ICD 10 Training

Billers and Coders Help Providers Adapt To ICD-10 Documentation Changes!

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  ICD-10 scheduled to be implemented by October 1, 2014, offers various 
advantages including enabling clinicians to capture laterality and 
others concepts in a standardized manner, which supports data exchange 
and increased efficiency. However this is bound to affect clinical 
documentation significantly, and propel physicians and billers and 
coders to upgrade their clinical documentation to make it ICD-10 
compatible.<br />
<br />

<strong>How will ICD-10 affect Clinical Documentation?</strong><br />
<br />

Though ICD-10 will not alter patient care in any manner; but it will 
definitely make clinical documentation very detailed, due to the 
increased specificity in choices for coding diagnoses. Moreover medical 
records will also require to be documented as much as possible by coders
 due to the increased specificity.<br />
<br />

Though most of the information needed is already shared during the 
patient – visit, it will require accurate recording by the medical 
billers and coders- which will eventually help in reducing the need for 
follow ups on submitted claims, hence increasing saving and revenue 
earned. Coders would also require learning new ICD-10 codes; to ensure 
complete documentation and accurate selection of ICD-10 codes, an 
essential for patient care.<br />
<br />

<strong>Adapting to changes with the help of Biller and Coders-</strong><br />
<br />

Medical billers and coders can help by working with physicians in order to improve documentation to –<br />

<ul>
<li>
   Evaluate the current documentation system at the practice, to help find most often used codes in the practice</li>
<li>
   Determine if the future documentation will be specific and detailed enough to choose the best ICD-10 codes</li>
<li>
   Improve overall documentation of clinical services and help achieve 
specific, detailed clinical documentation required to assign ICD-10 
codes</li>
</ul>
<strong>Are the Documentation processes ICD-10-Ready?</strong><br />
<br />

Billers and Coders can ensure that the documentation is ICD-10 ready by following these steps-<br />

<ul>
<li>
   Comprehend how ICD-10 will affect the practice by <strong>reviewing the current documentation</strong>.</li>
<li>
   <strong>Identify the complete extent of the ICD-10 transition</strong> to help reduce the chance of overlooking any areas which require ICD-10 updates.</li>
<li>
   Ensure all possible gaps in the process have been worked out by <strong>testing ICD-10</strong>, right from documentation to communicating with different vendors.</li>
<li>
   Help find <strong>appropriate ICD-10 codes</strong> which correspond with the most often-used ICD-9 codes at the practice.</li>
</ul>
All these steps will also help in emphasizing the information which 
needs to be primarily looked into while documenting for ICD-10.<br />
<br />

The initial impact of ICD-10 on physicians’ post transition will be on
 clinical documentation; hence the coders’ knowledge about the essential
 demands of clinical documentation under ICD-10; can be a crucial 
support to physicians. Besides demonstrating an essential level of 
coding capability, coders also require to be resourceful in testing.<br />
<br />

Hence as you (medical billers and coders along with physicians) work 
towards meeting the challenges of the altering clinical documentation 
mandatory for the subsequent ICD-10 transition, <a href="http://www.medicalbillersandcoders.com/" rel="nofollow">Medicalbillersandcoders.com</a> – the largest consortium of medical billers and coders across all 50 US States offers regular <a href="http://www.medicalbillersandcoders.com/ICD-10/scope-of-the-icd10-program--icd10-the-humongous-task-in-front-of-us.html" rel="nofollow">ICD-10 updates and training</a>. Our unique Training Program on <a href="http://www.medicalbillersandcoders.com/ICD-10.aspx" rel="nofollow">ICD-10 Transition</a>
 – including updates, webinars, forums, and online learning materials – 
should help make your clinical documentation improvement job more 
meaningful and fulfilling.<br />

</div>
</div>

ICD-10 scheduled to be implemented by October 1, 2014, offers various advantages including enabling clinicians to capture laterality and others concepts in a standardized manner, which supports…

HIMSS Urges CMS to Maintain ICD-10 Adoption Date

3:00 AM Unknown 0

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The Healthcare Information and Management Systems Society (HIMSS) has <a href="http://www.himss.org/content/files/HIMSS_LetterHHS_CMS_ICD10Recommendations.pdf">submitted a lette</a><a href="http://www.himss.org/content/files/HIMSS_LetterHHS_CMS_ICD10Recommendations.pdf">r</a>
 to Secretary Kathleen Sebelius and Acting Centers for Medicare & 
Medicaid Services (CMS) Administrator Marilyn Tavenner to reiterate 
strong support for maintaining the October 1, 2014 revised date for 
nationwide adoption of ICD-10.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
In its Feb. 7 letter, HIMSS urged CMS to “send a strong message that 
ICD-10 has already been thoroughly vetted, will be implemented on the 
regulatory date, and that we must move forward with the nationwide 
implementation of ICD-10 by the current adoption date of October 1, 2014
 in order to realize the significant advantages of healthcare 
transformation." Advantages cited in the letter include: </div>
<ul>
<li style="text-align: justify;">Enhanced patient experience</li>
<li style="text-align: justify;">Emphasis on health IT as the groundwork for overall healthcare transformation</li>
<li style="text-align: justify;">Quality of population health and healthcare delivery improvement</li>
<li style="text-align: justify;">Eliminating waste by improving clinical and business intelligence</li>
<li style="text-align: justify;">Cost savings in avoiding loss of billions of dollars in already-invested efforts in preparing for ICD-10.</li>
</ul>
<div style="text-align: justify;">
HIMSS outlines its considerable education efforts to support 
providers and provider organizations with ICD-10 transition, including 
its ICD-10 Playbook and the HIMSS/Workgroup for Electronic Data 
Interchange (WEDI) ICD-10 National Pilot Program currently in 
development. HIMSS also notes that the “improvement and standardization 
of electronic transactions has already proven to be a beneficial cost 
savings to the industry and must continue progress in this area or we 
stand to lose these savings.”</div>
<div style="text-align: justify;">
HIMSS strongly encourages CMS to avoid any further delays in the 
ICD-10 adoption date, and noted that any further delays in ICD-10 will 
only signal that CMS is not serious about administrative simplification 
and HIPAA requirements.</div>
</section>

