This document summarizes a presentation on staffing solutions for healthcare organizations transitioning to ICD-10. The presentation discusses how ICD-10 will significantly impact coding productivity and the need for extensive training. It recommends establishing coding partnerships, outsourcing work, and considering training other professionals to address staffing challenges. Baptist Health System addressed challenges by consolidating service lines, resource planning, and implementing a post-graduate training program to hire and develop new coders. The program involved a detailed training plan and progression to more complex coding over 12-15 weeks. Planning is emphasized as critical to being prepared for the transition to ICD-10 and having adequate staffing resources.
Aequor has over 16 years of experience in providing staffing solutions to Life Sciences organizations like Novartis, Sano , P zer, Zoetis, Allergan, Bausch & Lomb Valeant, Celgene and many others in the areas of Clinical and Scientific expertise.
Get the Nursing Degree In Philadelphia from the PITC Institute. No matter what level you are at to become a nurse, we have all kinds of courses to provide you with the best possible support. Don't hesitate, get ready to enroll in your nursing career with us by enrolling in our courses today. Visit our website for more details!
We provide all the information about Advanced Certificate Optometry i.e. how to apply, the eligibility criteria and duration. Nowadays The Advanced Certificate Optometry is opt. by many candidates, the Optometrists are professionals who do the difficult of eyes and set down remedial lens and glasses. Optometrists assume a detailed assessment of the eye by instruments like ophthalmoscopes and bio-microscope. All the admission procedure in this Advanced Certificate Optometry is mentioned by the university committee staff. A candidate who has been completed their 10th standard in any stream from any of well-known and recognized board are eligible for this course, and the total duration of Advanced Certificate Optometry course is 1(one) year.
Advanced certificate in physiotherapy eligibility, fees, durationSunil Beniwan
The Advanced Certificate in Physiotherapy is a high-flying course, which is become famous in young candidates; we provide all information of the course. The Advanced Certificate in Physiotherapy is becoming most required after career options which made by youth in India nowadays. The command for capable and gifted professionals is growing every year. Physiotherapy is a profitable vocation and present are more than a few job chances which are available for qualified professionals. A candidate who has been completed their 10th standard successfully from any of well-known and recognized board are eligible for the Advanced Certificate in Physiotherapy, and the fee structure are also available on our site, and the duration of the Advanced Certificate in Physiotherapy course is 1(one) year.
Aequor has over 16 years of experience in providing staffing solutions to Life Sciences organizations like Novartis, Sano , P zer, Zoetis, Allergan, Bausch & Lomb Valeant, Celgene and many others in the areas of Clinical and Scientific expertise.
Get the Nursing Degree In Philadelphia from the PITC Institute. No matter what level you are at to become a nurse, we have all kinds of courses to provide you with the best possible support. Don't hesitate, get ready to enroll in your nursing career with us by enrolling in our courses today. Visit our website for more details!
We provide all the information about Advanced Certificate Optometry i.e. how to apply, the eligibility criteria and duration. Nowadays The Advanced Certificate Optometry is opt. by many candidates, the Optometrists are professionals who do the difficult of eyes and set down remedial lens and glasses. Optometrists assume a detailed assessment of the eye by instruments like ophthalmoscopes and bio-microscope. All the admission procedure in this Advanced Certificate Optometry is mentioned by the university committee staff. A candidate who has been completed their 10th standard in any stream from any of well-known and recognized board are eligible for this course, and the total duration of Advanced Certificate Optometry course is 1(one) year.
Advanced certificate in physiotherapy eligibility, fees, durationSunil Beniwan
The Advanced Certificate in Physiotherapy is a high-flying course, which is become famous in young candidates; we provide all information of the course. The Advanced Certificate in Physiotherapy is becoming most required after career options which made by youth in India nowadays. The command for capable and gifted professionals is growing every year. Physiotherapy is a profitable vocation and present are more than a few job chances which are available for qualified professionals. A candidate who has been completed their 10th standard successfully from any of well-known and recognized board are eligible for the Advanced Certificate in Physiotherapy, and the fee structure are also available on our site, and the duration of the Advanced Certificate in Physiotherapy course is 1(one) year.
