ICD-10 introduces ICD-10-PCS codes apart from ICD-10-CM for reporting procedures with a view to reduce claim denials and maximise the reimbursement obtained.
Computer assisted cdi your secret weapon to revenue generationezDI
The clinical documentation improvement (CDI) market is set to reach USD 4.5 billion by 2023, at a compound annual growth rate (CAGR) of 7.9%. And for good reason. With 23 states embracing a value-based care model to improve their healthcare systems, the spotlight is firmly on clinical documentation.
5 Reasons Why Coding and Documentation Audits are More Important than EverezDI
Auditing is an integral aspect of governance and quality management for organizations across industries. From a hospital in New York benefitting by $1.03 million, to recovering $214 million from medical insurance schemes, here are 5 reasons why auditing is important in healthcare today.
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Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
More and more industries are adopting RPA because RPA exceeds adopters’ expectations not only when it comes to the rapid rate of ROI(Return on Investment) increase, but also when it comes to facilitating compliance (92%), improved quality and accuracy (90%), or improved productivity (86%).
As per a study conducted by McKinsey, the healthcare sector had a 36% technical potential for automation. It also stated robotic process automation as one of the emerging technologies that will reshape healthcare and create between $350 billion and $410 billion in annual value by 2025.
This presentation discuss major applications of AI in Healthcare including medical diagnostics, personalized treatments and optimizing US healthcare system. This presentation also discuss some of the challenges of implementing AI in healthcare.
Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, We Provide rendering cost-effective consolidated transcription solutions to major hospitals, clinics, and other healthcare facilities.
Computer assisted cdi your secret weapon to revenue generationezDI
The clinical documentation improvement (CDI) market is set to reach USD 4.5 billion by 2023, at a compound annual growth rate (CAGR) of 7.9%. And for good reason. With 23 states embracing a value-based care model to improve their healthcare systems, the spotlight is firmly on clinical documentation.
5 Reasons Why Coding and Documentation Audits are More Important than EverezDI
Auditing is an integral aspect of governance and quality management for organizations across industries. From a hospital in New York benefitting by $1.03 million, to recovering $214 million from medical insurance schemes, here are 5 reasons why auditing is important in healthcare today.
Visit Our Website:- https://www.ezdi.com/
Robotic Process Automation in Healthcare-An Urgency! By.Dr.Mahboob KhanHealthcare consultant
More and more industries are adopting RPA because RPA exceeds adopters’ expectations not only when it comes to the rapid rate of ROI(Return on Investment) increase, but also when it comes to facilitating compliance (92%), improved quality and accuracy (90%), or improved productivity (86%).
As per a study conducted by McKinsey, the healthcare sector had a 36% technical potential for automation. It also stated robotic process automation as one of the emerging technologies that will reshape healthcare and create between $350 billion and $410 billion in annual value by 2025.
This presentation discuss major applications of AI in Healthcare including medical diagnostics, personalized treatments and optimizing US healthcare system. This presentation also discuss some of the challenges of implementing AI in healthcare.
Mediscribes, Inc. is one of the fastest growing transcription & document management systems providers in United States, We Provide rendering cost-effective consolidated transcription solutions to major hospitals, clinics, and other healthcare facilities.
The Future of RCM in Healthcare OrganizationsCitiusTech
This document / whitepaper talks about how healthcare technology companies can leverage emerging technologies to derive insights to improve their Revenue Cycle Management process.
Medical coding is a stable, potentially lucrative career path that is currently experience growth. In order to become a medical coder, it’s necessary to obtain a postsecondary training certificate and have knowledge of medical terminology, anatomy, and the ICD-10 coding system. For more more information please visit www.certifiedcodertraining.com
This whitepaper provides an assessment of the passing of the American Recovery and Reinvestment Act of 2009 (ARRA) which has given “legs” to accelerate physician electronic health record (EHR) adoption via Stark Safe Harbor compliant programs for hospitals.
The combined Stark Safe Harbor and ARRA makes a clear case to move quickly with an EHR initiative.
A technology company that provides state-of-art Web-based Healthcare Ecosystem platform, first of its kind. We are not just a software company — rather, we provide technology-enabled services that are changing healthcare from a combination of innovative technologies.
There are variety of different software solutions available on the market that provide separate and individual solutions. Aptuso Health is the first Healthcare Ecosystem. Web based, fully-integrated, easy to use, scalable Turn Key Solution.
HySynth Clinical Data Repository is used for storing, integrating ,managing and reporting on clinical studies.
