PYA Consulting Manager Linda ClenDening primed attendees of the Tennessee Orthopaedic Society 2014 Annual Meeting with a presentation, “Preparing Now for ICD-10-CM,” which:
Covered the transition, impact, and operational aspects of ICD-10.
Provided a high-level review of what’s new in ICD-10 coding conventions and guidelines.
Reviewed common diagnoses/documentation requirements in ICD-10.
Clinical Documentation Guidelines for ICD-10-CMPamela Marasco
How Do You Rate Yourself as an Adopter of Change? Assess your willingness to implement new clinical documentation standards for ICD-10-CM. Improve your practice for clinical documentation to ensure proper selection of ICD-10-CM Coding Guidelines. Because EVERYTHING IS CHANGING!
Comprehensive Medical Coding and Billing Training for the AAPC CPC Exam. Online Training with videos and Skype sessions. HIPAA Training included along with Medical Billing. Trainer is Dr Guptha, world record holder.
http://cpc.certifiedcodertraining.com/index.php/what-is-medical-coding | Curious about the field of Medical Coding? Certified Coder presents a brief overview of Medical Coding and why it is important.
Clinical Documentation Guidelines for ICD-10-CMPamela Marasco
How Do You Rate Yourself as an Adopter of Change? Assess your willingness to implement new clinical documentation standards for ICD-10-CM. Improve your practice for clinical documentation to ensure proper selection of ICD-10-CM Coding Guidelines. Because EVERYTHING IS CHANGING!
Comprehensive Medical Coding and Billing Training for the AAPC CPC Exam. Online Training with videos and Skype sessions. HIPAA Training included along with Medical Billing. Trainer is Dr Guptha, world record holder.
http://cpc.certifiedcodertraining.com/index.php/what-is-medical-coding | Curious about the field of Medical Coding? Certified Coder presents a brief overview of Medical Coding and why it is important.
introduction to ICD 10 course ,presented according to the health offices computerization under the supervision of the national information center -Ministry of health and population.
ICD-10-CM is the United States’ clinical modification of the World Health Organization’s (WHO) International Classification of Diseases (ICD) Tenth Revision. It is used to classify diseases and causes of illness recorded on health records, claims, and other vital information.
The U.S. Department of Health and Human Services (HHS) will require covered entities (i.e., health plans, health care providers, and health care clearinghouses) that conduct electronic HIPAA standard transactions to move from ICD-9 to the next generation ICD-10 code sets by October 1, 2015.
ICD-10 Presentation Takes Coding to New HeightsPYA, P.C.
PYA Staff Consultant Kim-Marie Walker updated physicians at Robins Air Force Base on the latest in ICD-10 as part of “Soaring Together: A Collaboration in Continuing Medical Education."
ICD-10 is an unknown terrain that the country is going toward. No one knows what to expect. Some expect productivity to decrease by as much as 50% due to its implementation. Some predict this new system will result in a shortage of coders. Is any of this true? This presentation will investigate the impacts – both foreseen and unforeseen – that ICD-10 implementation will have on radiology billing companies and radiology groups.
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
The following information was taken from Chapter 2 of Buck's Step-by-Step Medical Coding, 2019 Edition. The book is cited on the last slide of the presentation. All information is relevant as of 2019. Any updates after November 2019 will not be in this presentation. This presentation was created through Canva.
Here you will learn how to identify the right code for your diagnosis by applying different strategies that help reduce the probability of coding error and save time.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Importance of Clinical documentation for accurate ICD-10 coding - Medical CodingVocis
This Medical Billing and Coding presentation includes following:
1: Importance of Clinical documentation for accurate ICD-10 coding
2: What needs to be documented
3: Major Modifications with examples
4: Suggestions for Physicians
AHIMA ICD-10 ICD-11 switch to ICD-10-CM in the USA; Bedirhan Ustun
Switching to ICD-10-CM and ICD revision in the USA. This presentation was made at AHIMA conference in 2011. Now ICD 11 is scheduled in 2017 and ICD-10-CM can be made as a National Linearization.
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
introduction to ICD 10 course ,presented according to the health offices computerization under the supervision of the national information center -Ministry of health and population.
ICD-10-CM is the United States’ clinical modification of the World Health Organization’s (WHO) International Classification of Diseases (ICD) Tenth Revision. It is used to classify diseases and causes of illness recorded on health records, claims, and other vital information.
The U.S. Department of Health and Human Services (HHS) will require covered entities (i.e., health plans, health care providers, and health care clearinghouses) that conduct electronic HIPAA standard transactions to move from ICD-9 to the next generation ICD-10 code sets by October 1, 2015.
ICD-10 Presentation Takes Coding to New HeightsPYA, P.C.
PYA Staff Consultant Kim-Marie Walker updated physicians at Robins Air Force Base on the latest in ICD-10 as part of “Soaring Together: A Collaboration in Continuing Medical Education."
ICD-10 is an unknown terrain that the country is going toward. No one knows what to expect. Some expect productivity to decrease by as much as 50% due to its implementation. Some predict this new system will result in a shortage of coders. Is any of this true? This presentation will investigate the impacts – both foreseen and unforeseen – that ICD-10 implementation will have on radiology billing companies and radiology groups.