Beacon Partners / BridgeFront ICD-10 Webinar: Building the Bridge as You Walk...Bridge Front
Date: 8/7/2013
Title: The Transition to ICD-10: Building the Bridge as You Walk on It
Presented By: Christine Kalish, MBA, CMPE, National Practice Director, Strategic Advisory Group of Beacon Partners
Description: With the transition to ICD-10 only 15 months away, organizations will have to find inventive ways to create their roadmap and execute on their plans. Rather than taking valuable time to complete a gap analysis and then create the plan, organizations should consider how to do these tasks concurrently.
Sameer Badlani, MD, FACP
Chief Medical Information Officer
Assistant Professor, Section of Hospital Medicine
The University of Chicago Medicine and Biological Sciences
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
C-Suite Snacks Webinar Series: The Talent Wars - Can Benefits Be Your Secret ...Citrin Cooperman
In today’s candidate-driven job market, offering a competitive benefits package can significantly improve your company’s success in both attracting and retaining talent. In this webinar session, Shaun Gagnon, president and managing partner of Cambridge Insurance Advisors, shares his insights on maximizing your employee benefits to attract employees and combat the talent shortage.
Topics included:
• Trends in open enrollment and wellness fairs
• Popular and practical benefits
• The war on talent
• Cost increases and how to deal with them
“Citrin Cooperman” is the brand under which Citrin Cooperman & Company, LLP, a licensed independent CPA firm, and Citrin Cooperman Advisors LLC serve clients’ business needs. The two firms operate as separate legal entities in an alternative practice structure. Citrin Cooperman is an independent member of Moore North America, which is itself a regional member of Moore Global Network Limited (MGNL).
The August 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included NCCI Edits; NCCI - Commercial Insurance and Coding; 99211 CPT Code; New Baby Office Visits; Analyzing Financial Reports as a Practice Manager; HIV ICD9 and ICD10 Codes; Integumentary ICD9 Skin Issues; and Back to Basics - Cardiology. Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed. Attendees’ questions on various coding topics were answered. Educational topics were presented by Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA; Jo-Anne Sheehan, CPC, CPC-I, CPPM; and Alicia Scott, CPC, CPC-I, CRC. The host for the webinar was Boyd Staszewski.
This was presentation given by Dr Hugo Minney from the APM Benefits Management Specific Interest Group (SIG). The SIG was established in May 2009 for the benefit of members, the APM and the profession in general and their vision is to: "develop and promote benefits management as a core driver of successful project, programme portfolio and change management".
The APM Scotland branch welcomed Dr Minney to the Blythswood hotel in Glasgow to make this presentation.
A large audience attended Hugo’s presentation entitled “Managing benefits from projects – the NHS way”. Hugo has extensive experience within the English NHS and his presentation included lessons which are applicable to the Scottish NHS.
Hugo has a particular focus on social return on investment (SROI) – identifying, measuring and maximising the economic, environmental and social success. He also has expertise in proposal and bid writing, and in identifying the "hard to measure" things so important for investment decisions such as the value of staff sickness, employee inspiration, customer retention. Hugo is currently company secretary of a GP-led federation with 170,000 registered patients.
The presentation explored the question “what is benefits management?” and where it fits into project management. Hugo used examples from NHS England to illustrate why projects failed and looked at how benefits management can drive successful projects. He then contrasted this with some success stories and examined the tools and approaches that made them work.
Students will create and present a Total Rewards and Risk Management Plan for a fictitious organization which they have created. "Surgery Clinic was founded in the heart of Kansas City during a time of need. With the labor shortage continuing to sweep the healthcare sector across the nation, a demand for specialization clinics has risen over the past several years. Surgery Clinic is a private practice consisting of a close-knit group. The clinic currently specializes in GI, ENT, Plastic, Podiatry, and other general procedures. Our GI team is responsible for treating concerns affecting the digestive tract. Our ENT team is responsible for ear, nose, and throat procedures. Our Plastic team handles reconstructive and cosmetic procedures. Surgeries involving issues affecting feet and lower extremities are taken care of by our podiatry team. "
The CPHQ course is designed to help healthcare professionals pass the CPHQ certification exam. It covers all the essential topics of the CPHQ examination and helps you focus your studying to be well-prepared for the exam.
