Precyse University ICD-10 Education Tracks

Transcription

1 Precyse University ICD-10 Education Tracks The following information will help you understand the Precyse University ICD-10 Educational Tracks. Each impacted population requires specific education to prepare them for the ICD-10 transition. By reading through the details of each bundle and track, you can start to map out the direction(s) that would most benefit your group. All impacted populations should enroll in one of the Tracks with some populations requiring one or more specialty tracks to provide them with the training they need to be effective in their job function. ICD-10 Coding Readiness Assessment Approx. 1.5 Hrs. Our ICD-10 Coding Readiness Assessment is a 80 question, 4 part assessment used to determine a baseline of ICD-10 readiness for the intended populations across the four topics below. Due to the greater level of specificity required for ICD-10 and the fundamental coding concepts, coders and those who interact with codes or documentation will need a strong foundation in anatomy, physiology, pathophysiology, medical terminology, and core coding principles. This assessment is broken into four parts: ICD-9 Guidelines and Conventions: This part looks at competencies within ICD-9 guidelines and conventions that remain the same and continue into ICD-10. The concept is that weakness in these guidelines that continue into ICD-10 will always compound with the arrival of ICD-10 and will require attention. This is why the last three parts of the assessment deal with this. Medical Terminology: This part looks at the learner s knowledge of medical and clinical root terms, prefixes, and suffixes to decipher medical terminology Anatomy: This part assesses Anatomical structure and system knowledge using redacted medical record excerpts Pathophysiology: This part assesses knowledge in disease and body pathophysiology. Inpatient Coders, Outpatient Coders, ED/Ancillary Coders, Pro-Fee Coders, Clinical Documentation Improvement Specialists, Auditors, HIM/Coding Management, Professional Billers

2 ICD-10 Basic User Courses: 4 Hours: 2-4 This core bundle introduces the learner to the impact of ICD-10. It includes the basics about the two classification systems CM and PCS. It provides information to the basic user of the ICD 10 code that will explain what they need to know to understand and interact with the code. Includes the impact ICD-10 will have on all aspects of the revenue cycle, and how it impacts his or her job function. IT/IS, Human Resources, Non-Coding HIM Staff, Senior Management, Finance. A Day in the Life of ICD-10 Prologue to ICD-10-CM for Non-Coders Prologue to ICD-10-PCS for Non-Coders ICD-10 and the Delivery and Business of Healthcare ICD-10 Clinical User Bundle Courses: 6 Hours: 3-5 This core bundle introduces the learner to the impact of ICD-10, basics of the classifications systems, how to interact and understand a code, how it impacts his or her job function as well as the basics of documentation impacts within ICD-10 and how to use the ICD-10 code book for a beginner. Patient Access, Quality Assurance, Utilization Management, Claims Review, Contract Management, Dietary, Patient Financial Services, Emergency Room Staff (non-nurse/non-physician), Radiology Staff (non-physician), Laboratory Staff, Therapists (OT/PT), Other Techs (Surgical, Cath Lab, and others), Ward or Unit Clerks, Compliance Officer/Staff, Billing Office Staff, Pharmacy Staff. A Day in the Life of ICD-10 Prologue to ICD-10-CM for Non-Coders Prologue to ICD-10-PCS for Non-Coders ICD-10 and the Delivery and Business of Healthcare The Language of ICD-10: Specificity and Granularity Using the ICD-10 Code Book for Non-Coders