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
The following information was taken from Chapter 2 of Buck's Step-by-Step Medical Coding, 2019 Edition. The book is cited on the last slide of the presentation. All information is relevant as of 2019. Any updates after November 2019 will not be in this presentation. This presentation was created through Canva.
Here you will learn how to identify the right code for your diagnosis by applying different strategies that help reduce the probability of coding error and save time.
Revenue cycle management (RCM) is the financial process, utilizing medical billing software, that healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance.
Importance of Clinical documentation for accurate ICD-10 coding - Medical CodingVocis
This Medical Billing and Coding presentation includes following:
1: Importance of Clinical documentation for accurate ICD-10 coding
2: What needs to be documented
3: Major Modifications with examples
4: Suggestions for Physicians
AHIMA ICD-10 ICD-11 switch to ICD-10-CM in the USA; Bedirhan Ustun
Switching to ICD-10-CM and ICD revision in the USA. This presentation was made at AHIMA conference in 2011. Now ICD 11 is scheduled in 2017 and ICD-10-CM can be made as a National Linearization.
Dan Wellisch gave this presentation to the Chicago Technology For Vaue Based Healthcare Meetup at https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/
Orthopedic Implants - We are manufacturer and suppliers of Orthopaedic Implants and Instruments. Narang Medical Ltd. is India based Orthopedic Implant Company... Orthopedic Implants, Orthopaedic Implants Manufacturer, Orthopedic Implants Suppliers, Orthopaedic Implants Company, India
Discuss the prevalence of degenerative Knee Osteoarthritis (OA). Understand and discuss different approaches to treat Knee OA. Discuss the Indications, Priority and Clinical outcomes of Knee Replacement
Adult Stem cells in Orthopaedics present and future perspectives.
Παρουσίαση του Δρ. Σταύρου Αλευρογιάννη που έγινε στο ξενοδοχείο Χίλτον, στις 12/06/15 στα πλαίσια Ημερίδας της Ελληνικής Εταιρείας Αναγεννητικής Ιατρικής, Αντιγήρανσης και Βιοτεχνολογίας, στο 41ο Πανελλήνιο Ιατρικό Συνέδριο.
"H θέση της αναγεννητική Ιατρικής στις παθήσεις Οστών και Αρθρώσεων"
ICD-10 Transition Presentation: What Health Lawyers Need to KnowPYA, P.C.
PYA Consulting Principal Denise Hall, along with co-presenter Julie Chicoine, recently updated health lawyers about ICD-10 transition readiness at the American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, held March 26-27, 2014.
ICD-10 Transition: What Health Lawyers Need to KnowPYA, P.C.
PYA Principal Denise Hall, along with Senior Corporate Counsel Julie Chicoine of Ohio State University Wexner Medical Center, presented “ICD-10 Transition: What Health Lawyers Need to Know” at the AHLA 2015 Institute on Medicare and Medicaid Payment Issues.
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.
With ICD-10 being the talk of the town, let us once again have a look at the basics of ICD-10. check out the slide show for some of the frequently asked questions
http://goo.gl/uv830K
“Unified ICD Services (UIS)” brings custom built clinical intelligence for doctors to determine correct ICD-10 diagnosis, surgical codes with faster and smarter approach. UIS additional features would provide more specific data up front to doctors/physicians to less follow-up and fewer denials after claims submission”.
“CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting”PYA, P.C.
PYA Principal Martie Ross spoke at the virtual North Carolina Healthcare Association Critical Access Hospital Statewide Meeting. The two-day event, “Quality Focus is a Finance Focus,” provided critical access hospital leaders with the opportunity to network and review data-informed strategies as well as updates to the Medicare Flexibility Program Project. It also provided guidance on federal compliance and tracking of Provider Relief Funds.
In “CARES Act Provider Relief Fund: Opportunities, Compliance, and Reporting,” Martie gave an overview of the history of distribution of those funds as well as regulations and guidelines including:
Statutory Language
Reporting Requirements
Use of Funds Calculation
Expenses
Risk Management
Martie presented Thursday, March 4, 2021.
If you would like guidance related to Provider Relief Fund regulations, or for assistance with any matter related to strategy and integration, compliance, or valuation, contact one of our PYA executives at (800) 270-9629.
PYA Presented on 2021 E/M Changes and a CARES Act Update During GHA Complianc...PYA, P.C.
The Georgia Hospital Association (GHA) Compliance Officers Roundtable, an active GHA group that meets quarterly and includes educational sessions featuring government representatives, industry experts, and other thought leaders speaking about compliance-related issues, conducted their latest meeting virtually. PYA Principals Lori Foley, Tynan Kugler, and Valerie Rock were among the presenters at this quarter’s event. In their session, they:
Described key elements associated with 2021 E/M changes, and strategies for preparation and implementation.
Explained the impact of 2021 E/M changes on physician compensation and contracting, including potential mitigation approaches.
Presented key components of Stark Law and Anti-Kickback Statute final rules.
Provided an update on the CARES Act.
