,
UTILIZING CPT AND HCPCS CODES FOR HEALTHCARE REIMBURSEMENT: A guide to billing and reimbursement of SpiderTech kinesiology tape products
UTILIZING CPT AND HCPCS CODES FOR HEALTHCARE REIMBURSEMENT: A guide to billing and reimbursement of SpiderTech kinesiology tape products Billing and coding of taping and strapping services can be a complex
GENERAL GUIDELINES ICD-10 TRANSITION FREQUENTLY ASKED QUESTIONS (FAQS) - AUGUST 2015
GENERAL GUIDELINES What is the compliance deadline for ICD-10? The compliance date for implementation of ICD-10 is October 1, 2015. The ICD-9 code sets used to report medical diagnoses and inpatient procedures