3 ICD-10 Documenter Bundle * Available in multi-platform/mobile format Courses: 34 Hours: 4-12 This core bundle is designed to instruct the learner on the basics of the ICD-10 system, the greater level of documentation specificity required, and the foundations of ICD-10 documentation concepts and strategies that can be applied against all diseases, conditions, and encounters. This track is for any population that documents the medical record, specifically for physicians. There are three phases in this bundle: General ICD-10 Awareness for the Documenter, ICD-10 Documentation foundations, and specialty-specific education covering all major medical specialties. This bundle also provides access to our ICD-10 SmartPhone Apps that provide education and resources for successful documentation in ICD-10. Physicians, Hospitalists, Nurses, Case Management, Clinical Documentation Improvement Specialists Phase I: ICD-10 and the Physician A Day in the Life of ICD-10 Prologue to ICD-10-CM for Non-Coders Prologue to ICD-10-PCS for Non-Coders ICD-10 and the Delivery and Business of Healthcare Phase 2: The Language of ICD-10: Specificity and Granularity Documenting in ICD-10-CM Documenting in ICD-10-PCS Phase 3: ICD-10 and Anesthesiology ICD-10 and Cardiovascular Medicine: Conditions of the Heart ICD-10 and Cardiovascular Medicine: Conditions of the Vascular System ICD-10 and Dermatology ICD-10 and Emergency Medicine ICD-10 and Endocrinology ICD-10 and ENT (Otolaryngology) ICD-10 and Family Practice/ Primary Care ICD-10 and Gastroenterology ICD-10 and General Surgery ICD-10 and Hepatology ICD-10 and Hospitalist Medicine ICD-10 and Immunology ICD-10 and Infectious Disease ICD-10 and Internal Medicine ICD-10 and Nephrology ICD-10 and Neurology ICD-10 and OB-GYN: Obstetrics ICD-10 and OB-GYN: Gynecology ICD-10 and Oncology and Hematology ICD-10 and Ophthalmology ICD-10 and Orthopedics: Degenerative Diseases ICD-10 and Orthopedics: Injuries ICD-10 and Pathology Cardiovascular Medicine - Conditions of the Heart Congenital Anomalies Endocrinology General Pediatric Medicine Hematology Immunology Neonatology Nephrology Neurology Oncology Ophthalmology Orthopedics Otolaryngology (ENT) Plastics Pulmonology Rheumatology Urology ICD-10 and Plastics ICD-10 and Podiatry ICD-10 and Psychiatry ICD-10 and Pulmonology ICD-10 and Radiology for Radiologists ICD-10 and Rheumatology ICD-10 and Urgent Care ICD-10 and Urology

4 ICD-10 Super User (CM Only) Bundle Courses: 32 Hours: This core bundle provides comprehensive education on how to decipher, understand, and assign codes in ICD-10-CM. It will provide foundational instruction in ICD-10-CM, the changes between ICD-9-CM and ICD-10-CM, the use of the code book and resources, as well as the guidelines and conventions of all 21 chapters of ICD-10-CM. ED Coders, Ancillary Coders, Pro-Fee Coders, SNF Coders, Outpatient Coders, Physician Coders Phase 1: A Day in the Life of ICD-10 Prologue to ICD-10-CM for Coders Prologue to ICD-10-PCS for Coders ICD-10 and the Delivery and Business of Healthcare Phase 2: ICD-10-CM: Introduction to the ICD-10 Classification System ICD-10-CM: Introduction to the ICD-10-CM Code Book Using the Book ICD-10-CM: Introduction to the ICD-10-CM Code Book The Conventions ICD-10-CM: Introduction to the ICD-10-CM Guidelines: General Coding Guidelines ICD-10-CM: Introduction to the ICD-10-CM Guidelines: Principal Diagnosis and Additional Diagnoses ICD-10-CM: Introduction to the ICD-10-CM Guidelines: Outpatient Coding Guidelines Phase 3: ICD-10-CM Coding: Chapter 1 Infectious and Parasitic Diseases Chapter 2 Neoplasms Chapter 3 Diseases of the Blood and Blood- Forming Organs Chapter 4 Endocrine, Nutritional, and Metabolic Diseases Chapter 5 Mental and Behavioral Disorders Chapter 6 Diseases of the Nervous System Chapter 7 Diseases of the Eye and Adnexa Chapter 8 Diseases of the Ear and the Mastoid Chapter 9 Diseases of the Cardiovascular System Chapter 9 Diseases of the Circulatory System Chapter 10 Diseases of the Respiratory System Chapter 11 Diseases of the Digestive System Chapter 12 Diseases of the Skin and Subcutaneous Tissue Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue Chapter 14 Diseases of the Genitourinary System Chapter 15 Pregnancy, Childbirth, and the Puerperium Chapter 16 Certain Conditions Originating in the Perinatal Period Chapter 17 Congenitial Malformations, Deformations, and Chromosomal Abnormalities Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Chapter 19 Injury, Poisoning, and Certain and Other Consequences of External Cause Chapter 20 External Causes of Morbidity Chapter 21 Factors Influencing Health Status and Contact with Health Services