The Compliance Certification Board offered CEUs for this event, which took place on Friday, December 4, 2020.
Webinar: “Trick or Treat? October 22nd Revisions to Provider Relief Fund Repo...PYA, P.C.
On October 22nd, the Department of Health and Human Services released revised Provider Relief Fund (PRF) reporting requirements. Under HHS’ September 19 directive, “lost revenue” was defined narrowly as a negative change in year-over-year patient care operating net income. Now, HHS will permit providers to use PRF funds to cover the difference between their 2019 and 2020 actual patient care revenue with some adjustments for COVID-related expenses. The October 22nd notice is available here.
PYA Principals Martie Ross and Michael Ramey hosted a complimentary 30-minute webinar, “Trick or Treat? October 22nd Revisions to Provider Relief Fund Reporting Requirements” on Thursday, October 29th.
“Regulatory Compliance Enforcement Update: Getting Results from the Guidance” PYA, P.C.
PYA Principal and Chief Compliance Officer Shannon Sumner and Consulting Senior Manager Susan Thomas presented “Regulatory Compliance Enforcement Update: Getting Results from the Guidance” at the virtual 2020 Montana Healthcare Conference. They reviewed the sources of regulatory enforcement and investigation information—guidelines, statutory updates, best practices, settlements, case studies, etc.—available to healthcare organizations. They will also discuss how to interpret and implement the guidance in order to strengthen the compliance function and protect the organization. The presentation covered:
Compliance regulatory requirements for healthcare organizations.
Guidance available for consideration in organizational compliance programs.
Internal and external reporting to ensure regulatory requirements are met.
Best practices for implementation of guidance.
Case studies for illustration of guidance implementation.
“Federal Legislative and Regulatory Update,” Webinar at DFWHCPYA, P.C.
The Dallas Fort Worth Hospital Council (DFWHC) and PYA co-hosted an exclusive complimentary webinar, “Federal Legislative and Regulatory Update,” on Wednesday, September 23.
DFWHC President/CEO Stephen Love hosted a discussion with PYA Senior Manager Kathy Reep about concerns that have dropped from the radar during the last four months of COVID-19, addressing issues for which hospitals must prepare in approaching 2021. This session focused on these key areas:
Appropriate use criteria
Transparency
Site neutral payments
The future of the Medicare Trust Fund
The federal budget
Key provisions of the final rule for the inpatient prospective payment system for FY2021 and the proposed outpatient rule for CY2021
On-Demand Webinar: Compliance With New Provider Relief Funds Reporting Requir...PYA, P.C.
On September 19, the Department of Health and Human Services (HHS) published its Post-Payment Notice of Reporting Requirements. The Notice details the reporting requirements for all Provider Relief Fund (PRF) recipients that have received $10,000 or more in aggregate payments.
Under the PRF Terms and Conditions, a recipient may use the funds only for healthcare-related expenses and lost revenue attributable to coronavirus. The Notice provides the clearest direction to date regarding permissible uses of PRF funds.
PYA offered a 45-minute complimentary webinar that explained the new reporting requirements and delved into permissible uses. While many questions remain, we provided practical advice on the next steps in the reporting process.
The webinar took place Monday, October 5 at 11 a.m. EDT.
Webinar: “While You Were Sleeping…Proposed Rule Positioned to Significantly I...PYA, P.C.
You likely know from the headlines that the 2021 Medicare Physician Fee Schedule (MPFS) Proposed Rule slashes payments for surgical specialists. But the impact of the Proposed Rule is far broader, reflecting a fundamental realignment driven by the transition to value-based payments. In our webinar, “While You Were Sleeping…Proposed Rule Positioned to Significantly Impact Physician Compensation,” PYA experts addressed these proposals, helping you understand and prepare for the changes ahead.
Following this presentation, attendees were able to:
Understand how a handful of wRVU changes would alter Medicare reimbursement for nearly all physicians.
Appreciate the operational impact of these changes.
Recognize the challenges to existing physician compensation models.
Identify strategies and tactics to prepare for and manage these impacts.
Presenters include PYA Principals Angie Caldwell, Martie Ross, and Valerie Rock. The webinar took place Thursday, September 10 and was hosted in conjunction with the Florida Hospital Association.
If you have additional questions about the MPFS Proposed Rule and its impact on physician compensation or need assistance with any matter involving physician compensation, valuation, strategy and integration, or compliance, contact a PYA executive below at (800) 270-9629.
Webinar: “Cybersecurity During COVID-19: A Look Behind the ScenesPYA, P.C.
Cybersecurity breaches have been in the news almost daily for some time now. COVID-19 has amplified the problem, as “bad actors” seize upon the opportunity to take advantage of hospitals at their most vulnerable time. Given this climate and an aging HIPAA rule, it is difficult to anticipate and prepare for the future.
PYA Principal Barry Mathis presented “Cybersecurity During COVID-19: A Look Behind the Scenes,” on Wednesday, August 12, 2020. This one-hour, complimentary webinar was hosted by PYA in conjunction with the Montana Hospital Association as Part 2 of the Frontier States Town Hall Meeting.
