icd-10 slideshow 1 icd-10 slideshow 1 icd-10 slideshow 1

Preparing for ICD-10: Is It Happening Or Not?

Written by Jonathan L. Elion MD, FACC

The initial confusion caused by last year’s congressional action to delay adaption of ICD-10 has died down, but once again the topic is sneaking back into the headlines. Last year many were asking, “what if they gave a party and nobody came?” This year many find themselves channeling Pete Townshend of The Who in declaring “we won’t get fooled again!” In the midst of all this confusion and the myriad of predictions, what should providers be doing now to prepare for ICD-10...

What Practice Leaders Are Saying: Survey Results Emerge Regarding ICD-10 Preparedness and Progress in the Home Stretch

Written by Ken Bradley

For several years, surveys conducted by industry organizations such as the American College of Healthcare Executives revealed ICD-10 as one of healthcare leaders’ top priorities. However, these surveys didn’t explore the details of providers’ ICD-10 attitudes...

Five Simple Strategies for Making Short Work of a Tall Problem

Written by Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC

With the clock ticking on ICD-10 implementation, many practices are starting to worry they may not be ready in time for the Oct. 1, 2015 deadline. While there is much to accomplish in a short timeframe, it can be done. Developing a solid strategy can help simplify the process and help you mitigate costs. 1. Engage with your vendors: If your vendors haven’t been in touch with you, you may have problems. Reach out to find out where they are in the implementation process...

Feature Stories

Clinical Documentation Improvement by Service – Obstetrics and Gynecology – Does Your Documentation Deliver in this Specialty?

The American Health Information Management Association (AHIMA) Hill Day will be held on March 24, 2015, when ICD-10 implementation will be a high-priority topic. Obstetrics and gynecology codes have undergone major revisions and now may present some challenges under ICD-10-CM/PCS. What are the required documentation updates? Let’s take a look at some examples... Read more...

Ensure ICD-10 Updates for Important EHR Templates

Templates can either enhance documentation necessary for coding and data quality, or they can hinder things by restricting options and failing to prompt physicians to document specific information. However, templates cannot be overlooked when it comes to ICD-10. This is particularly true if a hospital relies more heavily on templates to capture structured data. Many hospitals...Read more...

ICD-10: Practical PCS Advice

The fact that we now have procedural coding guidelines is the first hint that procedural coding with ICD-10 is more complex than with ICD-9. Learning these guidelines and how to apply the information is the first step to becoming proficient in ICD-10-PCS. The guidelines are intended to complement the official conventions and instructions provided within ICD-10...Read more...

  1. Dual Coding
  2. CDI
  3. Physician Education
  4. Payers
  5. Mental Health
  6. CHIRO
  7. MGMA
  8. Technology
  9. AHIMA
  10. Clearinghouses
  11. Reimbursement
  12. Coding
  13. Testing
  14. CMS
  15. AAPC
  16. Coding Tips
  17. Property & Casualty
  18. Root Operations
  19. Practice Management
  20. PCS Character Series

Dual Coding: Tracking Your Output

October, 15 2013 / Kim Carr

Roseanne Barr once said that she likes facts and data because they help her think clearly. With dual coding, it is easy to rationalize the reasons and justify the means. But what really matters is the output. Dual-coding efforts must produce useful information to prepare your organizations for ICD-10. Measuring, monitoring, and tracking dual-coding data ensures that investments in time, money, and staff produce a solid return. Business intelligence gleaned from dual-coding data helps accurately measure ICD-10’s productivity, quality, and financial impacts. With dual coding already underway, now is the time to build your arsenal of ICD-10 data... Read more...

Clinical Documentation Improvement in the Medical Practice

November 21, 2014 / Deborah Grider, CPC, CPC-H, CPC-I, CPC-P, CEMC, CPMA, CCS-P, CDIP

As I continue on my journey assisting hospital systems and medical practices transitioning to ICD-10, it has become evident that clinical documentation is at the core of this transition. But as I read so many articles about ICD-10 initiatives and clinical documentation improvement, I wonder if we really grasp the true impact. Many feel it is only important as a hospital initiative, but that really is not true. Other pieces I have read focus on auditing, which... Read more...

Responding to Physician Criticism of ICD-10

August 19, 2014 / Paul Weygandt, MD, JD, MPH, MBA, CPE

Recently I was asked to respond to physician criticism of the transition to ICD-10. While there are legitimate concerns regarding the costs of the transition, the majority of issues being raised by physicians of late reflect a lack of knowledge about the system. Such criticism reminds me of the now-infamous quote from Nancy Pelosi, the U.S. House of Representatives Minority Leader in 2010, regarding President Obama’s landmark healthcare legislation... Read more...

