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ICD-10 Board of Diagnosis - Latest Medical Billing Requirements

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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

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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

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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

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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

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• 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

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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

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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

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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

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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

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3 Tier Modular Approach

Online Seminars

Online Clinical Concept Training and

Assessments

Online ICD-10 Code Training Programs

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3 Tier Modular Approach

Online Seminars

Training & AssessmentsOnline Clinical Concept Online ICD-10 Code Training Programs

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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

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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

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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

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ICD-10 Training Guidelines

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ICD-10-CM Code Training

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ICD-10-CM Code Training

– case

discussion with embedded videos

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ICD-10-PCS code training - Exercises

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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

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3 Tier Modular Approach

Online Seminars

ONLINE CLINICAL CONCEPT TRAINING

and Assessments

Online ICD-10 Code Training Programs

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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

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ICD-10-CM/PCS Clinical Concept Course:

Medical Terminology

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy embedded videos

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

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ICD-10-CM/PCS Clinical Concept Course:

Anatomy

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Toolbar

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Coder Clinical Concept Course: Anatomy

(scores)

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology embedded videos

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology

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ICD-10-CM/PCS Clinical Concept Course:

Pathophysiology

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ICD-10-CM/PCS Clinical Concept Course:

Pharmacology

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ICD-10-CM/PCS Clinical Concept Course:

Pharmacology

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3 Tier Modular Approach

Online Seminars

Online Clinical Concept Training and

ASSESSMENTS

Online ICD-10 Code Training Programs

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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

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Example: Baseline Assessment

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Immediate Results

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Example: Reporting

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Example: Advanced Assessment

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Example: Advanced Assessment

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Example: Advanced Assessment

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3 Tier Modular Approach

Online Seminars

Training & AssessmentsOnline Clinical Concept Online ICD-10 Code Training Programs

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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

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

Update: CMS proposed compliance date 10-1-14

Awareness Seminar

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Overview Seminar embedded videos

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Overview Seminar embedded videos

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Overview Seminar

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Live webinar with instructor

Live webinar with instructor

Workshop

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Embedded video ICD-10-CM PDF file instructions

Workshop

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Workshop Embedded Videos

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Workshop PCS Module

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Workshop

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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

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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

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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

References

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