Barry covered information related to HIPAA, cybersecurity, and a special behind-the-scenes view into the tradecraft of bad actors. This unique presentation included:
Recent enforcement trends by the Office for Civil Rights.
The current environment for ransomware.
An opportunity to watch as Barry logs onto the Dark Web and shows you first-hand how bad actors operate.
Ideas for managing cybersecurity threats.
On Friday, August 21, 2020, a webinar co-hosted by PYA prepared hospitals for a new rule taking effect on January 1, 2021, to address price transparency in healthcare. The Centers for Medicare & Medicaid Services published a rule in November 2019 requiring hospitals to establish, update, and make public a list of their standard charges for items and services they provide. In addition to the current requirement to post standard charges on their websites, the Final Rule requires hospitals to publish online, in a machine-readable format, their payer-specific negotiated rates for 300 “shoppable” services and their standard charges for all items and services provided, defined as the gross charge, payer-specific negotiated charges, discounted cash price, and the de-identified minimum and maximum charges.
As we approach January 2021, it is vital that hospitals understand the requirements of the pricing transparency rule and options for compliance. It is unlikely that this rule will “go away”–court decisions are always subject to appeal, and there is even concern that Congress is considering action that would transform these requirements from regulation to legislation.
During the complimentary webinar, PYA Senior Manager Kathy Reep discussed hospital requirements related to pricing transparency, and Chris Kenny, Partner in the Washington, D.C., office of King & Spalding, addressed concerns related to compliance and the legal challenges associated with the final transparency rule.
This webinar was presented in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Georgia Hospital Association
Kansas Hospital Association
Louisiana Hospital Association
Montana Hospital Association
Not a surprise to most — healthcare is making headlines on an international level. Though not front and center, still of importance to the hospital community are issues working their way through government agencies and the legislature.
As one of the keynote speakers of this year’s virtual Florida Institute of CPAs Health Care Industry Conference, PYA Senior Manager Kathy Reep presented a “Federal Legislative and Regulatory Update.” She covered a number of current issues affecting healthcare providers, including:
Price transparency.
Congressional action on surprise billing.
The Administration’s budget for 2021.
Medicare proposed rules related to hospital inpatient payments and post-acute care for FY2021.
The virtual event took place June 23-24, 2020.
Webinar: Post-Pandemic Provider Realignment — Navigating An Uncertain MarketPYA, P.C.
The COVID-19 pandemic will materially affect U.S. provider industry structure, as financial weaknesses are exposed, risk tolerances are tested, and uncertainties persist. As a result, provider mergers-and-acquisitions (M&A) activities across industry sectors will likely spike in the short- to medium-term future. Providers of all types need to be aware of, and prepared for, the changes they will face.
In this 45-minute joint webinar, PYA Principal Brian Fuller and Juniper Advisory Managing Director Jordan Shields provided a real-time assessment of the COVID-19 pandemic, as well as shared predictions for what the extending crisis means in coming years for M&A activity in the provider space.
The webinar took place Thursday, August 6, 2020, at 11 a.m. EDT.
Since March, PYA experts have closely tracked and carefully evaluated the pandemic’s impact on employed physician compensation. During this complimentary one-hour webinar, PYA Principals Angie Caldwell and Martie Ross highlighted five immediate considerations for hospitals and health systems to manage the storm. They also explored five longer-term considerations impacting future planning.
This webinar took place Friday, July 24, 2020, at 11 a.m. EDT, and was held in conjunction with:
Dallas-Fort Worth Hospital Council
Florida Hospital Association
Kansas Hospital Association
Montana Hospital Association
The COVID-19 pandemic has exposed organizational and industry weaknesses. To build a more resilient delivery system, leaders now must engage their governing boards in re-calibrating strategic plans, re-evaluating investments, and re-imagining hospitals’ and health systems’ roles in their communities.
In this 45-minute webinar, PYA Principals Martie Ross and Brian Fuller provided a framework for these critical discussions including root-cause analysis, market assessment, new realities, guiding principles, and strategic and operational priorities.
This webinar originally took place on Wednesday, June 24, 2020.
Webinar: Free Money with Strings Attached – Cares Act Considerations for Fron...PYA, P.C.
PYA, in conjunction with the Montana Hospital Association, recently co-hosted a Frontier States Town Hall Meeting webinar, “Free Money With Strings Attached: CARES Act Considerations for Frontier States’ Healthcare Provider Organizations.” Principals Lori Foley, Martie Ross, and David McMillan introduced the CARES Act Provider Relief Fund including distribution formulas, the attestation process, the verification and application process, and ongoing recordkeeping requirement. They also answered attendees’ numerous questions regarding these matters.
Webinar: “Got a Payroll? Don’t Leave Money on the Table”PYA, P.C.
Under the CARES Act, every employer with a payroll has an opportunity to retain cash–whether they have a PPP loan or not. What employers need to know right now.
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) along with the Payroll Protection Program (PPP) offer all business owners relief, but the details can be confusing or overlooked.
Perhaps you don’t fully understand how the deferral of the employer’s share of Social Security taxes works. Maybe you wonder if the deferral even applies to you—good news, it does if you have a payroll!