It enables pooling of clinical and nonclinical data from multiple sources into a single environment. Better regulatory compliance with comprehensive security, an audit trail, and traceability, More-informed decision-making through pooling and analysis of clinical and nonclinical data
CDR has been developed to revolutionize ability to:
- Address complex health authority questions quickly and completely
- Produce CDISC compliant submissions
- Review safety data in real-time, mine our overall database for scientific and commercial queries
At HySynth provide,
- Business case development and cost analysis
- Requirements and design management
- Best practice analysis and recommendations
- Installation and configuration
- Oracle CDA and LSH pilots and proofs of concept
- Hosting
- Oracle CDA and LSH implementation
- CDA and LSH validation
- CDA and LSH training
- CDA and LSH extension development
LST on the following applications
- Argus Safety Suite
- Oracle Clinical / Remote Data Capture (RDC) /
- Thesaurus Management System (TMS)
- Oracle Inform EDC / Central Designer / Central Coding
- Life Sciences Data Hub (LSH)
- Oracle Data Management Workbench (DMW)
- Oracle Clinical Development Analytics (CDA)
- Adverse Event Reporting System (AERS)
- SAS
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Connecting the Healthcare Ecosystem - An Architecture for Improved HealthProlifics
While healthcare reform has many underlying goals and will solve many problems in the healthcare ecosystem, the essence is to provide seamless and secure connectivity, enabling the exchange of patient information, allowing improved continuity and coordination of care. The correct approach to enabling this connectivity will allow information to flow on an unprecedented scale, enabling better clinical decisions while allowing the patient, payer and provider to collaborate in new and meaningful ways. Join us in this session to learn how the WebSphere Healthcare ESB (Message Broker and Healthcare Pack), content and predictive analytics, Worklight mobile technology and Portal form the perfect building blocks for the future of healthcare.
Our analysis regarding the evolution of what we believe is the development of the Healthcare Cloud. We discuss the siloed nature of HCIT in terms of legacy and cloud and discuss how we believe entities need to shift from point to platform solutions over time. We also lay out the fundamental underpinnings of what makes a compelling digital healthcare investment.
This issue discusses the code structure for the ICD-10 PCS Medical and Surgical Section. It also differentiates between a valid and an invalid PCS code.
The Future of RCM in Healthcare OrganizationsCitiusTech
This document / whitepaper talks about how healthcare technology companies can leverage emerging technologies to derive insights to improve their Revenue Cycle Management process.
Medical coding is a stable, potentially lucrative career path that is currently experience growth. In order to become a medical coder, it’s necessary to obtain a postsecondary training certificate and have knowledge of medical terminology, anatomy, and the ICD-10 coding system. For more more information please visit www.certifiedcodertraining.com
This whitepaper provides an assessment of the passing of the American Recovery and Reinvestment Act of 2009 (ARRA) which has given “legs” to accelerate physician electronic health record (EHR) adoption via Stark Safe Harbor compliant programs for hospitals.
The combined Stark Safe Harbor and ARRA makes a clear case to move quickly with an EHR initiative.
A technology company that provides state-of-art Web-based Healthcare Ecosystem platform, first of its kind. We are not just a software company — rather, we provide technology-enabled services that are changing healthcare from a combination of innovative technologies.
There are variety of different software solutions available on the market that provide separate and individual solutions. Aptuso Health is the first Healthcare Ecosystem. Web based, fully-integrated, easy to use, scalable Turn Key Solution.
HySynth Clinical Data Repository is used for storing, integrating ,managing and reporting on clinical studies.
It enables pooling of clinical and nonclinical data from multiple sources into a single environment. Better regulatory compliance with comprehensive security, an audit trail, and traceability, More-informed decision-making through pooling and analysis of clinical and nonclinical data
CDR has been developed to revolutionize ability to:
- Address complex health authority questions quickly and completely
- Produce CDISC compliant submissions
- Review safety data in real-time, mine our overall database for scientific and commercial queries
At HySynth provide,
- Business case development and cost analysis
- Requirements and design management
- Best practice analysis and recommendations
- Installation and configuration
- Oracle CDA and LSH pilots and proofs of concept
- Hosting
- Oracle CDA and LSH implementation
- CDA and LSH validation
- CDA and LSH training
- CDA and LSH extension development
LST on the following applications
- Argus Safety Suite
- Oracle Clinical / Remote Data Capture (RDC) /
- Thesaurus Management System (TMS)
- Oracle Inform EDC / Central Designer / Central Coding
- Life Sciences Data Hub (LSH)
- Oracle Data Management Workbench (DMW)
- Oracle Clinical Development Analytics (CDA)
- Adverse Event Reporting System (AERS)
- SAS
We corporate services,IT/Software based company.
