DEVRY UNIVERSITY COMMUNITY HOSPITAL

ALICIA COOPERJANUARY 2015

Welcome to ICD-10

THIS IS ONE OF THE 12 MONTH IN-SERVICES TO HELP WITH THE

TRANSITION DATE. OUR FACILITY WILL BE SETTING UP TEST DATES FOR THE ICD-10 CODES FOR SUBMISSION TO INSURANCE

COMPANIES THROUGHOUT THE YEAR.

Devry Community Hospital

THE US DEPARTMENT OF THE HEALTH AND HUMAN SERVICES HAS MANDATED THE REPLACEMENT OF THE ICD-9-CM

CODE SETS USED TODAY. THE IMPLANTATION DATE FOR THE ICD-10

SETS IS EFFECTIVE OCTOBER 1ST 2015 .

About ICD-10

T H E W O R L D H E A LT H O R G A N I Z AT I O N WA N T E D T O U N D E RTA K E T H E G L O B A L L E V E L O F T H E I C D - 1 0

S Y S T E M . W I T H T H E I C D - 9 O U T D AT E A N D N O T E X PA N D A B L E T H E Y A R E B R A N C H I N G O U T O N A N

I N T E R N AT I O N A L L E V E L . H TT P: / /

L I B R A RY. A H I M A . O R G / X P E D I O / G R O U P S / P U B L I C / D O CU M E N T S / A H I M A / B O K 3 _ 0 0 5 5 6 8 . H C S P ? D D O C N A M E = BO K 3 _ 0 0 5 5 6 8

About ICD-1o

I C D - 1 0 - C M D I A G N O S I S C O D E SR I G H T O R L E F T A C C O U N T F O R > 4 0 % O F C O D E S

F I R S T D I G I T I S A L P H AD E C I M A L I S P L A C E D A F T E R T H E T H I R D C H A R A C T E R

7 D I G I T SD I G I T 1 I S A L P H A ; D I G I T 2 I S N U M E R I C

D I G I T S 3 – 7 A R E A L P H A O R N U M E R I CD E C I M A L I S P L A C E D A F T E R T H E T H I R D C H A R A C T E R

“ X ” P L A C E H O L D E R S6 9 , 0 0 0 C O D E S T O B E TT E R C A P T U R E S P E C I F I C I T Y

E X T E N S I V E S E V E R I T Y PA R A M E T E R SE X T E N S I V E C O M B I N AT I O N C O D E S T O B E TT E R

C A P T U R E C O M P L E X I T Y2 T Y P E S O F E X C LU D E S N O T E S

What you may find different

UPCOMING TRAINING WORKBOOKS

THANK YOU

Required in-services

DEVRY COMMUNITY HOSPITAL FEBRUARY 2015 IN-SERVICE

ALICIA

ICD-10 Overview

- OVERVIEW - STRUCTURE AND USES

- ACTIONS AND TIMELINES

Lets get started

ICD -1 0 ICD -1 0 – REPL ACES ICD - 9 D IAGNOS IS COD E

S ETS - ICD -1 0 CM WIL L BE USED TO ID ENTITY

D IAGNOSIS COD ES ACROSS AL L H EALTH CARE S ETTINGS

EVERY ORGANIZ ATION IN AMERICAN WIL L BE IMPACTED BY ICD -1 0 AND MUS T MAK E TH E

TRANS ITION, TH E F INAL RUL E WAS ANNOUNCED AUGUS T 2 4 , 2 0 1 2 . H H S REL EAS ES A F INAL MAND ATE TH AT EVERY ONE COVERED UND ER H IPPA COD ES STARTING OCTOBER 1 ,

2 0 1 5 AFTER TH E 2 0 1 4 PUSH BACK.

ICD-10 Overview

I C D - 9 C M I S O U T D AT E D - 3 0 Y E A R S O L D – T E C H N O L O G Y H A S C H A N G E D

- M A N Y C AT E G O R I E S F U L L - N O T D E S C R I P T I O N E N O U G H

- R E I M B U R S E M E N T W O U L D E N H A N C E A C C U R AT E PAY M E N T F O R S E RV I C E S R E N D E R E D

- Q UA L I T Y W O U L D FA C I L I TAT E E VA LUAT I O N O F M E D I C A L P R O C E S S E S A N D O U T C O M E S

- W H AT C H A R A C T E R I S T I C S A R E N E E D E D I N A C O D I N G S Y S T E M

- F L E X I B L E E N O U G H T O Q U I C K LY I N C O R P O R AT E E M E R G I N G D I A G N O S I S A N D

P R O C E D U R E S - E XA C T E N O U G H T O I D E N T I F Y

D I A G N O S E S A N D P R O C E D U R E S P R E C I S E LY I C D - 9 I S T O O O L D T O A N D N O T A B L E T O H A N D L E

T H E E X PA N D I N G O F H E A LT H C A R E .