Failure to fully understand your options could cost you money, at a time when “cash is king.”
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined issues and opportunities within the CARES Act, and answered questions during a one-hour webinar that originally aired on Wednesday, May 20, 2020.
Webinar: So You Have a PPP Loan. Now What?PYA, P.C.
The CARES Act provides relief to small businesses through Paycheck Protection Program (PPP) loans, but receiving the loan is only the first part of the equation. PYA discussed what businesses need to know and do next.
Failure to fully understand the requirements for PPP loan forgiveness could cost employers money, at a time when every penny counts. Employers need to stay up-to-date on recent activities regarding the PPP loan forgiveness application, necessary documentation, and other best practices to ensure they are well-prepared for the next steps under the PPP.
As part of PYA’s ongoing commitment to sharing helpful guidance, Tax Principals Debbie Ernsberger and Mark Brumbelow outlined PPP loan forgiveness requirements and answered questions during a one-hour webinar on Wednesday, June 3, 2020.
Webinar: “Making It Work—Physician Compensation During the COVID-19 Pandemic”PYA, P.C.
What to do with your physician compensation plan in the face of the COVID-19 pandemic? It’s a question that leaves administrators searching for answers.
PYA Principal Angie Caldwell and Senior Manager Katie Culver introduced several key considerations for provider compensation during and after the COVID-19 pandemic. In PYA’s complimentary webinar, they:
Summarized the current environment impacting physician compensation associated with the pandemic.
Provided an overview of the Stark Blanket Waivers and opportunities created for physician compensation.
Described restoration and recovery strategies for physician resources.
PYA hosted this one-hour webinar Tuesday, April 28, 2020, at 11 a.m. EDT in conjunction with the Florida Hospital Association.
Webinar: “Provider Relief Fund Payments – What We Know, What We Don’t Know, W...PYA, P.C.
The federal government is now making CARES Act Relief Fund payments to Medicare providers. These payments are not loans—they do not have to be repaid or forgiven. However, this money comes with strings attached.
During PYA’s 30-minute webinar, Provider Relief Fund Payments—What We Know, What We Don’t Know, What To Do Now, PYA Principals Martie Ross and Lori Foley discussed:
The source of the funds.
The required attestation process.
Compliance, tax, and audit concerns.
The webinar took place Friday April 17, 2020.
Webinar: “Hospitals, Capital, and Cashflow Under COVID-19”PYA, P.C.
Hospitals and providers need to think creatively, strategically, and long-term about capital and cashflow under the pressures of the COVID-19 pandemic. A one-hour webinar hosted by PYA discussed the current state of capital markets for non-profit healthcare systems, and considerations for capital management, including the role of real estate assets.
PYA Principal Michael Ramey joined Realty Trust Group Senior Vice-President Michael Honeycutt and Ponder & Company Managing Director Jeffrey B. Sahrbeck to present “Hospitals, Capital, and Cashflow, Under COVID-19” In this webinar, they covered:
Hospital industry capital market updates and trends, including how the capital markets are responding to the crisis.
Access to capital under recent regulations.
Cash preservation techniques for hospitals considering real estate operations and assets.
The webinar took place Thursday, April 9, 2020, at 11 a.m. EDT.
PYA Webinar: “Additional Expansion of Medicare Telehealth Coverage During COV...PYA, P.C.
Late on March 30, CMS released an interim rule which, among other things, significantly expands Medicare telehealth coverage, even beyond the initial Section 1135 waivers. PYA’s complimentary one-hour webinar explained these changes and how they make telehealth an even more attractive option in response to the COVID-19 pandemic.
PYA Principals Martie Ross and Valerie Rock addressed the latest developments, including:
New reimbursement for telephone-only services.
Broader coverage for remote patient monitoring.
New payments for rural health clinics and federally qualified health centers.
Use of telehealth to meet supervision requirements.
New rules regarding coding and billing as well as the changed payment rates for telehealth services.
The webinar took place Friday April 3, 2020, at 11 a.m. EDT.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and Beyond
Preparing Now For ICD-10-CM
1. Preparing Now For ICD-10-CM
Tennessee Orthopaedic Society
September 27, 2014
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2. Learning Objectives
• Transition and impact of ICD-10
• ICD-10: Visualized
• High-level review of what’s new in
ICD-10-CM coding conventions and
guidelines
• Review common diagnoses and
documentation requirements in ICD-
10
• Project management approach to
ICD-10 operational considerations
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3. Transition and Impact
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4. What’s new?
NEW compliance date for ICD-10:
October 15, 2015
• The ICD-10 delay is forcing organizations to
reassess their timelines and budgets for
complying with the code change.
• CMS is offering multiple
in-person educational options as their
well as web-based education.
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5. Making the Transition is
Not Optional
• All “covered entities” as defined by the Health
Insurance Portability and Accountability Act of 1996
(HIPAA) are required to adopt ICD-10 codes for use
in all HIPAA transactions.
• ICD-10 codes are the foundation for reimbursement
and will represent most or a large portion of the
data points for healthcare analytics.
• Electronic data interchange (EDI) is the transport
tool for claims.