Our Product and Services:
1. Bulk SMS and Email Services
2. Website Design and development services
3. Software/ERP Services
4. Search Engine optimisation
5. Online Promotions
6. Web Hosting
7. UPS/Inverter/Generator
8. CCTV
9. Bio Metrics Attendance System
10. Projector rental
11. Telecom solutions
12. Networking
13. Internet Services All category.
All It solution.
www.thecorporateservices.com
corporateservices@outlook.com
info@thecorporateservices.com
Connecting the Healthcare Ecosystem - An Architecture for Improved HealthProlifics
While healthcare reform has many underlying goals and will solve many problems in the healthcare ecosystem, the essence is to provide seamless and secure connectivity, enabling the exchange of patient information, allowing improved continuity and coordination of care. The correct approach to enabling this connectivity will allow information to flow on an unprecedented scale, enabling better clinical decisions while allowing the patient, payer and provider to collaborate in new and meaningful ways. Join us in this session to learn how the WebSphere Healthcare ESB (Message Broker and Healthcare Pack), content and predictive analytics, Worklight mobile technology and Portal form the perfect building blocks for the future of healthcare.
Our analysis regarding the evolution of what we believe is the development of the Healthcare Cloud. We discuss the siloed nature of HCIT in terms of legacy and cloud and discuss how we believe entities need to shift from point to platform solutions over time. We also lay out the fundamental underpinnings of what makes a compelling digital healthcare investment.
This issue discusses the code structure for the ICD-10 PCS Medical and Surgical Section. It also differentiates between a valid and an invalid PCS code.
ICD-10 PCS: Harnessing the Power of Procedure CodesHealth Catalyst
The transition to ICD-10 in 2015 saw the number of available procedure codes increase from roughly 3,000 to more than 70,000. This change gives clinicians the ability to code procedures to a much higher degree of specificity and provides health systems the ability to unlock powerful clinical insights into how inpatient procedural care is delivered.
This article covers the benefits and drawback of ICD-10 PCS, as well as concrete ways health systems can use these procedure codes to provide new clinical insights. The article also walks through the anatomy of the seven-digit alphanumeric codes and provides specific clinical examples of how healthcare organizations can slice and dice this data.
The transition to ICD-10 will affect several areas within your hospital, which means changes for most of your staff.
Areas include:
IT Systems Changes
Staff Education and Training
Business Process and Documentation Changes
Changes in Super-Bills Charges
Increased Documentation Costs
Cash Flow Disruptions
Reporting Changes
The ICD-10 Impacts presentation describes these changes and what they mean for your organization.
Use this presentation to educate and prepare your staff for the impacts of the new coding system so they are ready for the transition and the changes they will experience when the October 1, 2014 deadline hits.
Download the presentation here: http://bit.ly/13JjgG9
231
Information
Systems Changes:
The Manager’s
Challenge
20
C H A P T E R
OVERVIEW: THE MANAGER’S CHALLENGE
Information systems changes are both a challenge and
an opportunity for the manager. Chapter 19 described
the overall healthcare system changes that are occurring
right now. This chapter follows up by discussing the tech-
nical aspects of both ICD-10, e-prescribing, and what you
need to know about implementing them. These changes
are expected to transition over a period of years (see Fig-
ure 19-1 in the preceding chapter for an overview of
compliance dates). During this transition period a man-
ager who understands the underlying technology issues
can develop and/or strengthen needed skills. Then, he
or she is in a position to support the implementation
plan and work to assist change within the organization.
SYSTEMS AND APPLICATIONS AFFECTED BY
THE ICD-10 CHANGE
The ICD-10 technology changes that we will discuss in
the following section impact a broad variety of systems
and applications. It is important for the manager to fully
understand the breadth and depth of change that is re-
quired by the technological transition from ICD-9 to
ICD-10. Figure 20-1 illustrates the types of systems and
applications that must change.
Twenty-five different examples of various systems and
applications are contained in Figure 20-1, divided into
three categories as follows:
1. Necessary revisions to vendor software and systems
2. Systems used to model or calculate that are impacted
3. Specifications that will need to be revised1
After completing this chapter,
you should be able to
1. Understand why the change to
ICD-10 codes is a technology
problem.
2. Compute ICD-10 training
costs.
3. Define lost productivity costs.
4. Understand the three
categories of “eligible
professionals” within the
e-prescribing incentive
program.
5. Understand the five
requirements for a qualified
e-prescribing system.