Newly Formed Consortium Working to Ease Transition to ICD-10

November 21, 2014 / Mark Spivey

The countdown is on. With less than a year to go before the scheduled implementation of ICD-10, healthcare industry chatter about the new code set is reaching a fever pitch. Because ICD-10 is about overall system readiness, the discussion focuses mostly on how to get ready, what barriers to overall readiness exist, and what the industry can do to remove those barriers. Problems will inevitably arise if only part of the industry... Read more...

Autism Spectrum Disorder: Five Times the Codes in ICD-10

November 25, 2014 / Wilbur Lo, MD, CDIP, CCA

According to the National Institute of Mental Health, Autism Spectrum Disorder (ASD) is characterized by a wide range of symptoms and levels of impairment or disability that are typically recognized during the first two years of life. ASD is a complex clinical diagnosis and includes deficits in social communication and social interaction, as well as restricted, repetitive patterns of behavior, interests, or activities. The symptoms will cause... Read more...

Ten Minutes per Week for ICD-10 Documentation Proficiency

January 19, 2015 / Evan M. Gwilliam, DC, MBA, BS, CPC, NCICS, CCPC, CCCPC, CPC-I, MCS-P, CPMA

Unfortunately, chiropractic physicians have a reputation as the providers with the worst documentation. According to the 2013 CERT Annual Improper Payment Report, chiropractic services were paid improperly 51.7 percent of the time. Of those improper payments, reviewers determined that 92.5 percent of them were due to insufficient documentation. As a certified professional medical auditor and a chiropractor, I have performed chart audits and provided expert witness testimony on documentation issues... Read more...

A High-Impact, Low-Cost Approach to Physician Practice ICD-10 Implementation in 2015

January 5, 2015 / Robert M. Tennant, MA

As the healthcare industry transitions to the ICD-10 coding system in 2015, physician practices will need to have an aggressive action plan in place for meeting the many challenges associated with implementing the new code set. Many practices began their ICD-10 implementation processes in 2014 only to put those efforts on hold following passage of the Protecting Access to Medicare Act of 2014... Read more...

Technology and ICD-10

August 21, 2014 / Mark Morsch, MS, AHIMA-approved ICD-10 trainer

Technology continues to play an important role in supporting facilities and physicians engaged in the transition to ICD-10. Many organizations have purchased technology such as computer-assisted coding (CAC), clinical documentation improvement systems, natural language processing (NLP) and/or coding workflow solutions. These technologies hold the promise of significant benefits to key functions such as clinical ... Read more...

The Future of ICD-10-CM/PCS

January 5, 2015 / Lou Ann Wiedemann, MS, RHIA, CHDA, CDIP, FAHIMA

In a December 2014 statement on the implementation of ICD-10, U.S. House of Representatives Energy and Commerce Committee Chairman Fred Upton (R-Mich.) and House Rules Committee Chairman Pete Sessions (R-Texas) called the new coding set "an important milestone in the future of healthcare technologies." The statement clearly indicated that the congressmen will continue to work closely with the Centers for Medicare & Medicaid Services (CMS) to, as the statement put it, "ensure that the deadline can successfully be met by stakeholders... Read more...

Cooperative Exchange Rolling Out Key ICD-10 Payer Testing Results Tool

January 5, 2015 / Tim McMullen, JD, CAE

There’s been an industrywide concern among healthcare providers during recent months about the lack of knowledge on what to expect in testing from payers. To help facilitate ICD-10 testing during the remaining transition period, the Cooperative Exchange (CE) will gather information on payers regarding their testing parameters. This is a value-add for Cooperative Exchange clearinghouse clients and all providers and clearinghouses... Read more

ICD-10: Let’s Focus on the Money

December 15, 2014 / D’Arcy Gue and Thomas Grove

ICD-10 is supposed to be about better disease management and more accurate medical diagnoses and treatment reports. But for many in the healthcare world, ICD-10 is all about money. The federal government wants ICD-10 in order to help our healthcare system save money. ICD-10’s promises of more precise and complete data for research, fraud and abuse investigations, and payment determinations is expected to cut costs significantly. For providers, it’s a lot simpler. Many smaller providers don’t want ICD-10 at all, because converting from the antiquated ICD-9 coding system costs money... Read more