5 ICD-10 Super User (CM/PCS) Bundle Courses: 48 Hours: This core bundle provides comprehensive education on how to decipher, understand, and assign codes in ICD-10-CM. It will provide foundational instruction in ICD-10-CM, the changes between ICD-9-CM and ICD-10-CM, the use of the code book and resources, as well as the guidelines and conventions of all 21 chapters of ICD-10-CM. Additionally, this bundle provides comprehensive education on the foundations, guidelines, and usage of the ICD-10-PCS classification system. This bundle will look at each of the three sections of ICD-10- PCS: Medical and Surgical, Medical and Surgical-Related, and Ancillary as well as a detailed look at each value within each section. Clinical Documentation Improvement Specialists, Inpatient Coders, Internal Auditors, HIM/Coding Management Phase I: A Day in the Life of ICD-10 Prologue to ICD-10-CM for Coders Prologue to ICD-10-PCS for Coders ICD-10 and the Delivery and Business of Healthcare Phase 2: ICD-10-CM: Introduction to the ICD-10 Classification System Introduction to the ICD-10-CM Code Book Using the Book Introduction to the ICD-10-CM Code Book The Conventions Introduction to the ICD-10-CM Guidelines: General Coding Guidelines Introduction to the ICD-10-CM Guidelines: Principal Diagnosis and Additional Diagnoses Introduction to the ICD-10-CM Guidelines: Outpatient Coding Guidelines Phase 3: ICD-10-CM Coding: Chapter 1 Infectious and Parasitic Diseases Chapter 2 Neoplasms Chapter 3 Diseases of the Blood and Blood-Forming Organs Chapter 4 Endocrine, Nutritional, and Metabolic Diseases Chapter 5 Mental and Behavioral Disorders Chapter 6 Diseases of the Nervous System Chapter 7 Diseases of the Eye and Adnexa Chapter 8 Diseases of the Ear and the Mastoid Chapter 9 Diseases of the Cardiovascular System Chapter 9 Diseases of the Circulatory System Chapter 10 Diseases of the Respiratory System Chapter 11 Diseases of the Digestive System Chapter 12 Diseases of the Skin and Subcutaneous Tissue Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue Chapter 14 Diseases of the Genitourinary System Chapter 15 Pregnancy, Childbirth, and the Puerperium Chapter 16 Certain Conditions Originating in the Perinatal Period Chapter 17 Congenitial Malformations, Deformations, and Chromosomal Abnormalities (...continued)

6 ICD-10 Super User (CM/PCS) Bundle (...continued) Courses: 48 Hours: Phase 3 (continued): ICD-10-CM Coding: Chapter 18 Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Chapter 19 Injury, Poisoning, and Certain and Other Consequences of External Cause Chapter 20 External Causes of Morbidity Chapter 21 Factors Influencing Health Status and Contact with Health Services Phase 4: ICD-10-PCS Coding: Detailed Review of ICD-10-PCS The Fundamentals of Assigning ICD-10-PCS Codes Overview of the Medical and Surgical Section Fundamentals of Body Systems and Body Parts/Medical and Surgical Root Operations Groups 1 to 3 Medical and Surgical Root Operations Groups 4 to 8 Medical and Surgical Approaches Medical and Surgical Devices Medical and Surgical Qualifiers Overview of the Medical and Surgical-Related Section The Section Value of the Medical and Surgical-Related Section The Root Operations of the Medical and Surgical-Related Section Medical and Surgical-Related Devices, Equipment, and Substances The Other Values of the Medical and Surgical-Related Section Overview of the Ancillary Section Fundamentals in Assigning Codes in the Ancillary Section ICD-10 Anatomy and Physiology Track Courses: 19 Hours: 18 This track will provide preparatory education for all coders and users of the system to strengthen knowledge of Anatomy, Pathophysiology, and Medical Terminology as it relates to ICD-10. There are 19 courses covering foundational anatomy and physiology concepts as well as courses on each major body system. Inpatient coders, Outpatient coders, ED coders, Ancillary coders, Pro-Fee Coders, Clinical Documentation Improvement Specialists, HIM/Coding Management Anatomy and Physiology of ICD-10-CM Anatomy and Physiology of ICD-10-PCS Medical Terminology of ICD-10 ICD-10 and the Organization of the Human Body ICD-10 and the Tissue Level of Organization ICD-10 and Blood and Blood-Forming Organs ICD-10 and the Endocrine System ICD-10 and the Integumentary System ICD-10 and the Skeletal System ICD-10 and the Muscular System ICD-10 and the Nervous System ICD-10 and the Circulatory System ICD-10 and the Respiratory System ICD-10 and the Digestive System ICD-10 and the Urinary System ICD-10 and the Male Reproductive System ICD-10 and the Female Reproductive System ICD-10 and the Eye and Adnexa ICD-10 and the Ear and Mastoid

