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The ICD-10 Solution

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Page 1: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

Page 2: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Company Background

• Dedicated online adult-focused healthcare education company for 20

years

• 100% in-house staff

• AHIMA & AAPC approved educational courses

• Leading online healthcare educator

• Proprietary learning management system (LMS) supporting up to 100,000

users

• Partner branding capabilities

• Senior management team with extensive Healthcare & HIM backgrounds

The ICD-10 Solution

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Corporate Training

• Outcomes-driven educational programs specifically designed to meet growing demands of healthcare providers

to train, retain and develop their employees

• Leverage the widely-recognized value of investing in employees as they cut cost and improve quality

• Efficient and cost-effective means for staff members to gain new skills and demands and increase their

value to healthcare executive leaders

• Assessment tools

• Provide methods to help hiring managers determine readiness of candidates and employees to perform

specific aspects of job requirements

• Gap analysis to identify explicit individual strengths and weaknesses in particular areas of knowledge and

skills

• Pioneers in the design and delivery of online programs

• Respected and recognized by healthcare industry certification organizations

• Trusted by key healthcare providers and payers to meet their training and business objectives

• Accessible and effective for adult learners in busy healthcare environments

The ICD-10 Solution

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Initial and Ongoing Training and

Development

Corporate Training Programs

• Knowledge and Skills Assessments for employees and candidates

• ICD-10 Biomedical Sciences Clinical Coder Courses

• ICD-10 Biomedical Sciences Advanced Assessments

• ICD-10 Seminars and Workshops

• ICD-10-CM/PCS Code Set Training

• ICD-10 Physician Training by Specialty

• ICD-9 Medical Coding and Billing – New and Advanced Student

• ICD-9 Outpatient to Inpatient Medical Coding and Billing

• Medical Biller Training

The ICD-10 Solution

Page 5: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

• ICD-10-focused expertise in coding and adult learning methodologies

• Sophisticated, online approach enables economical and efficient access, as well as practice and

application during learning

• Optimal retention

• Minimal learner frustration

• Modular content delivered via our proprietary Learning Management System (LMS) can also be

delivered via SCORM 1.2 packaging

• Flexibility enables hosting on any compliant system or hosting by Career Step

• Robust reporting capabilities

• Immediate access without versioning

• Designed to ensure clients evaluate needs, receive role- and needs-based training, assess retention

and gaps along the way, retrain as needed, practice along the way and are confidently prepared for

ICD-10

The ICD-10 Solution

Page 6: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

• Working with large healthcare facility clients on ICD-10 training development since 2009

• System wide ICD-10-CM/PCS educational programs

• Assessments for coding staff’s clinical knowledge base on biomedical sciences (1000+ coders to date) with detailed reporting

• Adult learning with interactive exercises and activities

• Ann Zeisset, RHIT, CCS and Gail Smith, MA, RFIA, CCS-P national ICD-10 experts, authors and speakers

• Biomedical Science Courses incorporating ICD-10-CM/PCS characteristics

• Separate HIM PCS/CM and Professional Services ICD-10 CM code training

• CM and PCS code set training with periodic instructor-led webinars

• Project Manager assigned to assist with schedules, reports, and project plan

Our Experience and Work Approach

The ICD-10 Solution

Page 7: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Benefits

• Programs based on ICD-10-CM Official Guidelines for Coding and Reporting and ICD-10-PCS Coding Guidelines

• On-Line education accessible 24/7 supported by proprietary LMS

• Developed and monitored project timelines with status reporting

• Detailed coding guideline instruction with multi level coding exercises

• AHIMA and AAPC prior-approved CEU’s

• Interactive and instructional design for adult learners

• Client branded online training programs with custom capabilities

• Flexibility to assign staff by programs and timelines

• Administrative rights allowing review of multiple progress, activity and result reports by staff