The July 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included Conversion of Dx codes to DRGs, Auditing Question, Fracture Coding, ICD-10 Initial Encounter vs. Subsequent, Rule of 9’s, Back to Basics – Coding Contrast, Transbronchial Biopsy, and Coronary Arteries. Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed. Attendees’ questions on various coding topics were answered. Educational topics were presented by Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA; Alicia Scott, CPC, CPC-I, CRC; and Laureen Jandroep, CPC, CPC-H, CPC-I, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.
ICD-10 Presentation to Bays Medical Society January 2014Florida Blue
Collaboration between physicians, payers and others across the health care industry is critical to a successful ICD10 implementation. Florida Blue is here with resources and expertise as you begin your ICD-10 journey, but the time to act is now! Visit our site to get started: http://ow.ly/sGVfF
The Road To Hospital Quality Accreditation: What’s In It For Us? Is It Even Worth The Expense?” Lecture to Master in Hospital Administration students of the University of the Philippines College of Public Health on August 16, 2013.
More Related Content
Similar to Staffing Solutions Beyond ICD-10_AAHIM_Dover_Phillips April 2015
Beacon Partners / BridgeFront ICD-10 Webinar: Building the Bridge as You Walk...Bridge Front
Date: 8/7/2013
Title: The Transition to ICD-10: Building the Bridge as You Walk on It
Presented By: Christine Kalish, MBA, CMPE, National Practice Director, Strategic Advisory Group of Beacon Partners
Description: With the transition to ICD-10 only 15 months away, organizations will have to find inventive ways to create their roadmap and execute on their plans. Rather than taking valuable time to complete a gap analysis and then create the plan, organizations should consider how to do these tasks concurrently.
Sameer Badlani, MD, FACP
Chief Medical Information Officer
Assistant Professor, Section of Hospital Medicine
The University of Chicago Medicine and Biological Sciences
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
C-Suite Snacks Webinar Series: The Talent Wars - Can Benefits Be Your Secret ...Citrin Cooperman
In today’s candidate-driven job market, offering a competitive benefits package can significantly improve your company’s success in both attracting and retaining talent. In this webinar session, Shaun Gagnon, president and managing partner of Cambridge Insurance Advisors, shares his insights on maximizing your employee benefits to attract employees and combat the talent shortage.
Topics included:
• Trends in open enrollment and wellness fairs
• Popular and practical benefits
• The war on talent
• Cost increases and how to deal with them
“Citrin Cooperman” is the brand under which Citrin Cooperman & Company, LLP, a licensed independent CPA firm, and Citrin Cooperman Advisors LLC serve clients’ business needs. The two firms operate as separate legal entities in an alternative practice structure. Citrin Cooperman is an independent member of Moore North America, which is itself a regional member of Moore Global Network Limited (MGNL).
The August 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included NCCI Edits; NCCI - Commercial Insurance and Coding; 99211 CPT Code; New Baby Office Visits; Analyzing Financial Reports as a Practice Manager; HIV ICD9 and ICD10 Codes; Integumentary ICD9 Skin Issues; and Back to Basics - Cardiology. Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed. Attendees’ questions on various coding topics were answered. Educational topics were presented by Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA; Jo-Anne Sheehan, CPC, CPC-I, CPPM; and Alicia Scott, CPC, CPC-I, CRC. The host for the webinar was Boyd Staszewski.
This was presentation given by Dr Hugo Minney from the APM Benefits Management Specific Interest Group (SIG). The SIG was established in May 2009 for the benefit of members, the APM and the profession in general and their vision is to: "develop and promote benefits management as a core driver of successful project, programme portfolio and change management".
The APM Scotland branch welcomed Dr Minney to the Blythswood hotel in Glasgow to make this presentation.
A large audience attended Hugo’s presentation entitled “Managing benefits from projects – the NHS way”. Hugo has extensive experience within the English NHS and his presentation included lessons which are applicable to the Scottish NHS.
Hugo has a particular focus on social return on investment (SROI) – identifying, measuring and maximising the economic, environmental and social success. He also has expertise in proposal and bid writing, and in identifying the "hard to measure" things so important for investment decisions such as the value of staff sickness, employee inspiration, customer retention. Hugo is currently company secretary of a GP-led federation with 170,000 registered patients.
The presentation explored the question “what is benefits management?” and where it fits into project management. Hugo used examples from NHS England to illustrate why projects failed and looked at how benefits management can drive successful projects. He then contrasted this with some success stories and examined the tools and approaches that made them work.