ICD 10 Updates ICD-10 coding skills HIMSS Urges CMS to Maintain ICD-10 Adoption Date

The Healthcare Information and Management Systems Society (HIMSS) has submitted a letter to Secretary Kathleen Sebelius and Acting Centers for Medicare & Medicaid Services (CMS) Administrator Marilyn Tavenner to reiterate strong support for maint…

Getting Ready for ICD-10’s Impact on Meaningful Use

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<br />
<div id="article-teaser" style="text-align: justify;">
<b>Stage 2 of the electronic health records 
meaningful use program begins in October 2013 for hospitals and January 
2014 for eligible professionals, and right after that comes the October 
2014 compliance date for the ICD-10 code sets. A session during the 
ICD-10 Symposium on March 3 before HIMSS13 in New Orleans, “ICD-10 and 
Meaningful Use: When Worlds Collide,” will explore the coming 
convergence of the two initiatives.</b></div>
<div id="article-teaser" style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
ICD-10 by itself will be a major challenge for all stakeholders, but 
those participating in meaningful use also will face a transition in 
diagnostic-driven meaningful use quality measures from ICD-9 to ICD-10, 
says Stephen Spain, M.D., the session presenter, a practicing family 
physician and CEO at Doc-U-Chart, a Tyler, Texas-based consulting firm.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
That means changing the coding and documentation of quality measures 
in the meaningful use program, possibly sometime during Stage 2 but 
certainly by Stage 3.  Unlike changes to the HIPAA financial and 
administrative transactions, providers cannot assume their vendors will 
do most of the work to be ready for ICD-10, Spain warns. If an EHR 
system isn’t properly documenting with ICD-10 when required under 
meaningful use, achieving meaningful isn’t going to happen. For now, 
providers should ensure that coders and clinicians are well represented 
on teams to prepare for ICD-10 and meaningful use preparation, as well 
as overseeing vendor performance. “You can’t count on your EHR vendor to
 make sure all the processes are done and work properly, he adds.”</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
As ICD-10 progresses, there will be guidance developed to help 
providers navigate the necessary tweaks to their meaningful use 
programs, Spain says. The National Quality Forum, for instance is 
reviewing meaningful use criteria to assess the needed changes. And 
medical specialty societies are working to update their quality measures
 to support the coming convergence of meaningful use and ICD-10, 
including deciding which of competing codes within ICD-10 would be the 
most appropriate to measure.</div>

icd 10 codes ICD 10 latest Articles ICD 10 Training ICD 10 Updates Getting Ready for ICD-10’s Impact on Meaningful Use

Stage 2 of the electronic health records meaningful use program begins in October 2013 for hospitals and January 2014 for eligible professionals, and right after that comes the October 2014 compliance date for the ICD-10 code sets. A session duri…

Resources for the ICD-10 Transition

2:58 AM Unknown 0

<br />
<div style="text-align: justify;">
As a healthcare billing and receivables management software company, 
Quadax will be impacted by the change to ICD-10 from many angles. 
Multiple projects are underway to prepare our software applications for 
ICD-10 and manage the needs of our clients as well as the industry 
requirements.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
All of our A/R and EDI applications have defined plans for 
storing ICD-10 codes in our databases. Systems designs have been created
 to map the flow of the new code set through the entire billing process.
 The current status is a “work in progress” and will continue to be 
throughout 2013 and well into 2014, before the October 1, 2014, 
deadline. At this point, there are many projects in various stages of 
the development life cycle from the design phase to project 
specifications, software development, and even implementation. </div>
<div style="text-align: justify;">
Some items you may see in the not-too-distant future are:</div>
<ul type="disc">
<li class="bullet" style="text-align: justify;"> The addition of an    indicator on the EDI 
Payer List, identifying payers who are ready to begin accepting    
ICD-10 codes, similar to what we did for the ANSI 5010 transition and 
NPI.    Some payers may allow ICD-10 codes prior to the deadline and 
others may    not be able to comply in time. Our EDI Services staff will
 maintain the    indicator to track the payer status and control which 
diagnosis code set    should be passed on claims by payers.</li>
<li class="bullet" style="text-align: justify;">Incorporating the industry    Crosswalk 
tool into our applications, providing quick access in Xpeditor,    HARP,
 and PAS to look up corresponding ICD-9 and ICD-10 codes.</li>
<li class="bullet" style="text-align: justify;">Account teams reaching out    to A/R 
Services clients with a questionnaire to gauge their ICD-10 
implementation    status. It is very important that our clients work 
closely to plan for and    test interface files containing any new code 
sets with Quadax. This early    dialog should prevent last minute 
scrambles and delays.</li>
</ul>
<div style="text-align: justify;">
Some resources are available to our clients and staff to 
monitor the progress toward implementation both at the industry level 
and at Quadax. For <strong>EDI clients</strong>, an ICD-10 News page is 
available from the Documentation menu in the Portal. The page has brief 
summaries of ICD-10 news from industry sources and links to further 
information. It will include news about changes to Xpeditor and other 
EDI applications once they are implemented.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
For <strong>A/R clients</strong>, information on how we are 
preparing our HARP and PAS applications to accept and transmit ICD-10 
codes can be found on new ICD-10 Web pages developed for this purpose. 
The A/R ICD-10 site provides easy access to Quadax newsletters and 
bulletins on the ICD-10 transition, and software changes will be noted 
on these pages as well as in the release notes. A link to these pages is
 under “Getting Ready for...” on the main Portal page. The main Portal 
page also includes a link to the EDI ICD-10 page so A/R clients can 
monitor industry news.</div>

