ICD-10
Education:
What
Organizations
Need To Know
Now
Copyright Information
Copyright © 2013 HCPro, Inc.
• The “360° Coder Education: What You Need To Know Now” webcast materials package is
published by HCPro, Inc. For more information, please contact us at: 75 Sylvan Street, Suite A-101, Danvers, MA 01923.
• Attendance at the webcast is restricted to employees, consultants, and members of the medical staff of the Licensee. The webcast materials are intended solely for use in conjunction with the associated HCPro
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• In our materials, we strive to provide our audience with useful and timely information. The live webcast will follow the enclosed agenda. Occasionally, our speakers will refer to the enclosed materials. We have noticed that non-HCPro webcast materials often follow the speakers’ presentations bullet-by-bullet and page-by-page. However, because our presentations are less rigid and rely more on speaker interaction, we do not include each speaker’s entire presentation. The enclosed materials contain helpful resources, forms, crosswalks, policies, charts, and graphs. We hope that you will find this information useful in the future. • Although every precaution has been taken in the preparation of these materials, the publisher and speaker
assume no responsibility for errors or omissions, or for damages resulting from the use of the information contained herein. Advice given is general, and attendees and readers of the materials should consult professional counsel for specific legal, ethical, or clinical questions.
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Presented by:
Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, currently serves as the Director of HIM and Coding
for HCPro, Inc. She manages the instructors of the
Certified Coder Boot Camps®, which cover physician and outpatient hospital coding and inpatient hospital facility coding. McCall is HCPro’s Revenue Cycle Institute lead coding expert, where she works with hospitals, medical practices, and other healthcare providers on a wide range of coding-related issues. McCall has extensive experience with coding for both physician and hospital services. She has been instructing ICD-10 related content since 2010.
Speaker Photo Here
Types of Coders
•
Hospital services coders
– Inpatient coders
– Outpatient coders
• Includes ambulatory surgery, clinics, ancillary departments (e.g., lab, pathology, radiology, emergency department)
– Assign codes for the facility portion of the payment
– Usually employed by the hospital
– Per the AHA, there are about 5700 registered hospitals in the U.S. (based on 2011 data)
Types of Coders
•
Professional services coders
– Assign codes for the physician/professional portion of the payment
– Usually employed by the physician practice, not the hospital
• But don’t forget, hospitals may want to include the physician practices in negotiating education for ICD-10!!!
– Per the Federation of State Medical Boards, there are approximately 850,000 physicians in the U.S. (based on 2010 data)
Two Principal Types of Coding Systems
•
Diagnosis Coding System
– Used to Report Why the Patient Received Health Care Services
• ICD-9-CM Volumes 1-2
•
Procedure Coding Systems
– Used to Describe What Services/Items the Patient Received
ICD-9-CM Transition to ICD-10-CM/PCS –
Hospital Inpatient
Hospital
Inpatient
ICD-9-CM
Vols 1-2 to
ICD-10-CM
ICD-9-CM
Vol 3 to
ICD-10-PCS
ICD-9-CM Transition to ICD-10-CM/PCS –
Hospital Outpatient
Hospital
Outpatient
ICD-9-CM
Vols 1-2 to
ICD-10-CM
CPT and
HCPCS II
NO CHANGE
ICD-9-CM Transition to ICD-10-CM/PCS –
Professional Services
Professional
Services
ICD-9-CM
Vols 1-2 to
ICD-10-CM
CPT and
HCPCS II
NO CHANGE
Coder Roadmap – Hospital Inpatient
Coder Roadmap – Physician/Hospital Outpatient
What To Look For In Education
•
CEUs available for all major credentialing bodies
(AHIMA, AAPC, ACDIS, CME, ANCC) – Number of
credits vary
– Extremely valuable if organization supports coding credential maintenance for employees
– If maintenance is the responsibility of the employee, it will be viewed as an added perk paid for by their organization
•
Instructors who are not sub-contracted out
– Make sure you know who will teach your class
•
Look for a proven track record of providing quality
HCPro Coding Boot Camps
•
Certified Coder Boot Camp (Live classroom-based
training, onsite, online)
–
5 day class or 4 week online
–
Perfect first step for a new coder
–
Prepares for the AAPC’s CPC exam
•
CCBC-Inpatient (live; open reg and onsite)
–
5 day class; ideal for cross training outpatient coders to
inpatient coders
–
Proficient ICD-9 coders will only make EXCELLENT
HCPro Coding Boot Camps
•
ICD-10 Basics (Onsite live training only and eLearning)
–
1 or 2 day live class (CM only or
ICD-10-CM/PCS modules)
–
Step 1 in learning the ICD-10-CM and ICD-10-PCS
classification systems.
–
Taught using comparisons of 9-CM codes to
HCPro Coding Boot Camps
•
CCBC- ICD-10- CM only (Classroom-based training,
onsite, online, and eLearning)
–
Step 2 for those necessitating only ICD-10-CM
knowledge (e.g. hospital outpatient, professional
services, ancillary coders)
–
Perfect for those who must sit for the AAPC’s ICD-10-
Proficiency Exam (available October 2013) to maintain
coding credentials!!