The ICD-10 Solution

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Project Manager Roles and

Responsibilities

• Assist client Project Manager with creation of project plan

• Create education schedule and timeline for staff by programs

• Create client database: staff contact information, login and programs

• Conduct staff kick-off calls

• Monitor staff progress and provide status reporting to client’s PM

• Coordinate distribution of study guides

• Schedule instructor led webinars

• Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

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The ICD-10 Solution

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Example Calendar

DUAL CODING MAY 2014 COURSE COMPLETION CALENDAR

Course Name Begin Date Completion Date

Basic Assessment Pt. 1 12/17/12 (wk of) 12/21/12 (wk of)

Basic Assessment Pt. 2 12/31/12 (wk of) 01/04/12 (wk of)

Medical Terminology (6 wks) 01/07/12 02/15/13

Review Study Guide (Med Term) (3 wks) 02/18/13 03/08/13

Advanced Med Term Assessment 03/11/13 (wk of) 03/15/13 (wk of)

Anatomy (6 wks) 03/18/13 04/26/13

Review Study Guide (Anatomy) (3 wks) 04/29/13 05/17/13

Advanced Anatomy Assessment 05/20/13 (wk of) 05/24/13 (wk of)

Pathophysiology (6wks) 05/27/13 07/05/13

Review Study Guide (Patho) (3 wks) 07/08/13 07/26/13

Advanced Pathophysiology Assessment 07/29/13 (wk of) 08/02/13 (wk of)

Pharmacology (5wks) 08/05/13 09/06/13

Review Study Guide (Pharm) (3 wks) 09/09/13 09/27/13

Advanced Pharm Assessment 09/30/13 (wk of) 10/04/13 (wk of)

Additional CCCC Training for staff not meeting goals

ICD-10 Training CM (12wks) 10/07/13 01/10/13

ICD-10 Training PCS (16wks) 01/13/14 05/02/14

The ICD-10 Solution

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• National surveys are showing that the majority of organizations are behind in planning and training

• Detail project planning through 2014 is critical

• Assigning dedicated training times for staff

• Analyzing production coverage needed during training

• Reporting tools for tracking staff progress

• Lack of adequate ICD-10 specific Anatomy and Pathophysiology education

Lessons Learned To Date

The ICD-10 Solution

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3 Tier Modular Approach

Online SeminarsOnline Clinical Concept

Training and Assessments

Online ICD-10 Code Training Programs

The ICD-10 Solution

Page 13: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

3 Tier Modular Approach

Online SeminarsOnline Clinical Concept Training & Assessments

Online ICD-10 Code Training Programs

The ICD-10 Solution

Page 14: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Online ICD-10 Code

Training Programs

ICD-10-CM CODE TRAINING PROGRAMS

• CM training by chapter with comparisons of I-9 vs. I-10 guidelines

• ICD-10-CM - 12 weeks of training (23 hours 1.5 – 2.0 hours per week)

• Training on all modified and new guidelines

• Identification of key anatomy and pathophysiology related to diagnoses

• Online, instructor-driven training with multi-level exercises in all chapters

• Basic: step by step, instructor driven, one-line diagnoses

• Intermediate: paragraph case scenarios allowing learners to select pace

• Learners can immediately proactive coding and move on or review and refresh (fast track)

• Learners can continue to practice on a step by step path enabling more study before move to more

complex exercises

• Complex: de-identified medical records utilizing the new and more complex guidelines

• Minimum of two, instructor-led webinars

• End of program exam

The ICD-10 Solution

Page 15: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Online ICD-10 Code

Training Programs

ICD-10-PCS CODE TRAINING PROGRAMS

• PCS training by root operation

• ICD-10-CM - 14 weeks of training (28 hours 1.5 – 2.0 hours per week)

• Training on all new guidelines including 6 character guidelines

• Identification of key anatomy and pathophysiology related to procedures

• Online, instructor-driven training with multi-level exercises in all chapters

• Basic: step by step, instructor driven, one-line diagnoses

• Intermediate: paragraph case scenarios allowing learners to select pace

• Learners can immediately proactive coding and move on or review and refresh (fast track)

• Learners can continue to practice on a step by step path enabling more study before move to more

complex exercises

• Complex: de-identified medical records utilizing the new and more complex guidelines