ICD 10 Updates ICD-10 transition Resources for the ICD-10 Transition

As a healthcare billing and receivables management software company, Quadax will be impacted by the change to ICD-10 from many angles. Multiple projects are underway to prepare our software applications for ICD-10 and manage the needs of our clie…

Putting ICD-10 into Practice: Coding exercises and scenarios

2:56 AM Unknown 0

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<div id="content">
<br />
<div style="text-align: justify;">
The <i>ICD-10 Spotlight: Know the codes</i> feature that appeared throughout <i>Partners in Health Update</i>
 last year was designed to communicate various coding conventions, 
general guidelines, and chapter-specific guidelines in ICD-10. These 
conventions and guidelines are rules and instructions that must be 
followed to classify and assign the most appropriate code. As with 
ICD-9, adherence to these guidelines is required under the Health 
Insurance Portability and Accountability Act (HIPAA).</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
As announced in the January 2013 edition of <i>Partners in Health Update</i>, we have introduced a new feature called <i>Putting ICD-10 into Practice: Coding exercises and scenarios</i>.
 Each month this feature will help you put the new guidelines and 
conventions you learned about last year into practice. If needed, use 
the <i>ICD-10 Spotlight: Know the codes</i> booklet for assistance with 
these exercises. An answer key is provided below so you can verify if 
your answers are correct. In addition, a list of code narratives is 
included to describe each ICD-10 code.</div>
<br />
<br />
<div class="subhead">
Coding exercises</div>
Code the following conditions according to ICD-10 coding conventions and guidelines:
<br />
<ol type="1">
<li>Borderline glaucoma
</li>
<li>Congestive heart failure due to hypertension
</li>
<li>HIV positive status without symptom
</li>
<li>Urinary frequency
</li>
<li>Morbid obesity with a BMI of 42 in an adult
</li>
<li>Congenital red cell aplastic anemia
</li>
<li>Cleft palate involving both the soft and hard palate with bilateral cleft lip
</li>
<li>Severe persistent asthma with acute exacerbation
</li>
<li>Fatigue fracture of vertebra, lumbar region, and subsequent encounter for fracture with delayed healing
</li>
<li>Interstitial cystitis due to E. coli with hematuria
</li>
<li>Sleep-related teeth grinding
</li>
<li>Non-conclusive HIV-test finding in infants</li>
</ol>
<div class="subhead">
Coding scenario</div>
Code the following scenario according to ICD-10 coding conventions and guidelines: 
<br />
<ul>Jane and John Doe were shopping at the mall the day after 
Thanksgiving to take advantage of the sales. While rushing for the 
newest iPhone, John fell down the stairs. Thankfully, John sustained 
only minor abrasions to his right elbow.</ul>
<div class="subhead">
Narratives</div>
The following are the corresponding code narratives for each of the ICD-10 codes in the answer key for the coding<br />
exercises and coding scenarios:
<br />
<ul>H40.001: Preglaucoma, unspecified, right eye<br />
I11.0: Hypertensive heart disease with heart failure<br />
Z21: Asymptomatic human immunodeficiency virus [HIV] infection status<br />
R35.0: Frequency of micturition<br />
E66.01: Morbid (severe) obesity due to excess calories<br />
Z68.41: Body mass index (BMI) 40.0 – 44.9, adult<br />
D61.01: Constitutional (pure) red blood cell aplasia<br />
Q37.4: Cleft hard and soft palate with bilateral cleft lip<br />
J45.51: Severe persistent asthma with (acute) exacerbation<br />
M48.46xG: Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with delayed healing<br />
N30.11: Interstitial cystitis (chronic) with hematuria<br />
B96.20: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere<br />
G47.63: Sleep-related bruxism<br />
R75: Inconclusive laboratory evidence of human immunodeficiency virus [HIV]<br />
S50.311A: Abrasion of right elbow, initial encounter<br />
W10.9xxA: Fall (on) (from) unspecified stairs and steps, initial encounter<br />
Y92.59: Other trade areas as the place of occurrence of the external cause<br />
</ul>
For additional information related to IBC's transition to ICD-10, please visit the <a href="http://www.ibx.com/icd10">ICD-10</a> section our website. On this site you will find examples of how ICD-9 codes will translate to ICD-10 codes in the <a href="http://www.ibx.com/pdfs/providers/claims_and_billing/icd_10/icd_10_spotlight.pdf">ICD-10 Spotlight: Know the codes</a> booklet. In addition, you will find examples of ICD-10 coding exercises and scenarios in the <a href="http://www.ibx.com/pdfs/providers/claims_and_billing/icd_10/icd_10_practice.pdf">Putting ICD-10 into Practice: Coding exercises and scenarios</a> booklet.<br />
<div class="footnote">
<br />
Answers to coding exercises:
<br />
1) H40.001 2) I11.0 3) Z21 4) R35.0 5) E66.01, Z68.41 6) D61.01 7) Q37.4 8) J45.51 9) M48.46xG 10) N30.11, B96.20 11) G47.63
12) R75
<br />
<br />
Answer to coding scenario:
<br />
S50.311A, W10.9xxA, Y92.59 </div>
</div>

icd 10 codes ICD 10 Training ICD 10 Updates ICD-10 implementation Putting ICD-10 into Practice: Coding exercises and scenarios