Why we are moving forward

S T R U C T U R E D I F F E R E N C E S I C D - 1 0 C M D I A G N O S I S

I C D - 1 0 C M – D I A G N O S I S C O D I N GC H A N G E I N S T R U C T U R E A N D VO LU M E

- 6 9 0 0 0 C O D E S F O R I C D - 1 0- A D D E D S P E C I F I C I T Y A N D A D D E D C O M P L E X I T Y

- E L E C T R O N I C C R O SS WA L K C R E AT E D A N D F R E E F R O M C M S

- I C D - 1 0 H A S T H R E E VO LU M E S A N D 3 - 7 D I G I T S- T H E 1 S T D I G I T I S A N A L P H A A - Z

-T H E 2 N D D I G I T I S N U M E R I C-T H E 3 - 7 D I G I T I S A L P H A O R N U M E R I C

Structure of ICD-10

WE WILL BE COMPLETING A 12 MONTH IN-SERVICE FOR A UPDATE ON ICD-10 . ICD10 WE WILL BE GOING LIVE ON

OCTOBER 1 S T 2015 , THERE WILL BE APRIL 1 S T AND SEPTEMBER 1 S T OUR TEST DATES. COMPETITION OF THE ICD-10 WORKBOOK

Action and timeline

MARCH 5 T H 2015 AT 9 :00AM PLEASE PLAN TO ATTEND

Next in-service

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA

MARCH 5 T H 2015

Regulations ICD-10

T H E D E PA R T M E N T O F H E A LT H A N D H U M A N S E R V I C E S P U B L I S H E D T H E F I N A L R E G U L AT I O N 4 5 C F R 1 6 2 , 1 0 0 2- W H I C H R E Q U I R E D T H E U S E O F I C D - 1 0 C O D E S E T S I N

A L L H I P PA T R A N S A C T I O N.-T H I S I S F E D E R A L M A N D AT E D T H AT A L L

C L E A R I N G H O U S E , H E A LT H P L A N S P R O V I D E R S A R E U S I N G T H E E L E C T R O N I C T R A N S A C T I O N T H AT M U S T

T R A N S I T I O N T O T H E I C D - 1 0 C O D E S E T S O N T H E D AT E O F S E R V I C E .

Regulation

NEXT MEETING APRIL 15 T H 2015PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL APRIL 15 T H 2015

ALICIA

The Benefits

U S A G E O F C U R R E N T M E D I C A L T E R M I N O L O G Y

U S A G E S O F C O D E W I T H G R E AT E R S P E C I F I C I T Y A N D D E TA I L

I M P R O V E D C O D I N G B A S E D O N A D V A N C E M E N T S I N H E A LT H C A R E

I M P R O V E D H E A LT H C A R E M E A S U R E M E N T A N D R E P O R T I N G W I T H L E S S E R R E J E C T E D C L A I M S

I M P R O V E D D ATA E X C H A N G E A N D P AT I E N T C A R E B Y C O L L E C T I N G M O R E D E S C R I P T I V E D ATA R E S U LT I N G I N I M P R O V E D P AY M E N T

P R O V I D I N G C O D E S T O A L L O W C O M P A R I S O N O F M O R TA L I T Y A N D M O R B I D I T Y D ATA W H I C H M A K E S F O R B E T T E R C L I N I C A L

D E C I S I O N S

Benefits

T H E D I F F E R E N C E B E T W E E N R I G H T A N D L E F T

I T S P E C I F I E S I N I T I A L V E R S U S S U B S E Q U E N T E N C O U N T E R

I T D E S C R I B E S R O U T I N E A N D D E L AY E D H E A L I N G N O N U N I O N O R M A L- U N I O N

What was not in ICD-9 that will be in ICD-10

PLEASE PLAN ATTEND NEXT MEETING MAY 10 T H 2015

Thank you

DEVRY COMMUNITY HOSPITAL MAY 10 T H 2015 ALICIA COOPER

HAPPIER THAN A CAMEL ON WEDNESDAYS

How happy are we about ICD-10?

THE FUTURE OF ICD-10 IS STARTING VERY SOON.

ICD-10 WILL CHANGE EVERYTHING

The future of ICD-10

CHANGES ARE GOING TO THROUGH THE WHOLE HOSPITAL TO THE PHYSICIANS TO

US CODERS. DOCUMENTATION CHANGES WILL BE VERY IMPORTANT ON SELECTING THE CURRENT

CODE.

Changes

TO KEEP UP WITH THE CHANGES ONLINE

TOOLS CAN HELP

HTTP: / /WWW.CMS.GOV/MEDICARE/CODING/ICD10/

PROVIDERRESOURCES.HTML

HTTP: / /WWW.AAPC.COM/ICD-10 /TRAINING.