7 ICD-10 GEMS Track Courses: 5 Hours: 5 This track will provide education on the use of GEMS and mapping of ICD-9 to ICD-10, ICD-10 to ICD-9, and general interpretation of the code systems. IT/IS, Patient Financial Services, Billing Office Staff, Quality Assurance, Utilization Manager, Claims Review Introduction to GEMs for Diagnostic Codes Introduction to GEMs for Procedure Codes Introduction to GEMs: Electronic Crosswalk between ICD-9-CM and ICD-10-CM Introduction to GEMs: Electronic Crosswalk between ICD-9-CM, Volume III and ICD-10-PCS GEMs: Mappings and Crosswalks ICD-10 Finance and Reimbursement Track Courses: 4 Hours: 4 This track will provide instruction on how ICD-10 impacts current reimbursement and explains the differences in reimbursement within ICD-10-CM and ICD-10-PCS. It will also look at the impact on the UB-04 and CMS1500, code edits, and how the healthcare payers are handling the ICD-10 transition. Senior Management, Finance, Patient Financial Services, Billing Office Staff ICD-10 and the UB-04/1500 ICD-10 and Code Edits Reimbursement in ICD-10 ICD-10 and the Healthcare Payers

8 ICD-10 Professional Biller Track Courses: 8 Hours: 7 This track provides enhanced instruction on the ICD-10-CM classification system and the strategies in the deciphering and usage of the codes. It also offers insight into ICD-10 reimbursement, the guidelines and conventions, and the basics of assigning codes. Professional Billers Phase I: ICD-10 and the Professional Biller ICD-10 and the Healthcare Payers ICD-10 and the UB-04/1500 ICD-10 and the Code Edits Phase 2: ICD-10-CM: Introduction to the ICD-10 Classification System Using the ICD-10-CM Code Book for Non-Coders ICD-10-CM: Introduction to the ICD-10-CM Guidelines: General Coding Guidelines ICD-10-CM: Introduction to the ICD-10-CM Guidelines: Principal Diagnosis and Additional Diagnoses ICD-10 Home Health Courses: 7 Hours: 5-6 This track offers an explanation of the impact ICD-10 has on Home Health, an overview of the ICD-10-CM and ICD-10-PCS classification systems, the documentation requirements within ICD-10, the basics of code assignment and interaction with OASIS, and the impact on reimbursement within Home Health including topics such as case-mix and HHRGs. Home Health Professionals Introduction to ICD-10 and Home Health Prologue to ICD-10-CM for Home Health Prologue to ICD-10-PCS for Home Health Using the ICD-10-CM Code Book for Home Health Documenting in ICD-10 for Home Health ICD-10-CM and General Diagnosis and the OASIS Reporting Criteria ICD-10 and Medicare Home Health Reimbursement