6. Understand why claim form
inputs are required to receive
e-prescribing incentive
payments.
P r o g r e s s N o t e s
ICD-10 TECHNOLOGY CHANGE
DETAILS
Examining the details of ICD-10 code set
changes will help you more fully understand
the technological problems that manage-
ment will face in this transition.
Understand Technology Issues and
Problems
The scope of change is illustrated in the
next three exhibits as follows.
Comparison of ICD-9-CM and
ICD-10-CM Diagnosis Codes
There were approximately 13,000 ICD-9-CM
diagnosis codes; now ICD-10-CM has ap-
proximately 68,000 diagnosis codes, or
more than a five hundred percent increase.
ICD-9-CM diagnosis codes had three to five
characters in length, while ICD-10-CM’s
characters are three to seven characters in
length. This generally means input fields
have to be lengthened in order to accom-
modate seven characters. In addition, ICD-
9-CM’s first digit may be alpha (E or V) or
numeric, and digits two to five are numeric,
while ICD-10-CM’s first digit is alpha, digits
two and.
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
ICD-10-CM/PCS
THE NEXT GENERATION OF CODING
ICN 901044 August 2014
This publication provides the following information on the International Classification of Diseases, 10th
Edition, Clinical Modification/Procedure Coding System (ICD-10-CM/PCS):
� ICD-10-CM/PCS compliance date;
� Use of external cause and unspecified codes in ICD-10-CM;
� Continued use of Current Procedural Terminology (CPT) codes;
� ICD-10-CM/PCS – an improved classification system;
� ICD-10-CM/PCS examples;
� Structural differences between International Classification of Diseases, 9th Edition, Clinical Modification
(ICD-9-CM) and ICD-10-CM/PCS; and
� Resources.
When “you” is used in this publication, we are referring to health care providers.
ICD-10-CM/PCS COMPLIANCE DATE
The compliance date for implementation of ICD-10-CM/PCS is October 1, 2015, for all Health Insurance
Portability and Accountability Act (HIPAA)-covered entities. ICD-10-CM/PCS will enhance accurate payment
for services rendered and help evaluate medical processes and outcomes. A number of other countries have
already moved to ICD-10, including:
� United Kingdom (1995);
� France (1997);
� Australia (1998);
� Germany (2000); and
� Canada (2001).
USE OF EXTERNAL CAUSE AND UNSPECIFIED CODES IN ICD-10-CM
Similar to ICD-9-CM, there is no national requirement for mandatory ICD-10-CM external cause code
reporting. Unless you are subject to a State-based external cause code reporting mandate or these codes
are required by a particular payer, you are not required to report ICD-10-CM codes found in Chapter 20,
External Causes ...
Understand what ICD-10 is all about, what it looks like, and how it will affect you and your team. Learn how to create a focused and organized strategic ICD-10 plan
Evaluate and enhance clinical documentation to capture greater detail. Set up and establish documentation agreement with code factors. Get an important timeline to follow so you’re prepped and ready.
This presentation contains a brief background of how the health care industry created and adopted the ICD format. The current legislation surrounding health care and how that affects providers using this standard documentation.
Similar to ICD-10-PCS Codes – Definition, Use and Importance (20)
To reduce denials and ensure that clinicians are paid promptly and appropriately for patient care, accurate and compliant coding is essential.
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Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
1. ICD-10-PCS Codes – Definition,
Use and Importance
ICD-10 introduces ICD-10-PCS codes apart from ICD-10-CM
for reporting procedures.
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2. www.outsourcestrategies.com 800-670-2809
Apart from ICD-10-CM (Clinical Modification) codes, ICD-10-PCS codes will also be
introduced into the American healthcare system with the upcoming ICD-10 transition in
October. ICD-10-PCS is a totally separate medical coding system from ICD-10-CM even
though it provides increased specificity. This procedure coding system will replace ICD-
9-CM, volume 3 and will only be used to report procedures performed in a hospital
inpatient setting unlike the ICD-10-CM codes that will be used for inpatient and
outpatient diagnoses.
Several guidelines were followed while developing ICD-10-PCS codes such as diagnostic
information not included in procedure description, explicit not otherwise specified (NOS)
are not provided, limited use of not elsewhere classified (NEC) option and higher level of
specificity. ICD-10-PCS has a seven character alphanumeric code structure with each
character indicating up to 34 different values (ten digits 0-9 and 24 letters while the
letters “O” and “I” are excluded to avoid confusion with the numbers “0” and “1). The
procedures are divided into sections that relate to a type of procedure (for example,
medical and surgical). The first character of an ICD-10-PCS code always indicates the
section. There would be a standard meaning for second through seven characters within
each section. However, they may have different meanings across sections. We will see
certain sections and explore what the seven characters represent in each of these
sections.