The ICD-10 Spotlight: Know the codes feature that appeared throughout Partners in Health Update last year was designed to communicate various coding conventions, general guidelines, and chapter-specific guidelines in ICD-10. These conventions and…

ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes)

4:08 AM Unknown 1

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<br />
Each month, AmeriHealth will feature an example of how ICD-9 codes will translate to ICD-10 codes. We will present coding examples from different specialties and popular disease categories to demonstrate the granularity that the new ICD-10 code set will provide.<br />
<br />
<br />
<div class="subhead">
<b><i>CODING CONVENTION/GUIDELINE</i></b>: <b>Excludes1 and Excludes2, and Borderline Diagnosis Codes</b></div>
<div class="subhead">
<b><br /></b></div>
<div class="subhead">
Similar to ICD-9, there are coding conventions, general guidelines, and chapter-specific guidelines in ICD-10. These conventions and guidelines are rules and instructions that must be followed to classify and assign the most appropriate code. As with ICD-9, adherence to these guidelines is required under the Health Insurance Portability and Accountability Act (HIPAA). Many of the conventions and guidelines in ICD-9 are the same in ICD-10. This article will focus on a new Coding Convention: Excludes1 and Excludes2, and a new General Coding Guideline: Borderline Diagnosis Codes.</div>
<br />
<div class="subhead2">
Excludes1 and Excludes2</div>
<div class="subhead2">
<br /></div>
As in ICD-9, a variety of notes appear in both the Alphabetic Index and Tabular List of ICD-10. These types of notes consist of inclusion notes, excludes notes, code first notes, use additional code notes, and cross reference notes. ICD-10 incorporates two types of excludes notes: Excludes1 and Excludes2. Each type of note has a different definition for use but are similar in that they indicate codes excluded from each other are independent of each other.<br />
<br />
<div class="subhead2">
EXCLUDES1</div>
<br />
<ul>A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" It corresponds with what the current ICD-9 Excludes note indicates. An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 note is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.</ul>
<ul><b>K51.4 - Inflammatory polyps of colon</b><br /><b><br /></b>
<b><i>EXCLUDES1:</i></b><br />
<ul type="disc">
<li>adenomatous polyp of colon (D12.6)</li>
<li>polyposis of colon (D12.6)</li>
<li>polyps of colon NOS (K63.5)</li>
</ul>
</ul>
<div class="subhead2">
<b>EXCLUDES2</b></div>
<br />
<ul>A type 2 Excludes note represents "Not included here." An Excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.<br /><b>J37.1 - Chronic laryngotracheitis</b><br />
<b><i>EXCLUDES2:</i></b><br />
<ul type="disc">
<li>acute laryngotracheitis (J04.2)</li>
<li>acute tracheitis (J04.1)</li>
</ul>
</ul>
<div class="subhead2">
<i><b>Borderline Diagnosis*</b></i></div>
<div class="subhead2">
<i><b><br /></b></i></div>
If the provider documents a "borderline" diagnosis at the time of discharge, the diagnosis is coded as confirmed, unless the classification provides a specific entry. If a borderline condition has a specific index entry in ICD-10, it should be coded as such. Since borderline conditions are not uncertain diagnoses, no distinction is made between the care setting (inpatient versus outpatient).<br />
<br />
<b><i>Examples of Specific Borderline Entries:</i></b><br />
<ul type="disc">
<li><b>F60.3</b> Borderline personality disorder</li>
<li><b>R41.83</b> Borderline intellectual functioning</li>
<li><b>H40.021</b> Open angle with borderline findings, high-risk, right eye</li>
</ul>
<div>
<table border="0" cellpadding="0" cellspacing="0"><tbody>
<tr valign="top"><td rowspan="5" width="749"><div id="content">
For additional information related to the AmeriHealth transition to ICD-10, please visit the <a href="http://www.amerihealth.com/icd10" rel="nofollow">ICD-10</a>section of our website. On this site you will also find other examples of how ICD-9 codes will translate to ICD-10 codes in the <a href="http://www.amerihealth.com/pdfs/providers/claims_and_billing/icd_10/icd_10_spotlight_ah.pdf" rel="nofollow">ICD-10 Spotlight: Know the Codes </a>booklet<span style="font-family: Arial;">.</span></div>
</td><td rowspan="5" width="24"></td></tr>
</tbody></table>
</div>
</div>

ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes)

icd 10 codes ICD 10 latest Articles ICD 10 Training ICD 10 Updates ICD-10 codes ICD-10 coding skills ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes)

Each month, AmeriHealth will feature an example of how ICD-9 codes will translate to ICD-10 codes. We will present coding examples from different specialties and popular disease categories to demonstrate the granularity that the new ICD-10 code set …