ASPX

Keeping up with the changes

NEXT MEETING JUNE 1 S T 2015 PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA COOPER

JUNE 1 S T 2015

The Plan

-OUR GO LIVE DATE IS SEPTEMBER 30 T H 2015

-NO BILLING WILL GO ON UNTIL AFTER OCTOBER 1 S T 2015

QUESTIONS?

Go live date

W I T H T H E T R A N S I T I O N P E R I O D T H E R E W I L L B E N O B I L L I N G D U R I N G T H I S T I M E . T H I S W I L L

A L L O W O U R C O D E R S T O W O R K I N O N T H E E N C O U N T E R S.

-T R A N S I T I O N P E R I O D I S S E P T E M B E R 2 7 T H T H R O U G H O C T O B E R 1 S T 2 0 1 5 .

- I N T H I S P E R I O D I C D - 9 W I L L N O T B E A L L O W E D W E W I L L O N LY U S E I C D - 1 0 C O D E B O O K S.

Transition Period

NEXT MEETING JULY 23 R D 2015PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA

JULY 23 R D 2015

Potential issues

- POTENTIAL ISSUE WITH ANOTHER DELAY

- BEING UN PREPARED- NOT HAVING THE CURRENT TOOLS

-

Issues that may come

TO HELP WITH TO LIMITED THE ISSUES WE HAVE IMPLANTED THE 12 MONTH

TRAINING FOR THE ICD-10

Training is the key

NEXT MEETING AUGUST 20 T H 2015PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA

AUGUST 20 T H 2015

Impact on Business

IT WILL NOT BE EASY TO DETERMINE DRG GROUPER BASED ON ICD-10 CODES. WE MAY HAVE A LIMITED DISPUTE

WINDOW; WE NEED TO UP TO DATE WITH ALL OUR CONATIONAL AGREEMENTS

THE ICD-10 MAY HAVE A RIPPLE EFFECT ON MANAGED CARE PLANS COVERAGE AND

PAYMENT POLICIES AND REPORTING SYSTEMS THAT ARE BASED ON ICD-10 .

WE WILL BE LOOKING INTO OUR CONTRACTS WITH OUR PAYERS, TO

NEGOTIATIONS WITH CHARGES WITH THE UPCOMING ICD-10

Impacting Business

NEXT MEETING SEPTEMBER 20 T H 2015PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL SEPTEMBER 20 T H 2015

ALICIA

Coding for Hospitals

PROCEDURE CODING SYSTEM WILL REPLACE THE CURRENT ICD-9 CM

PROCEDURES ICD-10 PCS HAS 7 DIGITS

EACH CAN BE EITHER ALPHA OR NUMERIC

-NUMBERS 0 -9LETTERS O AND I ARE NOT USED TO

AVOID CONFUSIONEXAMPLES:

0FB03ZX- EXCISION OF LIVER PERCUTANEOUS APPROACH

ICD-10 PCS

NEXT MEETING OCTOBER 30 T H 2015PLEASE PLAN TO ATTEND

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA

OCTOBER 30 T H 2015

Out patient coding

ICD-10 CM HAS 3 -7 DIGITS DIGIT 1 IS ALPHA A-ZDIGIT 2 IS NUMERIC

DIGIT 3 ALPHA OR NUMERIC DIGIT 4 -7 ARE ALPHA OR NUMERIC

EXAMPLES :A66 YAWS

A69.20 LYME DISEASE UNSPECIFIED

Outpatient ICD-10-CM

PLEASE PLAN TO ATTEND NEXT MEETING NOVEMBER 10 T H 2015

Thank you

DEVRY COMMUNITY HOSPITAL NOVEMBER 10 T H 2015

ALICIA

Changes to the Department

HIM DEPARTMENT CHANGES-DOCUMENTATION CHANGES/ MEDICAL

RECORDS NEED TO BE SPECIFIED TO SUPPORT ICD-10 CODE SETS

- WITH OUT THE DETAIL THAT IS NEED TO SUPPORT THE CODE WILL HAVE A

NEGATIVE IMPACT ON REIMBURSEMENT.

ICD-10 changes to department

Focus areas for HIM

Average record completion time

Common blockage Data interface with

code material Timely record

retrieval and management if in-house patient records

Training for ICD-10 Code work booksUpdate tools for

coding Helping physicians

and nursing staff with documentation with the completation

PLEASE PLAN TO ATTEND DECEMBER 15 T H 2015

Thank you

DEVRY COMMUNITY HOSPITAL ALICIA

Working in Codebooks

Working in codebooks

Outpatient coding We are going to split

the room into two groups

Outpatient coding workbook pages 3-6

Inpatient coding We are going to split

the room into two groups

Inpatient coding workbook 7-9

I HOPE EVERYONE HAD A GREAT TIME TODAY.

Thank you