There’s a Code for That

August 19, 2014 / Holly Louie, RN, CHBME, PCS

Recently, an article was published ridiculing ICD-10 by profiling the most obscure (and frankly, ridiculous) coding combinations that could be identified. “There’s a code for that” has become synonymous with these highly publicized codes, which cover scenarios such as turtle bites, water skis on fire, being hit by meteors, and other circumstances widely considered preposterous. Obviously, these authors are focused on things that are truly irrelevant, though entertaining... Read more

CMS Acknowledgement Testing Week Highlights Lingering ICD-10 Issues

December 8, 2014 / Mark Spivey

Despite a decline in participation and some lingering issues still affecting providers, Centers for Medicare & Medicaid Services Provider Billing Group Director Diane Kovach told Talk-Ten-Tuesday listeners last week that she was pleased with the results from the second of four scheduled acknowledgement testing weeks being planned and coordinated by the agency. “Overall,” Kovach said, “the testing went really well.” Only two things were being scrutinized during the testing week that recently ended prior to the Thanksgiving holiday: the ability of providers to submit claims containing ICD-10 codes to CMS... Read more

2015: What’s in a Year?

January 5, 2015 / Rhonda Buckholtz, CPC, CPMA, CPC-I, CGSC, COBGC, CPEDC, CENTC

A new year can bring about many changes, and you never really know how all those changes can pan out. One thing is for sure in looking back, however: many of us were surprised by the ICD-10 delay. What side of the fence you stood on surely determined your thoughts of whether it was welcomed or not. Whether you were for or against a delay, however, we learned a lot in a short period of time. Here are four top things we have learned from the delay – and if you haven’t started... Read more

100 Tips for ICD-10-PCS Coding: Tips 91-100

November 26, 2013 / Lolita M. Jones, RHIA, CCS

ICD-10-PCS represents a major departure from ICD-9-CM procedure coding, and as such, many coding specialists find ICD-10-PCS much more challenging to learn than ICD-10-CM (which still shares many similarities with ICD-9-CM). In order to ease the transition from one code.... Read more

Will You be Required to Comply with Both ICD-9 and ICD-10 Mandates? What is Your State’s Property & Casualty Requirement?

August 21, 2013 / Sherry Wilson and Tina Greene

Just like “Where’s Waldo?” the property & casualty (P&C) industry that includes workers’ compensation and auto billing also requires the tracking of state healthcare requirements to highlight whether ICD-9 or ICD-10 is required when submitting bills to payers. Payers, vendors, and providers that bill P&C across states are required to comply with each state’s requirements. There are numerous... Read more

The Various Procedures of the Medical & Surgical Root Operations

March 19, 2013 / Rebecca DeGrosky, RHIT

In the Medical and Surgical section (first character 0), there are 31 root operations with standardized terminology and no procedure names, no diagnostic information, and no eponyms. So far, we have covered 24 of them, and today will bring us to the remaining ones. We have gone over the notion that a fracture reduction is the root operation reposition, and that there is no appendectomy listing in ICD-10-PCS. Coders... Read more

Working with your Practice Management System Vendor Ensures a Successful Transition to ICD-10

July 1, 2014 / Tim McMullen, JD, CAE

Whether you were annoyed or relieved by the announcement of another delayed implementation of ICD-10, the benefit of having additional time to ensure a smooth transition can work to your favor. The expertise that is held by your practice management system (PMS) vendor is a key component that can contribute to a smooth transition. Many PMS vendors have integrated ICD-10 within their systems, so these vendors are ready and have the ability to test now. You likely have been getting updates from your vendor... Read more

ICD-10-PCS Character Analysis: Test Your Knowledge of Character 6 – Device

December 8, 2014 / Lolita M. Jones, RHIA, CCS

The process of constructing codes in ICD-10-PCS is designed to be logical and consistent: individual letters and numbers, called "values," are selected in sequence to occupy the seven spaces of the code, called "characters." ..... Read more

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Coder productivity is a huge issue, especially with ICD-10 on the horizon. So what’s the secret for unlocking the power of productivity? The answer is simple: Happiness. Productive coders are happy coders because of their enhanced self-esteem and self-worth. That’s the Joy of Coding. And now you can recapture that joy and happiness in yourself and increase your productivity before the I-10 storm rains down.

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Coder productivity is a huge issue, especially with ICD-10 on the horizon. So what’s the secret for unlocking the power of productivity? The answer is simple: Happiness. Productive coders are happy coders because of their enhanced self-esteem and self-worth. That’s the Joy of Coding. And now you can recapture that joy and happiness in yourself and increase your productivity before the I-10 storm rains down.

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