Putting ICD-10 into Practice: Coding exercises and scenarios

4:03 AM Unknown 0

<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div style="text-align: justify;">
The ICD-10 Spotlight: Know the codes feature that appeared throughout Partners in Health Update last year was designed to communicate various coding conventions, general guidelines, and chapter-specific guidelines in ICD-10. These conventions and guidelines are rules and instructions that must be followed to classify and assign the most appropriate code. As with ICD-9, adherence to these guidelines is required under the Health Insurance Portability and Accountability Act (HIPAA).</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
As announced in the January 2013 edition of Partners in Health Update, we have introduced a new feature called Putting ICD-10 into Practice: Coding exercises and scenarios. Each month this feature will help you put the new guidelines and conventions you learned about last year into practice. If needed, use the ICD-10 Spotlight: Know the codes booklet for assistance with these exercises. An answer key is provided below so you can verify if your answers are correct. In addition, a list of code narratives is included to describe each ICD-10 code.</div>
<div style="text-align: justify;">
<br /></div>
<b><i>Coding exercises</i></b><br />
<b><i><br /></i></b>
<b><i>Code the following conditions according to ICD-10 coding conventions and guidelines:</i></b><br />
<br />
    Borderline glaucoma<br />
    Congestive heart failure due to hypertension<br />
    HIV positive status without symptom<br />
    Urinary frequency<br />
    Morbid obesity with a BMI of 42 in an adult<br />
    Congenital red cell aplastic anemia<br />
    Cleft palate involving both the soft and hard palate with bilateral cleft lip<br />
    Severe persistent asthma with acute exacerbation<br />
    Fatigue fracture of vertebra, lumbar region, and subsequent encounter for fracture with delayed healing<br />
    Interstitial cystitis due to E. coli with hematuria<br />
    Sleep-related teeth grinding<br />
    Non-conclusive HIV-test finding in infants<br />
<br />
<b><i>Coding scenario</i></b><br />
<b><i><br /></i></b>
<b><i>Code the following scenario according to ICD-10 coding conventions and guidelines:</i></b><br />
<br />
 Jane and John Doe were shopping at the mall the day after Thanksgiving to take advantage of the sales. While rushing for the newest iPhone, John fell down the stairs. Thankfully, John sustained only minor abrasions to his right elbow.<br />
<br />
<b>Narratives</b><br />
<br />
The following are the corresponding code narratives for each of the ICD-10 codes in the answer key for the coding<br />
exercises and coding scenarios:<br />
<div style="text-align: left;">
<br />    H40.001: Preglaucoma, unspecified, right eye<br />    I11.0: Hypertensive heart disease with heart failure<br />    Z21: Asymptomatic human immunodeficiency virus [HIV] infection status<br />    R35.0: Frequency of micturition<br />    E66.01: Morbid (severe) obesity due to excess calories<br />    Z68.41: Body mass index (BMI) 40.0 – 44.9, adult<br />    D61.01: Constitutional (pure) red blood cell aplasia<br />    Q37.4: Cleft hard and soft palate with bilateral cleft lip<br />    J45.51: Severe persistent asthma with (acute) exacerbation<br />    M48.46xG: Fatigue fracture of vertebra, lumbar region, subsequent encounter for fracture with delayed healing<br />    N30.11: Interstitial cystitis (chronic) with hematuria<br />    B96.20: Unspecified Escherichia coli [E. coli] as the cause of diseases classified elsewhere<br />    G47.63: Sleep-related bruxism<br />    R75: Inconclusive laboratory evidence of human immunodeficiency virus [HIV]<br />    S50.311A: Abrasion of right elbow, initial encounter<br />    W10.9xxA: Fall (on) (from) unspecified stairs and steps, initial encounter<br />    Y92.59: Other trade areas as the place of occurrence of the external cause</div>
<br />
For additional information related to the AmeriHealth transition to ICD-10, please visit the ICD-10 section of our website. On this site you will find examples of how ICD-9 codes will translate to ICD-10 codes in the ICD-10 Spotlight: Know the codes booklet. In addition, you will find examples of ICD-10 coding exercises and scenarios in the Putting ICD-10 into Practice: Coding exercises and scenarios booklet.<br />
<br />
<br />
<span style="font-size: x-small;">Answers to coding exercises:</span><br />
<span style="font-size: x-small;">1) H40.001 2) I11.0 3) Z21 4) R35.0 5) E66.01, Z68.41 6) D61.01 7) Q37.4 8) J45.51 9) M48.46xG 10) N30.11, B96.20 11) G47.63 12) R75</span><br />
<span style="font-size: x-small;"><br /></span>
<span style="font-size: x-small;">Answer to coding scenario:</span><br />
<span style="font-size: x-small;">S50.311A, W10.9xxA, Y92.59</span><br />
<span style="font-size: x-small;"><br /></span>
<span style="font-size: xx-small;">Source: http://provcomm.amerihealth.com/ProvComm/ProvComm.nsf/a1bebce7a0e985578525791f006068b2/9f5ff82dcbd251bf85257b05005125a8!OpenDocument</span><br />
</div>

icd 10 codes ICD 10 latest Articles ICD 10 Updates ICD-10 codes ICD-10 coding skills Putting ICD-10 into Practice: Coding exercises and scenarios

ICD-10 Impact Assessments: How ready are you to assess vendor readiness?