• Minimum of two, instructor-led webinars

• End of program exam

The ICD-10 Solution

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Identify the benefits of efficiently using

training time

• Small increments of curriculum

• Maximize learner retention through multi-layer exercises

Discuss value of systematic training

approach

• ICD-10-CM by chapter & PCS Root operation

• Key element review of anatomy & pathophysiology

• Education on all new ICD-10 Coding Guidelines

Recognize importance of learning

assessments

• Identify pre-training knowledge

• Multi-level coding exercises

• Measure knowledge retention in program final exams

Learning Objectives

The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

Page 22: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

Page 23: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

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ICD-10 Training Guidelines

The ICD-10 Solution

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ICD-10-CM Code Training

The ICD-10 Solution

Page 26: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

ICD-10-CM Code Training – case

discussion with embedded videos

The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

Page 31: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

Page 34: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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The ICD-10 Solution

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ICD-10-PCS code training - Exercises

The ICD-10 Solution

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Instructor Led Training

• AHIMA-approved ICD-10-CM/PCS Trainers

• Pre-established timelines based on specific module completion

• Project Manager customizes webinar content based on report

scores, course progression, and solicited questions

• Instructors also cover main topics and examples from online

modules and information provided by Project Manager and client

• Live webinars/chats with instructor scheduled by Project Manager

• Minimum two scheduled during ICD-10-CM

• Minimum two scheduled during ICD-10-PCS

• Recorded for future access

The ICD-10 Solution

Page 41: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

3 Tier Modular Approach

Online SeminarsONLINE CLINICAL

CONCEPT TRAININGand Assessments

Online ICD-10 Code Training Programs

The ICD-10 Solution

Page 42: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Online Clinical Concept

Training

BASELINE ASSESSMENTS (BASIC BIOMEDICAL SCIENCES) WITH REPORTING

• Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (8 AHIMA CEU)

• Department summary and individualized reports by coder

ICD-10-CM/PCS CLINICAL CONCEPTS COURSES (ICD-10 READINESS)

• Four CCCC online courses (29 AHIMA CEU and 16 AAPC CEU):

• Medical Terminology – focused on ICD-10-CM/PCS concepts

• Anatomy – focused on ICD-10-CM/PCS concepts

• Pathophysiology – focused on ICD-10-CM concepts

• Pharmacology – focused on ICD-10-CM concepts

• Detailed study guides

ICD-10-CM/PCS ADVANCED CLINICAL CONCEPT ASSESSMENTS WITH REPORTING

• Advanced Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (geared towards

ICD-10-CM/PCS) (8 AHIMA CEU)

• Department summary and individualized reports by coder

The ICD-10 Solution

Page 43: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Medical Terminology

The ICD-10 Solution

Page 45: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

ICD-10-CM/PCS Clinical Concept Course:

Anatomy

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy embedded videos

The ICD-10 Solution

Page 47: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

ICD-10-CM/PCS Clinical Concept Course:

Anatomy

The ICD-10 Solution

Page 48: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

ICD-10-CM/PCS Clinical Concept Course:

Anatomy

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

The ICD-10 Solution

Page 50: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

ICD-10-CM/PCS Clinical Concept Course:

Anatomy

The ICD-10 Solution

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Toolbar

The ICD-10 Solution

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Coder Clinical Concept Course: Anatomy

(scores)

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology embedded videos

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Pharmacology

The ICD-10 Solution

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ICD-10-CM/PCS Clinical Concept Course:

Pharmacology

The ICD-10 Solution

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3 Tier Modular Approach

Online SeminarsOnline Clinical Concept

Training and ASSESSMENTS

Online ICD-10 Code Training Programs

The ICD-10 Solution

Page 59: The ICD-10 Solution - Intalere Toolkits/The ICD-10 Solution.pdf · The ICD-10 Solution. ... as well as practice and ... • Coordinate distribution of CEU Certificates upon completion

Online Assessments

BASELINE ASSESSMENTS (BASIC BIOMEDICAL SCIENCES) WITH REPORTING

• Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (8 AHIMA CEU)

• Department summary and individualized reports by coder

ICD-10-CM/PCS CLINICAL CONCEPTS COURSES (ICD-10 READINESS)