Medical and Surgical
First character: Section
Second character: General body system (for example, central nervous system,
gastrointestinal system)
Third character: Root operation (for example, alteration, bypass, excision,
drainage)
3. www.outsourcestrategies.com 800-670-2809
Fourth character: Body part (the specific part where the procedure was
performed)
Fifth character: Approach (for example, open, percutaneous)
Sixth character: Device
Seventh character: Qualifier (has a unique meaning for individual procedures)
Placement
First character: Section
Second character: Anatomical regions or orifices
Third character: Root operation (inclusive of additional root operations such as
compression, dressing, traction, packing and immobilization)
Fourth character: Body region or orifice
Fifth character: Approach
Sixth character: Device
Seventh character: Qualifier
Administration
First character: Section
Second character: Physiological Systems and Anatomical Regions
Third character: Root operation (Introduction, Irrigation and Transfusion)
Fourth character: Body/System Region
Fifth character: Approach
4. www.outsourcestrategies.com 800-670-2809
Sixth character: Substance being introduced (anesthetics, contrast, or dialysate,
plus blood products)
Seventh character: Qualifier
Measurement and Monitoring
First character: Section
Second character: Physiological System
Third character: Root operation (Measurement, Monitoring)
Fourth character: Body System
Fifth character: Approach
Sixth character: Function (precise physiological or physical function being
measured or monitored)
Seventh character: Qualifier
Imaging
First character: Section
Second character: Body System
Third character: Root Type (for example, MRI, Ultrasound)
Fourth character: Body Part
Fifth character: Contrast (type of contrast material used in the imaging
procedure such as high or low osmolar)
Sixth character: Contrast/Qualifier (further details about the contrast material)
Seventh character: Qualifier
5. www.outsourcestrategies.com 800-670-2809
Radiation Oncology
First character: Section
Second character: Body System
Third character: Modality or type of radiation used (for example, photons,
electrons)
Fourth character: Treatment Site (body part, which is the target of radiation
therapy)
Fifth character: Ports used or Isotopes introduced into the body
Sixth character: Device
Seventh character: Qualifier/Risk Structures (body parts that may be exposed to
radiation and must be taken into account)
Who Will Use These Codes?
You should note that the ICD-10-PCS will not replace the Current Procedure Terminology
(CPT) coding system. Generally, CPT codes will be used for reporting outpatient
procedures and ICD-10-PCS codes will be used for reporting inpatient procedures.
However, physicians, ambulatory surgery centers, nursing homes and emergency
departments are not required to use ICD-10-PCS codes. These codes are only required
for hospital inpatient setting.
Physicians who perform surgeries in a hospital inpatient setting will still report their
services applying CPT codes on the CMS-1500 claim form while hospitals will report
using ICD-10-PCS codes on the UB-04 claim form. The ICD-10-PCS coding system is much
more specific than ICD-9-CM Volume 3 procedure codes for hospital inpatient
procedures and therefore additional queries may be received by the physicians for
6. www.outsourcestrategies.com 800-670-2809
specificity in procedures. On the whole, hospitals will require medical coders trained in
CPT codes and ICD-10-PCS codes after the ICD-10 implementation. Medical billing and
coding companies provide the necessary support to providers who find it difficult to
maintain the balance between administrative work and patient care.
Importance of ICD-10-PCS
There are four main objectives behind the development of ICD-10-PCS such as:
Completeness – While using ICD-9-CM Volume 3 code set, the same code is
sometimes assigned to procedures on different body parts, with different
approaches, or of different types. The procedure coding system will have a
unique code for all substantially different procedures.
Expandability – Rapid and constant changes have been occurring in medical
procedures and technology. With higher level of specificity, the procedure
coding system can easily incorporate new procedures developed as unique codes.
Even so, procedures, lab tests and education sessions not unique to inpatient,
hospital settings have been omitted from this system.
Multi-axial – ICD-10-PCS has a multi-axial structure with each code character
having the same meaning within a specific procedure section and across
procedure section to the extent possible.
Standardized Terminology – Though the meaning of specific words can vary in
common usage, there is no multiple meanings for the same term in the
procedure coding system. Each term is assigned a specific meaning and hence
provides a standardized terminology.
Overall, ICD-10-PCS helps healthcare providers report their services more specifically
and ensure that their claims are accurate. Though additional details may be required,
claim denials can be reduced and maximum reimbursement obtained.