• Lack of operational readiness – systems and staff
training – could negatively impact practice business.
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6. Two Sets of Codes
are Being Replaced
ICD-10-CM
• Diagnosis Coding System – Used to
report the patient’s condition (i.e., what’s
wrong with the patient)
• Direct replacement for ICD-9-CM
Volumes 1 & 2
• Will be used in all settings – hospital
inpatient, hospital outpatient, physician
office, etc.
• Like ICD-9-CM, developed and
maintained by the World Health
Organization (WHO) and the National
Center for Health Statistics within the
Centers for Disease Control
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ICD-10-PCS
• Procedure Coding System – Used to
report surgical procedures performed
• Direct replacement for ICD-9-CM
Volume 3
• Only used in a hospital inpatient setting
(and only for reporting facility services)
• Like ICD-9-CM Volume 3, ICD-10-PCS
was developed and is maintained by
CMS
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7. Who is Impacted by ICD-10?
Everyone!
• Staffing Effectiveness
• Assessment of Revenue
Impact
• Process Improvement
• Decision Support Reporting
Impact
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• Documentation Analysis
• ICD-10 Education
• Process Improvement
• Monitoring
• Physician Documentation
• Physician Integration
• Physician Performance
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Physician
Office
Post Acute
Services
• Front – Scheduling, Access Areas
• Middle – Coding, CDI, Case
Management
• Back – Billing, Reimbursement
Health
Information
Management
ICD-10
Revenue
Process
Physician
Operational
Planning
Information
Technology
• IT Systems
• Capability, Communication
• Functionality
• Vendor Preparedness
8. What Does ICD-10-CM
Look Like?
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9. ICD-9 vs. ICD-10
Issue ICD-9-CM ICD-10-CM
Volume of codes Approximately 13,600 Approximately 69,000
Composition of codes Mostly numeric, with E and V codes
alphanumeric.
Valid codes of three, four, or five
digits.
Duplication of code sets Currently, only ICD-9-CM codes are
required. No mapping is necessary.
Source: http://www.aapc.com/icd-10/faq.aspx#why
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All codes are alphanumeric, beginning
with a letter and with a mix of numbers
and letters thereafter. Valid codes may
have three, four, five, six or seven digits.
For a period of up to two years, systems
will need to access both ICD-9-CM codes
and ICD-10-CM codes as the country
transitions from ICD-9-CM to ICD-10-CM.
Mapping will be necessary so that
equivalent codes can be found for issues
of disease tracking, medical necessity
edits, and outcomes studies.
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10. ICD-10-CM Organization
The CM Manual divided into three main parts:
Index to Diseases
and Injuries
Official Guidelines
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Tabular List of
Diseases and
Injuries
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21 Chapters
Expanded injury
codes grouped
by site vs. type
of injury
Laterality (left
and right)
V and E codes
incorporated into
main
classification
Added a
placeholder X
11. Anatomy of an ICD-10-CM Code
3-7 Alphanumeric characters (digits)
X X X . X X X X
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1st character –
Alpha (A-Z)
2nd character -
Numeric
3rd - 7th
characters –
Alpha or
Numeric
Decimal
placed after
the first 3
characters
• All letters but U are used
• The letters I & O are used only in the 1st character position
• Each letter is associated with a particular chapter (Except C&D
Neoplasms)
12. ICD-10-CM Characters and Extensions
.
MAS X X 0 X 2 X6 X5 Xx A
X
Category
Etiology, anatomic
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site, severity
Added code
extensions (7th
character) for
obstetrics,
injuries, and
external causes
of injury
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Alpha
(Except U)
2 - 7 Numeric or
Alpha
Additional
Characters
13. Crosswalk
• Partial solution: these are tools to
convert ICD-9 to ICD-10 and vice
versa.
• To assist with the transition,
cross-walking between the code
sets will assist you with identifying
the differences between ICD-9
and ICD-10.
• Not a high percentage of accuracy
(very few one-to-one matches)
due to increased specificity of
ICD-10 versus ICD-9.
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14. GEMs
GEMs (General Equivalence Mappings) are a comprehensive translation
dictionary that can be used to accurately and effectively translate any ICD-9-CM-based
data, including data for:
– Tracking quality
– Recording morbidity/mortality
– Calculating reimbursement
– Converting any ICD-9-CM-based application to ICD-10-CM/PCS
The GEMs are not a substitute for learning how to use the ICD-10 codes.
More information about GEMs and their use can be found on the CMS website at:
http://www.cms.gov/Medicare/Coding/ICD10/index.html
(select from the left side of the web page ICD-10-CM to find the most recent GEMs)
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15. How Does the Mapping Work?
