ICD10: Essentials for a Successful Transition to the New Code Set
ICD10: Essentials for a Successful Transition to the New Code Set


 
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ICD10: Essentials for a Successful Transition to the New Code Set:
Course Agenda & Schedule
Faculty: Joan Gilhooly, MBA, CPC, PCS, CHCC

Course Locations & Hotel Information


Earn up to 8 AMA PRA Category 1 credits™ and AAFP Prescribed Credits

ICD10: Essentials for a Successful Transition to the New Code Set Course Description

As a healthcare provider, what do you personally need to do to prepare for the ICD-10 transition? And what does your practice need to do to ensure a smooth transition to this code set? Failure to be adequately prepared may result in payment delays and/or in denials that result in lost revenue and the need for costly appeals.

Doing things “the way we’ve always done things” is no longer an option. Learn what changes need to be made in your clinical documentation and diagnosis code selection to help ensure your practice is ready to hit the ground running next fall!

Objectives

By the end of this ICD-10 training workshop, participants should be better able to:

  • Explain what ICD-10-CM is and why we are changing to this new code set.
  • List the implementation dates and how these dates affect coding for patients currently under treatment.
  • Compare the differences from ICD-9 to ICD-10-CM.
  • Address the benefits and burdens of ICD-10-CM.
  • Describe the specificity requirements in ICD-10 laterality, episode of care, and others.
  • Review the role diagnosis codes play in the claims adjudication process in establishing medical necessity for the extent and the frequency of care.
  • Explain the implications for payer coverage and reimbursement policies for family practice physicians.
  • Assess the implications for clinical documentation and additional information gathering.
  • List the official guidelines and where to find disease and/or code specific additional instructional guidance and the role of exclusion notes.
  • Address the requirements for documentation for relationship between underlying disease and its associated manifestations and complications.
  • List the definitions of key ICD-10 terms and concepts, “History of…” and others.
  • Describe planning implementation including roles, budgets, training (providers, coding staff, billing staff), practice, review/revise/repeat and post-implementation assessment/revisions.
  • Address CMS ’Implementation Guide and additional resources for additional assistance.
  • Review ICD-10 documentation requirements, coding rules and code selections for the most common conditions evaluated in a family practice setting:
  • Preventive services - Well Child, general health exam, Well Woman, contraceptive surveillance and vaccinations
  • Reporting symptoms of undiagnosed conditions
  • Other implications: Orders for diagnostic tests
  • Acute conditions, Acute infections – e.g., Strep, viral, URI, UTI, pharyngitis, and many other “-itises”
  • Chronic Conditions – Diabetes-Diabetes with complications; Hypertension-Hypertensive Heart Disease, Hypertension in CKD; Lipid Disorders; Osteoarthritis; Others
  • Acute exacerbation of chronic conditions – Asthma, bronchitis, COPD, CHF
  • New rules for myocardial infarction coding
  • Injuries – Laterality, episode of care, setting
  • Explain how to identify and manage common pediatric fractures.

2015 Course Accreditation

The Texas Academy of Family Physicians designates this live activity for a maximum of 8 AMA PRA Category 1 credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This Live activity, ICD-10: Essentials for a Successful Transition to the New Code Set, with a beginning date of 04/12/2015, has been reviewed and is acceptable for up to 8.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learn more about our Accreditation


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