Students will create and present a Total Rewards and Risk Management Plan for a fictitious organization which they have created. "Surgery Clinic was founded in the heart of Kansas City during a time of need. With the labor shortage continuing to sweep the healthcare sector across the nation, a demand for specialization clinics has risen over the past several years. Surgery Clinic is a private practice consisting of a close-knit group. The clinic currently specializes in GI, ENT, Plastic, Podiatry, and other general procedures. Our GI team is responsible for treating concerns affecting the digestive tract. Our ENT team is responsible for ear, nose, and throat procedures. Our Plastic team handles reconstructive and cosmetic procedures. Surgeries involving issues affecting feet and lower extremities are taken care of by our podiatry team. "
The CPHQ course is designed to help healthcare professionals pass the CPHQ certification exam. It covers all the essential topics of the CPHQ examination and helps you focus your studying to be well-prepared for the exam.
The July 2015 Q&A Medical Coding Webinar from Certification Coaching Org (CCO), www.cco.us, discussed a variety of topics of interest to outpatient and inpatient medical coders. Topics included Conversion of Dx codes to DRGs, Auditing Question, Fracture Coding, ICD-10 Initial Encounter vs. Subsequent, Rule of 9’s, Back to Basics – Coding Contrast, Transbronchial Biopsy, and Coronary Arteries. Certification Coaching Org’s product offerings, the CCO Replay Club which allows members to review past monthly webinars and obtain CEUs, and Certification Coaching Org’s CEU offerings were also discussed. Attendees’ questions on various coding topics were answered. Educational topics were presented by Tammy Lucus, CIC, CPC, COC, CPC-I, CPMA; Alicia Scott, CPC, CPC-I, CRC; and Laureen Jandroep, CPC, CPC-H, CPC-I, CMSCS, CHCI, CPPM. The host for the webinar was Boyd Staszewski.
ICD-10 Presentation to Bays Medical Society January 2014Florida Blue
Collaboration between physicians, payers and others across the health care industry is critical to a successful ICD10 implementation. Florida Blue is here with resources and expertise as you begin your ICD-10 journey, but the time to act is now! Visit our site to get started: http://ow.ly/sGVfF
The Road To Hospital Quality Accreditation: What’s In It For Us? Is It Even Worth The Expense?” Lecture to Master in Hospital Administration students of the University of the Philippines College of Public Health on August 16, 2013.
Similar to Staffing Solutions Beyond ICD-10_AAHIM_Dover_Phillips April 2015 (20)
Staffing Solutions Beyond ICD-10_AAHIM_Dover_Phillips April 2015
1. Staffing Solutions that take you
Beyond ICD-10
AAHIM Annual Meeting
April 24, 2015
Kayce Dover, MSHI, RHIA
Chloe Phillips, MHA, RHIA
2. How many feel like you’ve been on the
ICD-10 roller coaster ride?
3. Benefits of ICD-10
• Improve clinical decision making and
outcomes research
• Patient Safety
• Population Health
• Accuracy of Claims
4. What’s the big deal?
• Complex changes
– Biggest change in health care since
implementation of DRGs in early 80’s
– Not a simple update of ICD-9
• Impacts everyone
– Clinical, Technical and Administrative staff
• Resource intensive & costly without proper
planning
6. AGENDA
• ICD-10 potential impact HIM staffing
• Training, Productivity, Resources
• Staffing solutions before, during & after transition
• A different approach to staffing: Baptist Health
System
• Questions/Answers
11. AAPC, AHIMA and CMS
all say that when it
comes to in-depth
training, timing is
everything!
3-5 hours a week for training creates
staffing challenges now.
17. Projected decrease in productivity
• Humber River Regional
Hospital in Ontario, Canada50%
• AHIMA ICD-10 Field Testing
Project53%
• HIMSS/WEDI ICD-10
National Pilot Program50%
21. 2014 eHI & AHIMA Survey
• Hire more coders
• 2014 eHI & AHIMA Survey31%
• Using Computer Assisted
Coding or similar tools29%
• Contract with outsourced
coding companies28%
29. Practice Makes Perfect
• Education & Training
• Keep dual coding
• Payer testing
• Shadow charting (CDI,
coder and MD
collaboration)
30. Prepare for Go Live
• Eliminate coding backlogs
• All coders onsite for first 2
weeks
• Mandatory “overtime” first
60 days
• Address recruitment
challenges
31. Post Graduate Program
• How are we going address ICD-10 staffing
challenges?