ICD-9-CM
• 719.46 Pain in joint,
lower leg
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ICD-10-CM
• M25.561 Pain in right
knee
• M25.562 Pain in left
knee
• M25.569 Pain in
unspecified knee
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16. Percentages of Types of Matches
Mapping
Categories
No Match 1.2% 3.0%
1-to-1 Exact Match 5.0% 24.2%
1-to-1 Approximate Match with 1 Choice 82.6% 49.1%
1-to-1 Approximate match with Multiple Choices 4.3% 18.7%
1-to-Many Matches with 1 Scenario 6.6% 2.1%
1-to-Many Matches with Multiple Scenarios 0.2% 2.9%
Source: http://www.ama-assn.org/ama1/pub/upload/mm/399/crosswalking-between-icd-9-and-icd-10.pdf
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ICD-10 to
ICD-9
ICD-9 to
ICD-10
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17. High-Level Review of ICD-10
Coding Conventions and
Guidelines
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18. Placeholder Character
Marks the Spot
• ICD-10-CM uses a placeholder character “X”
which allows for future code expansion.
• Where indicated as a placeholder the X must
be used in order for the code to be valid. (The X
is not case sensitive).
• A dash (-) at the end of an Index entry indicates
that additional characters are required; review
the tabular section for selection.
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19. Place an X in the 5th and 6th digit
ICD-10-CM utilizes a placeholder: Character “X” is used as
a 5th character placeholder in certain 6 character codes
• To fill in other empty characters (e.g., character 5 and/or 6)
when a code that is less than 6 characters in length requires
a 7th character
Examples:
• S72.8x1A – Other fracture of right femur, initial encounter
• M48.8x6 – Other specified spondylopathies, lumbar region
• S03.4xxA – Sprain of jaw, initial encounter
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20. Sequela – Late Effect
• A sequela is the residual effect (condition produced) after the
acute phase of an illness or injury has terminated.
• There is no time limit on when a sequela code can be used.
The residual may be apparent early, such as in cerebral
infarction, or it may occur months or years later, such as that
due to a previous injury.
• Coding of sequela generally requires two codes sequenced
in the following order:
– The condition or nature of the sequela is sequenced first.
– The sequela code is sequenced second.
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21. Laterality
• Some ICD-10-CM codes indicate laterality, specifying
whether the condition occurs on the left, right, or bilateral.
• If no bilateral code is provided and the condition is
bilateral, assign separate codes for both the left and right
side.
• If the side is not identified in the medical record, assign
the code for the unspecified side.
Examples:
– M24.412 – Recurrent dislocation, left shoulder
– M65.321 – Trigger finger, right index finger
– L89.012 – Pressure ulcer of right elbow, stage II
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22. More Information Reported, Higher
Level of Detail in Coding
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23. Greater Specificity and Detail in
Orthopedic Coding:
• 34,250 of all ICD-10-CM codes are related to
the musculoskeletal system.
• 17,045 of all ICD-10-CM codes are related to
fractures.
• 10,582 of fracture codes distinguish right from
left.
• 25,000 of all ICD-10-CM codes distinguish
right from left.
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24. Musculoskeletal
• There are several changes and expansion to the
musculoskeletal code system in ICD-10.
• Most codes in this section require additional
documentation to correctly code site and laterality to
the highest level of specificity, which include:
– Documentation of site and laterality
– More specific information for fractures and injuries
– Identification of episode of care
– Additional coding instructions surrounding
osteoporosis
– Reorganization of codes
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25. Fracture Specificity
Fractures Require Greater Specificity:
• Type of fracture
• Specific anatomical site
• Displaced vs nondisplaced
• Laterality
• Routine vs delayed healing
• Nonunion
• Malunion
• Type of encounter
– Initial
– Subsequent
– Sequela
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26. Episode of Care – Fractures
Assigning episode of care 7th characters for
fractures is a bit more complicated because the
episode of care provides additional information
about the fracture including:
• Whether the fracture is open or closed.
• Whether healing is routine or with
complications such as delayed healing,
nonunion, or malunion.
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27. Episode of Care – Fractures
7th Characters
A • Initial encounter for closed fracture
B • Initial encounter for open fracture
D • Subsequent encounter for fracture with routine healing
G • Subsequent encounter for fracture with delayed healing
K • Subsequent encounter for fracture with nonunion
P • Subsequent encounter for fracture with malunion
S • Sequela
If the fracture is not documented as open or closed, it is coded to closed.
Additionally, if the fracture is not documented as displaced or not displaced, it
should be coded as displaced.
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28. Episode of Care –Open Fractures
The open fracture designations are based on the Gustilo open fracture classification
• initial encounter for open fracture
type I or II initial encounter for
open fracture NOS
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• subsequent encounter for open
fracture type IIIA, IIIB, or IIIC with
delayed healing
J
• subsequent encounter for open
fracture type I or II with nonunion M
• subsequent encounter for open
fracture type IIIA, IIIB, or IIIC with
nonunion
N
• subsequent encounter for open
fracture type I or II with malunion Q
• subsequent encounter for open
fracture type IIIA, IIIB, or IIIC
with malunion
R
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B
• initial encounter for open fracture
type IIIA, IIIB, or IIIC C
• subsequent encounter for open
fracture type I or II with routine
healing
E
• subsequent encounter for open
fracture type IIIA, IIIB, or IIIC with
routine healing
F
• subsequent encounter for open
fracture type I or II with delayed
healing
H
29. Resources Available
• http://www.cms.gov/Medicare/Coding/ICD10/index.html
• http://www.ahima.org/icd10/
• http://www.aapc.com/icd-10/index.aspx
• http://www.cdc.gov/nchs/icd/icd10.htm
• http://www.who.int/classifications/icd/en/
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31. ICD-10 Project Overview
Successful Go-Live
Training
Testing
Communications
Planning
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32. Updated ICD-10 Timeline
2014 2015
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PYA
May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec
Planning
Identify resources
Create project team
Assess effects
Create project plan
Secure budget
Communications
Inform staff
Contact vendors
Contact payers
Monitor vendor prep
Monitor payer prep
Testing
High-level training for
test team
Level 1: internal
Level 2: external1
Comprehensive Training
Documentation
Coding
2October 1, 2015 is the NEW compliance date for ICD-10.