9 ICD-10 Ancillary Bundle Courses: 8 Hours: 1-4 This track provides an overview of the operational and documentation impacts of ICD-10 on specific Ancillary Departments covering the required knowledge and steps to successfully transition to ICD- 10. Each course will look closely at how ICD-10 impacts the many functions and processes within the department and what may require changes in the way they are handled. In addition, the courses will guide the learner through the additional documentation specificity required to support the attending physician s final documentation and how this additional specificity will assist in generating optimal documentation for ICD-10. Dietary, Infusion Suite, Laboratory, Pain Clinic, Patient Access, PT/OT, Radiology, Wound Care ICD-10 and Dietary ICD-10 and the Infusion Center ICD-10 and Laboratory Services ICD-10 and the Pain Clinic ICD-10 and Patient Access ICD-10 and PT/OT ICD-10 and Radiology for Radiology Staff ICD-10 and Wound Care

10 ICD-10 Documenter Plus Bundle Courses: 23 Hours: 5.75 This track provides an overview of the increased documentation specificity required in ICD-10. Each course looks at the most impacted and common diseases and disorders and will offer concise tips and strategies for each disease to ensure optimal documentation, avoidance of outdated or displaced terminology. The courses aim to mitigate the potential significant increase in physician queries for these diseases. The track is organized by ICD-10-CM chapter. Clinical Documentation Improvement Specialists, Case Managers ICD-10 Documentation: Infectious and Parasitic Diseases ICD-10 Documentation: Neoplasms the Blood and Blood-Forming Organs ICD-10 Documentation: Endocrine, Nutritional and Metabolic Diseases ICD-10 Documentation: Mental and Behavioral Disorders ICD-10 Documentation: Disease of the Nervous System the Eye and Adnexa the Ear and Mastoid the Cerebrovascular System the Cardiovascular System the Vascular System the Digestive System the Respiratory System the Skin and Subcutaneous System the Muscular System the Skeletal System the Genitourinary System the Reproductive System ICD-10 Documentation: Pregnancy, Childbirth and the Puerperium ICD-10 Documentation: Conditions Originating in the Perinatal Period ICD-10 Documentation: Congenital Malformations, Deformations and Chromosomal Abnormalities ICD-10 Documentation: Symptoms, Signs and Abnormal Lab Findings ICD-10 Documentation: External Causes of Injury

11 Precyse University ICD-10 Applications and Resources Precyse University Arcade The Precyse University Arcade offers over 100 video games that teach, assess, and allow the user to learn in an interactive and fun manner in topics such as anatomy, physiology, pathophysiology, pharmacology, ICD-10 guidelines, ICD-10 documentation and many others. All Precyse University Animation Gallery The Precyse University Animation Gallery offers over D computer animations showing anatomical structures, disease pathophysiology and staging, as well as procedures being performed. These animations allow the learner to visualize these elements, which are essential for ICD-10. All ICD-10 Virtual Coding Lab Our ICD-10 Virtual Coding Lab provides hundreds of scenarios allowing coders to practice ICD-10 coding across a wide array of encounter types and settings. The lab is built on the adult learning method of teaching through repetition making the coder more comfortable in using their resources to look up and find the correct codes. All coders, Professional Billers, Physicians who code, HIM/Coding Management, Auditors

12 Precyse University ICD-10 Applications and Resources (...continued) ICD-10 Virtual Coding Simulator Our ICD-10 Virtual Coding Simulator is an industry-only application that allows a coder to actually code a full redacted medical record in ICD-10 prior to the transition. This is not a mapping tool like other simulators in the market. The Virtual Coding Simulator provides coders with experience coding the actual medical record in ICD 10, and receiving immediate feedback on their coding performance. This feedback includes the incorrect code, correct code and rationale for the correct code. All Coders, Professional Billers, Physicians who code, HIM/Coding Management, Auditors ICD-10 Documentation Simulator Our ICD-10 Documentation Simulator is an industry-only application that allows CDI Professionals and clinicians the ability to practice identifying documentation gaps and how to resolve these gaps with the specificity required in ICD-10. Clinical Documentation Improvement Specialists, Physicians, Case Managers, Coding/HIM Management, Nurses