HCPro Coding Boot Camps
•
CCBC- ICD-10-CM and ICD-10-PCS (Classroom-based
training, onsite, eLearning)
–
Step 2 in mastering ICD-10-CM and ICD-10-PCS
–
Includes all the ICD-10-CM only content and benefits
• Plus in depth review of ICD-10-PCS
• Practical code assignment of operative notes and entire inpatient records
–
Developed for experienced inpatient coders
Pairing HCPro Education –
Hospital Inpatient
Hospital Inpatient CCBC-Inpatient CCBC-ICD-10 CM/PCS ICD-10 Basics CM and PCSPairing HCPro Education –
Hospital Outpatient
Hospital Outpatient CCBC CCBC-ICD-10 CM Only ICD-10 Basics CM OnlyPairing HCPro Education –
Professional Services
Professional Services CCBC CCBC-ICD-10 CM Only ICD-10 Basics CM OnlyICD-10 Challenges Facing Coding
Professionals
• Fear of learning a new coding system (ICD-9 has been used since 1979) – Many contemplate retiring!
• Productivity losses – not as much “memory coding”
• Integration of computer assisted coding (CAC)
– A computer software application that analyzes health care
documents and produces appropriate medical codes for specific phrases and terms within the document
– Can be used to assign ICD-9, CPT and ICD-10 codes
– Coders “audit” the output of the CAC to determine accuracy
– Advantages over manual coding
• Increased productivity and efficiency in coding
• Consistent application of coding rules
• However, the cost of the software and the increased potential for errors are potentially detrimental
Challenges Facing Coding Professionals
with ICD-10
•
Increased need for understanding HOW procedures are
performed due to added details in the ICD-10-PCS codes
•
Some coders lack formal training in coding and
anatomy/physiology because they were trained “OJT” (on
the job).
•
Dual coding – Many will have to code in both 9 and
ICD-10 for 6+ months prior to ICD-ICD-10 implementation date
•
Ensuring documentation supports the detail provided in
Why Choose HCPro?
•
Proven track record of providing quality coding
education
– The Certified Coder Boot Camp programs are the “pioneers” of intensive boot camp training formats
• “Imitation is the highest form of flattery”
– Over 10 years of providing coding boot camp training in the U.S.
• Teach all types of coding – outpatient/physician, hospital inpatient
– Even CDI programsI!!
Why Choose HCPro?
•
We don’t HIDE who will teach your class
– Our instructors are not sub-contracted out
•
Leave the instruction of coding to those who KNOW
how to teach coding
– Our instructors have 10-15 years experience in teaching coding
– We’ve been teaching ICD-10 since September 2010
– Don’t gamble with your invested $$$ by asking internal employees to become trainers on a system they may have just learned themselves
Why Choose HCPro?
•
CEUs available for all major credentialing bodies
(AHIMA, AAPC, ACDIS, CME, ANCC) – Number of
credits vary
– Extremely valuable if your organization supports coding credential maintenance for employees saves $$
– If maintenance is the responsibility of the employees, it will be viewed as an added perk paid for by their
organization
– Not all companies may be approved by both AHIMA and AAPC (especially if they plan to present canned
materials from AHIMA “Train the Trainer programs)
– We also provide continuing education through Justcoding.com
Why Choose HCPro?
• Convenience - we come to you!
– No travel costs for attendees
– Planned on dates you choose
• $$$$ Savings $$$$
– Average savings approximately 60% off sending individuals to an open registration course
• Don’t forget travel costs! (+$1500-2000/pp - 5 day class)
– The more people you have to train the more cost effective it can become!
• Consistent message in coding training across all departments
Educational Content
•
Our educational content is developed as “rules-based”
learning
– Using recognized source authorities such as the Official
Guidelines for ICD-10-CM and ICD-10-PCS Coding Guidelines
– Modules are created in an intensive learning format to maximize comprehension of complex topics.
• Traditionally, the modules are arranged with broader concepts and then progressively narrow to more specific ones
– For example, ICD-10-CM as a systemSpecific conventions applicable to the whole manual Coding issues specific to the each chapter within the manual.
Educational Content
•
We “teach then test” in a step by step manner
– Coding is an activity therefore learning is not truly experienced without doing the activity
– Each module teaches a set of concepts
• During the modules there are various examples to code as a group so that everyone stays engaged
• At the end of each module we also ask questions related to those concepts to measure comprehension (completed individually)
• Increasing in complexity throughout the course
– Example: Correctly assign CM codes, then ICD-10-PCS, then both (outpatient and inpatient)
Educational Content
•
How can we make it specific to our organization rather
than general training?
– All of our ICD-10 boot camps are really generalized training (but in varying intensities/length)
• Generalized – not specific to any one organization
• Customized – elements added that are solely directed or structured around one organization
Educational Content
•
Customization Suggestions
– How can you customize for us?
• CCBC-ICD-10 CM only: 2 day live class
– Custom ½ day add-on that uses the facility’s records for a mini- “lab” coding ICD-10-CM. Need about 50 records.
• CCBC-ICD-10 CM/PCS: 4.5 day live class
– Custom ½ day add-on that uses the facility’s inpatient records for a mini- “lab” coding ICD-10-CM/PCS. Need about 5-7