3:54 AM Unknown 0

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<br />
<div style="text-align: justify;">
<b>At some point, you're going to have to inventory your healthcare vendors for ICD-10 readiness.</b></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
That means listing all the products and determining if they use ICD-9 codes. Those will be the software and equipment that need to be upgraded or replaced in order to work after Oct. 1, 2014.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>You're also going to have to contact the makers of those products and find out a few things:</b></div>
<br />
<ul style="text-align: left;">
<li style="text-align: justify;">    Is this product ICD-10 compliant? (Incredibly likely not but you have to ask.)</li>
<li style="text-align: justify;">    Will this product ever  be compliant? (You're going to be surprised by how many vendors say no.)</li>
<li style="text-align: justify;">    What is your timetable to make your product(s) ICD-10 compliant?</li>
</ul>
<br />
<div style="text-align: justify;">
<b>Pretty easy, right?</b></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Kerry Martin, CEO of VitalWare, says not always. VitalWare has made a business of talking to healthcare vendors about their products and reporting what it means to clients. "Everyone of those hospitals takes its inventory in whatever state it's in and gets it to us. We work with their department directors and anybody on the ICD-10 committee or task force," says Martin. "We then match it up to our master index of products."</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
<b>Again, sounds easy.</b></div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Except the healthcare industry has a pretty active history of acquisitions. One company buys another. Changes the names of products for consistent branding. Or kills the product line because they have a competing product on the market. So it's not always easy figuring out who to call.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
And Martin says hospital staffs tend to have multiple names for products and systems they use. The name being used during every day practice may not be the one the vendor recognizes.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Not to mention that vendors and hospitals tend to have their own languages. So translating questions and responses add complexity to the process.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Once they know who they need to talk to and about what they need to discuss, Martin says VitalWare asks about 100 questions about the product and its development. For the free VitalVendors tool in the HIMSS ICD-10 playbook, they share five of those questions:</div>
<div style="text-align: justify;">
<br /></div>
<br />
<ul style="text-align: left;">
<li style="text-align: justify;">    "When do you plan to start and complete your ICD-10 internal testing?"</li>
<li style="text-align: justify;">    "When do you plan to start and complete customer review and/or beta testing?"</li>
<li style="text-align: justify;">    "What is the product version of your software that will be ICD-10 compliant?"</li>
<li style="text-align: justify;">    "When do you plan to start and complete customer training on these updates?"</li>
<li style="text-align: justify;">    "What is your estimated release date for customer use/installation?"</li>
</ul>
<br />
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Martin says VitalWare has about 100 questions, and they keep asking those questions every 60 days. The vendors don't answer all those questions each time. Just the ones that have different answers since the last survey because they're making progress towards readiness.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
Note that some of the questions listed focus on how the vendor plans on working with the customer. That means there's a bit more to the implementation that installing software or equipment and flipping on the switch in 2014. It's a process that needs managed.</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
It's not impossible for a hospital or medical practice to do this kind of work internally. But it needs time and the skills of a project manager. "Do they have the right people inside the organization to poll the vendors for the information? Do they ask the right questions.?" asks Martin. "How do they (IT personnel) know what to ask vendors? How do they know if that makes sense, if that's going to work right?"</div>
<div style="text-align: justify;">
<br /></div>
<div style="text-align: justify;">
It's tempting to say a hospital's IT department doesn't need to ask 100 questions of every vendor. But someone needs to be vigilant and monitor vendors' progress towards ICD-10 compliance. There just may be 100 questions asked by Oct. 1, 2014.</div>
</div>

icd 10 codes ICD 10 latest Articles ICD-10 implementation ICD-10 Impact Assessments: How ready are you to assess vendor readiness?

At some point, you're going to have to inventory your healthcare vendors for ICD-10 readiness. That means listing all the products and determining if they use ICD-9 codes. Those will be the software and equipment that need to be upgraded or replaced…

Online Survey Measures ICD-10 Progress

3:44 AM Unknown 0

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Jan. 28—The Workgroup for Electronic Data Interchange (WEDI) announced a new online survey to measure the progress of ICD-10 implementation nationwide and the impact of the one-year extension to the deadline for compliance (now Oct. 1, 2014). Any individual associated with healthcare organizations (such as vendors, health plans, and healthcare providers) can participate in the survey through Wed., Feb. 20, 2013.</div>
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<br /></div>
<div style="text-align: justify;">
WEDI—an adviser to the U.S. Department of Health and Human Services (HHS) on healthcare IT—and the Centers for Medicare & Medicaid Services (CMS) will use the online survey data to evaluate challenges to ICD-10 implementation by the extended deadline and identify areas in need of additional education and assistance.</div>
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<br /></div>
<div style="text-align: justify;">
WEDI will continue to conduct periodic surveys as the October 2014 implementation deadline approaches to determine how well the industry is moving toward that deadline. Formed in 1991 by HHS, WEDI is a coalition comprised of a cross-section of public and private healthcare industry stakeholders. The ICD-10 procedure coding system incorporates greater clinical detail and specificity than ICD-9.</div>
<br />
<span style="font-size: xx-small;">Source: http://www.hfma.org/Content.aspx?id=15618</span><br />
<br />
</div>

ICD 10 Updates ICD-10 implementation Online Survey Measures ICD-10 Progress

Jan. 28—The Workgroup for Electronic Data Interchange (WEDI) announced a new online survey to measure the progress of ICD-10 implementation nationwide and the impact of the one-year extension to the deadline for compliance (now Oct. 1, 2014). Any in…

Assembling an ICD-10 Project Team

8:29 PM Unknown 0

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<div class="Categorydesc" style="line-height: 17px; padding: 5px 20px;">
                        