• Four CCCC online courses (29 AHIMA CEU and 16 AAPC CEU):

• Medical Terminology – focused on ICD-10-CM/PCS concepts

• Anatomy – focused on ICD-10-CM/PCS concepts

• Pathophysiology – focused on ICD-10-CM concepts

• Pharmacology – focused on ICD-10-CM concepts

• Detailed study guides

ICD-10-CM/PCS ADVANCED CLINICAL CONCEPT ASSESSMENTS WITH REPORTING

• Advanced Medical Terminology, Anatomy, Pathophysiology, and Pharmacology (geared towards

ICD-10-CM/PCS) (8 AHIMA CEU)

• Department summary and individualized reports by coder

The ICD-10 Solution

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Example: Baseline Assessment

The ICD-10 Solution

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Immediate Results

The ICD-10 Solution

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Example: Reporting

The ICD-10 Solution

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Example: Advanced Assessment

The ICD-10 Solution

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Example: Advanced Assessment

The ICD-10 Solution

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Example: Advanced Assessment

The ICD-10 Solution

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3 Tier Modular Approach

Online SeminarsOnline Clinical Concept Training & Assessments

Online ICD-10 Code Training Programs

The ICD-10 Solution

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Online Seminars

ICD-10 AWARENESS SEMINAR 1 HOUR

• Audience: Senior Management, Overall awareness campaign

• ICD-10 impact awareness

• Changes in ICD-10-CM/PCS character layout

• ICD-10 fundamentals

• CMS ICD-10 Provider Compliance Timeline

ICD-10 OVERVIEW SEMINAR 7 CEU AHIMA / 4.5 AAPC

• Audience: Managers, PFS, IT, Researchers, Decision Support

• ICD-10-CM/PCS structure, guidelines, and conventions

• Data utilization

• Review GEMS

• MS-DRGs, and code freezes

ICD-10 WORKSHOP 20 CEU AHIMA / 6 AAPC

• Audience: Coding Leads, CDI, UR Reviewers, Case Managers, Quality and Compliance SMEs, Training Team

SMEs, Coder education

• Detailed ICD-10-CM structure, guidelines, and conventions

• Detailed ICD-10-PCS surgical scenarios

• Numerous coding exercises in ICD-10-CM and ICD-10-PCS

The ICD-10 Solution

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Update: CMS will not enforce compliance until 6-30-12

Update: CMS proposed compliance date 10-1-14

Awareness Seminar

The ICD-10 Solution

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Overview Seminar embedded videos

The ICD-10 Solution

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Overview Seminar embedded videos

The ICD-10 Solution

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Overview Seminar

The ICD-10 Solution

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Live webinar with instructor

Live webinar with instructor

Workshop

The ICD-10 Solution

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Embedded video ICD-10-CM PDF file instructions

Workshop

The ICD-10 Solution

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Workshop Embedded Videos

The ICD-10 Solution

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Workshop PCS Module

The ICD-10 Solution

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Workshop

The ICD-10 Solution

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• Programs based on ICD-10-CM Official Guidelines for Coding and Reporting and

ICD-10-PCS Coding Guidelines

• Assigned project manager with weekly reporting on status and scoring

• Experienced Leaders in HIM, coding, adult education and instructional design

• AHIMA and AAPC prior-approved CEUs

• Instructor led webinars in CM and PCS code set training

• Interactive and instructional design for adult learners

• Branded online training modules with custom capabilities and staff assignment

• Administrative rights allowing review of multiple progress, activity and score reports

by staff

Benefits

The ICD-10 Solution

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• National leaders in

ICD-10-CM/PCS education

• Published authors

• Books

• Articles

• AHIMA ICD-10 Academy

instructors

• Recognized HIM speakers

• Experienced academic

educators

Qualifications of Career Step Authors

The ICD-10 Solution

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3 Tier Modular Approach

Online Seminars

AVAILABLE NOW

Online Clinical Concept Training and Assessments

AVAILABLE NOW

Online ICD-10 Code Training Programs

AVAILABLE NOW

The ICD-10 Solution