G
O
L
I
V
E
Confirm ongoing practice schedule to correspond with
new "go live"2 date
1Monitor external testing periods - go to http://www.cahabagba.com/news/icd-10-volunteer-testing/ to apply for volunteer testing opportunity - DEADLINE 10/3/14.
33. Planning: Major Activities
Assess
effects
Identify
resources
Create
project plan
and team
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Secure
budget
September 27, 2014 Page 32
34. Planning:
Sample Activities
• Assess practice pre-authorization form and/or
templates for code changes needed.
• Review pre-authorization workflow processes
and affected staff for ICD-10 training needs.
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35. Planning
• Review all National Coverage Determination
(NCD) and Local Coverage Determination (LCD)
policies used in the practice for updated code
sets from ICD-9 to -10.
http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html
• Review any practice internal codes for denials or
quality training that are tied to ICD-9 and create
an ICD-10 migration plan for these codes to be
updated.
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36. Planning
• Determine the best superbill solution for the
practice specialty; is an electronic solution an
option?
• Assess current superbill process based on
potential list of ICD-10 codes for the practice.
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37. Planning
• Communicate with the ICD-10 leadership team
at each facility - whether hospital, ASC, or
nursing home - where practice physicians are
working. They should be informed about the
ICD-10 training process requirements for the
practice physicians.
• Compile a top 10 list of the current practice
denials relating to diagnosis codes, then create
ICD-10 training materials around these codes.
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38. Planning
• Review all customized reports for reference to
ICD-9 and make sure updates are made for ICD-
10. (e.g. billing, quality reporting, clinical trials,
etc.)
• Review all monthly management reports for
physicians, and referrals which may contain a
filter or data field relating to ICD-9. Be sure the
data field is set to accommodate ICD-10.
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39. Planning
• Create a troubleshooting plan “decision tree”
for denials issues (like disaster plan). Who
does what, when, based on the problem?
When in danger, or in doubt, run in circles, scream and shout.
- Infantry Journal, Vol. 35, (1929), p. 369.
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40. Communication: Major Activities
Inform
staff
Monitor
vendors
and payers
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Contact
vendors
and payers
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41. Communications:
Sample Activities
• Create a checklist by payer regarding their ICD-
10 readiness and claims filing timeline
requirements; monitor and update in the months
leading up to the new deadline.
• Create a checklist by payer for pre-authorization
coding transition dates to ensure compliance;
monitor and update in the months leading up to
the new deadline.
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42. Communications
• Verify payer timing requirements for ICD-10 use
in pre-certification and pre-authorization
processes (i.e., pre-cert work completed prior to
ICD-10 'go-live' date may need to be done in
ICD-10 codes for visits after 'go-live' date).
• Review any commercial payer quality reporting
processes to be sure any ICD-9 linked data is
updated to ICD-10.
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43. Testing: Major Activities
Train the
Testing
Team
Internal
Testing
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External
Testing
September 27, 2014 Page 42
44. Testing
• Testing Team
– Identify members
– Assign duties and focus
• Who will test the PM/EHR system(s)?
• Who will test with the clearinghouse(s)?
• Who will test with the payers?
– Develop feedback form, timeline, and follow-up
steps
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45. Testing: What to test?
• Internally:
– Provider/staff process for selecting ICD-10 codes
in PM/EHR system
– Within the system screens, are the ICD-9/10
fields big enough for the new code format?
– Run reports which contain ICD-9/10 codes
• Are all digits showing?
• If the code description is included, is it
understandable?
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46. Training: Major Activities
Coding
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Documentation
September 27, 2014 Page 45
47. Training
• Create an ICD-9 workflow map throughout the
office: moving to each work area examine
processes – daily, weekly, monthly, random-use
– for ICD-9 involvement in order to develop
appropriate staff training and focus areas.
• Prepare ICD-10 training based on job-type
group, i.e., clinicians, front desk staff, billing, etc.
and tailor content based on job duties
associated with ICD-9.
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48. Training
• If you determine that an outside vendor will be
hired for training assistance, allow 2-3 months
prior to training for decision making and
contracting. However, keep in mind that vendors
and trainers will start filling up as the deadline
nears.
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49. Project Management
Making the
difference
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50. Thank you!
Linda ClenDening
Consulting Manager
Pershing Yoakley & Associates, P.C.
(865) 684-2735
lclendening@pyapc.com
www.pyapc.com
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