                        <div style="text-align: justify;">
 Assembling an ICD-10 Project Team to oversee your organization's shift 
to ICD-10 is instrumental to a successful transition. This team will be 
responsible for overseeing the ICD-10 planning and implementation 
process.<br />
 <br />
 <strong>Select Your Team</strong><br />
 Since ICD-10 will affect nearly all areas of your practice, project 
teams should consist of representatives from key areas of your 
organization, including:  </div>
<ul>
<li style="text-align: justify;">
  Senior Management</li>
<li style="text-align: justify;">
  Health Information Management/Coding</li>
<li style="text-align: justify;">
  Billing/Finance</li>
<li style="text-align: justify;">
  Compliance</li>
<li style="text-align: justify;">
  Revenue Cycle Management</li>
<li style="text-align: justify;">
  Information Systems and Technology</li>
</ul>
<div style="text-align: justify;">
 This multi-disciplinary team provides the cooperative environment 
necessary to address your organization's needs. If you run a small 
business or practice, several of these functional areas may rest with 
the same individuals, making your transition team smaller.<br />
 <br />
 <strong>Appoint a Project Manager</strong><br />
 Once members of the project team have been selected, appoint one team 
member to serve as the project manager. As the manager, he or she will 
be responsible for establishing accountability across the ICD-10 
implementation team and making business, policy, and technical 
decisions.<br />
 <br />
 <strong>Your Team's Initial Tasks</strong><br />
 With an established project team and a designated project lead, you'll 
be ready to begin planning for ICD-10 implementation. Project teams 
should: </div>
<ul>
<li style="text-align: justify;">
  <strong>Establish regular check-in meetings to discuss progress and address any issues. <br />
  </strong></li>
<li style="text-align: justify;">
  <strong>Conduct an ICD-10 impact assessment to help you determine how the transition to ICD-10 will affect your organization</strong>, and allow you to schedule and budget for all ICD-10 activities. </li>
<li style="text-align: justify;">
  <strong>Plan a comprehensive and realistic budget.</strong> This should include costs such as software upgrades and training needs. </li>
<li style="text-align: justify;">
  <strong>Identify and ensure involvement and commitment of all internal and external stakeholders.</strong> Contact vendors, physicians, affiliated hospitals, clearinghouses, and others to determine their plans for ICD-10 transition. </li>
<li style="text-align: justify;">
  <strong>Develop and adhere to a well-defined implementation timeline</strong> that makes sense for your organization. </li>
</ul>
<div style="text-align: justify;">
 <strong>Communicate Regularly</strong><br />
 Remember to communicate regularly with your entire ICD-10 project team!
 Keeping the lines of communication open will help make sure everyone is
 kept up to date on the implementation progress. It may be helpful to 
establish and circulate a calendar of internal tasks, milestones, and 
deadlines to help keep day-to-day activities running smoothly and on 
schedule.</div>
</div>
</div>

icd 10 codes ICD 10 latest Articles ICD 10 Training ICD 10 Updates ICD-10 implementation ICD-10 implementation in 2012 icd-10 implementation project plan Assembling an ICD-10 Project Team

Assembling an ICD-10 Project Team to oversee your organization's shift to ICD-10 is instrumental to a successful transition. This team will be responsible for overseeing the ICD-10 planning and im…

How to Prepare For Documentation Changes and Improvements with ICD-10

8:27 PM Unknown 0

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<div class="Categorydesc" style="line-height: 17px; padding: 5px 20px;">
<div style="text-align: justify;">
Although the final rule on the proposed ICD-10 deadline change has not 
been published yet, it is important to continue planning for the 
transition. ICD-10 will require an increased granularity and 
specificity in documentation of patient encounters. This change will 
mean that providers and payers need to adjust how they document patient 
visits but will create more detailed data that can be used to improve 
patient care. More specific code sets can also assist providers avoid 
delays in reimbursement payments by identifying why certain claims are 
being rejected or denied by payers.<br />
<br />
<b>You will need to prepare for these changes in clinical documentation by taking certain steps:</b></div>
<ol>
<li style="text-align: justify;">
  <b>Inventory Systems and Identify Discrepancies:</b> You 
should review your systems that currently use ICD-9 in order to identify
 areas in your revenue cycle, reimbursement rates, health information 
management, electronic medical records, and clinical systems that will 
eventually use ICD-10.  These systems will be affected by the increased 
specificity of documentation as well as the increase in number of codes 
used in ICD-10. Your systems inventory will need to evaluate any 
potential gaps in clinical conditions or work flow processes that could 
be affected by increased documentation. Once you have identified any 
discrepancies, you can update and modify your systems and processes 
prior to transitioning to the new code sets. This will save your 
organization time by finding incomplete or non-specific data and 
ensuring that they do not cause a delay with coding and billing when you
 finalize implementing ICD-10. <br />
   </li>
<li style="text-align: justify;">
  <b>Evaluate Current Software Systems:</b> As you conduct 
your systems inventory, you may realize that some of your systems have 
become out-of-date or are redundant. You will need to determine if it is
 more cost-effective and efficient to upgrade these systems or 
centralize and replace them before ICD-10 implementation.<br />
   </li>
<li style="text-align: justify;">
  <b>Train and Educate Staff:</b> Your organization should 
identify staff members, from providers to coders, who currently use 
ICD-9 codes. Staff who will now be using ICD-10 will need training to 
become familiar with the increased documentation standards necessary 
with the new code sets. Training will help staff members become 
comfortable with both the heightened specificity and increased number of
 code sets that they will be using frequently.  <br />
   </li>
<li style="text-align: justify;">
  <b>Test the Documentation Process: </b>Finally, your 
organization will need to test each stage of the new documentation 
process in a trial setting. Staff members should simulate a typical 
patient encounter in its entirety to ensure that data is being 
documented thoroughly and consistently. This will also help identify any
 areas that still require improvement in the coding process.</li>
</ol>
</div>
</div>

How to Prepare For Documentation Changes and Improvements with ICD-10

ICD 10 latest Articles icd 10 pcs reference manual ICD 10 Training ICD 10 Updates ICD-10 codes ICD-10 coding skills icd-10 implementation training How to Prepare For Documentation Changes and Improvements with ICD-10

Although the final rule on the proposed ICD-10 deadline change has not been published yet, it is important to continue planning for the transition. ICD-10 will require an increased granularity and specificity in documentation of patient encounter…

Steps to Assess How the ICD-10 Transition Will Affect Your Organization

8:25 PM Unknown 0

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<div class="Categorydesc" style="line-height: 17px; padding: 5px 20px; text-align: justify;">
                        
                        <div style="text-align: justify;">
 Although the final rule on the proposed ICD-10 deadline change has yet 
to be published, it is important to continue planning for the transition
 to ICD-10. The switch to the new code set will affect every aspect of 
how your organization provides care, from registration and referrals, to
 software/hardware upgrades and clinical documentation.<br />
 <br />
 <strong>A critical step in planning for the transition is to conduct an
 impact assessment of how the new code sets will affect your 
organization. Your impact assessment should include:</strong></div>
<ul style="text-align: justify;">
<li>
  <strong>Documentation Changes:</strong> You will need to consider the 
increased specificity of ICD-10 codes compared to ICD-9 codes, and 
ensure that patient encounters are documented with appropriately 
comprehensive clinical descriptions. You should:
  <ul>
<li>
    Train staff to accommodate the substantial increase and specificity in code sets</li>
<li>
    Consider physician workflow and patient volume changes</li>
<li>
    Revise forms, documents, and encounter forms to reflect ICD-10 codes</li>
<li>
    Evaluate processes for ordering and reporting lab/diagnostic services to health plans</li>
</ul>
</li>
<li>
  <strong>Reimbursement Structures:</strong> You should coordinate with 
payers on contract negotiations and new policies that reflect the 
expanded code sets, since they can affect reimbursement schedules.</li>
<li>
  <strong>Systems and Vendor Contracts: </strong>Ensure your vendors can
 accommodate your ICD-10 needs. Find out how and when your vendor plans 
to update your existing systems. You will need to review existing and 
new vendor contracts and to evaluate vendor offerings and capabilities 
against your organization's expectations. Work with your vendors to 
draft a schedule for needed tasks.</li>
<li>
  <strong>Business Practices: </strong>Once you have implemented ICD-10,
 you will need to determine how the new codes affect your processes for 
referrals, authorizations/pre-certifications, patient intake, physician 
orders, and patient encounters.</li>
<li>
  <strong>Testing:</strong> Work with your vendors to determine the amount of time needed for testing and schedule accordingly.</li>
</ul>
<div style="text-align: justify;">
 ICD-10 will affect nearly all areas of your practice, but with a 
thorough impact assessment, you can keep your day-to-day activities 
running smoothly while you transition to ICD-10.</div>
</div>
</div>

ICD 10 Training ICD 10 Updates ICD-10 transition Steps to Assess How the ICD-10 Transition Will Affect Your Organization

Although the final rule on the proposed ICD-10 deadline change has yet to be published, it is important to continue planning for the transition to ICD-10. The switch to the new code set will affec…

Looking Back at Version 5010 and Ahead to ICD-10

3:39 AM Unknown 0

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Last year all practices covered by HIPAA were required to upgrade from Version 4010 to Version 5010 standards for electronic health care claims and other transactions.<br />
<br />
<b>The Version 5010 upgrade paved the way for ICD-10 and offers valuable insights:</b><br />
<br />
<ol style="text-align: left;">
<li>Early planning and preparation will smooth your transition to ICD-10. Practices that planned for the Version 5010 upgrade were well prepared and transitioned smoothly. For ICD-10, your office can start planning by developing a checklist of activities that will need to be completed and a timeline for accomplishing these tasks. <br /> </li>
<li>Communication and coordination must occur not only in your office, but also between your practice and the trading partners you conduct business with – software vendors, clearinghouses and billing companies, commercial and government health plans and other payers.<br /></li>
<li>Risk mitigation is important to address any disruptions that may occur as your practice transitions to ICD-10. You may want to consider planning for possible short-term cash flow disruptions and for securing the services of billing companies or clearinghouses.<br /></li>
<li>Testing will need to be conducted within your office and with all payers and other companies you work with. You will need to begin ICD-10 testing in 2013 to allow for ample time to test multiple types of transactions, including claims. Share your ICD-10 plans with one another now to ensure you are on track to test at the same time.</li>
</ol>
<br />
If you conduct electronic transactions and have not made the upgrade to Version 5010 standards, get a compliance plan in place right away.<br />
<br />
You must use Version 5010 standards before your practice management or billing system can accommodate the structure of ICD-10 codes.<br />
<br /></div>

HIPAA 2010 Update HIPAA 5010 ICD-10 News Looking Back at Version 5010 and Ahead to ICD-10

Last year all practices covered by HIPAA were required to upgrade from Version 4010 to Version 5010 standards for electronic health care claims and other transactions. The Version 5010 upgrade paved the way for ICD-10 and offers valuable insights: E…