• Train, mentor and hire new graduates
– Launched in January 2014
– Two year commitment
– Seven graduates trained on ICD-9 & ICD-10
– One wage level below a Level 1 coder
32. Post Graduate Program
• Detailed training plan
• Each coder assigned a mentor
• Regular meetings with post grads
• All onsite during training
33. Post Graduate Program
• All started on OPDs and ERs
• Must achieve 96% or above, for 3 consecutive
weeks, before being moved off 100% review
• Moved next to Inpatient and Outpatient for
more specific training
34. Post Graduate Program
• Inpatient Training:
– Started on PSY, Cath (IP & OP), OB/GYN
• Progression time:
– 12-15 weeks on PSY
– 11-13 weeks on Cath
– 10-13 weeks on OB/GYN
• IP Cardiology and Orthopedics
• General Surgery and Medicine
35. Post Graduate Program
• Outpatient Training:
– Simple surgeries (GIs, Cataracts, Pain Blocks, etc.)
• Progression time:
– 7-8 weeks on simple surgeries
– 8-13 weeks on intermediate surgeries
• Complex surgeries (Ortho, Cath, Cardiology)
• OBV coding, charging, infusion/injection next
36. Post Graduate Program
• Training coders that code both Inpatient and
Outpatient
• If a permanent position becomes available,
post graduates can apply before or after the 2
year commitment.
37. Post Graduate Program
• Current post graduates
are progressing
• Building loyalty, specific
facility training
• New graduates are
eager to learn and
many want to code
• Project savings of $593k
over 2014 and 2015
38. Think Outside the Box
• Hospitals are finding success with these programs
• AHIMA apprenticeship opportunities
• HIM Connections Survey:
– 52.38% of hospitals surveyed by HIM Connections
indicate they have implemented, or considered an
apprenticeship program for entry level candidates.
• Provides staffing resources beyond ICD-10
• Planning is key to being prepared!
39. Journal of AHIMA
• Article: A Foot in the
Door
• Journal of AHIMA,
January 2015
• Kayce Dover, MSHI,
RHIA and Chloe Phillips,
MHA, RHIA
40. Questions/Comments
THANK YOU!
Kayce Dover, MSHI, RHIA
President & CEO, HIM Connections
kdover@himconnections.com
Chloe Phillips, MHA, RHIA
Corporate Director of HIM & Clinical Revenue, Baptist Health System
Chloe.phillips@bhsala.com
Editor's Notes
ICD-10 will provide us with many benefits, but the change is not simply increased & renumbered ICD-9 code sets.
Manage patient care, mortality
Resource intensive
Look at what you’ll need before, during and after ICD-10
eHI/AHIMA Study in May/June 2014
eHI/AHIMA Study in May/June 2014 showed how respondents are leveraging the delay
Queries could rise more than 30%.
More specific document is critical
Estimate physician’s time spent on documentation could rise 4%
Initial decrease in productivity
Humber Hospital was only back to 80% productivity 1 year after implementation
Combining this loss with expansion of healthcare is a recipe for permanent productivity loss.
2014 eHealth Initiative & AHIMA Survey
Look at a health system in Birmingham Alabama addressed coder budget changes, planned for drop in productivity, and some areas they focused on.
BHS successfully consolidated coding service line across system in 2009-2010.
Primary reasons for consolidation was for:
Consistent coding practices across health system
Coders didn’t meet accuracy rate of 95% or above.
Coder work load was not balanced based on his/her skill set.
Remote coding not available.
Productivity expectations not met.
Ask part of their initial ICD-10 planning, BHS completed a financial risk analysis that estimated an increased labor cost of more than $650k.
50% drop in productivity for the first six months
20% productivity drop for another six months.
I want to share some areas that BHS has focused on to help improve their overall coding and the transition to ICD-10
BHS will add the items that were removed when the delay was announced back into their 2015 budget.
Add back in 4 coding positions (2 IP coders and 2 additional post grads) effective 7/1/15.
ICD-10 capital labor will be added back in which is approximately $4,300.
Add back in ICD-10 retention bonus of $35,000
Add contract coding to cover any unforeseen issues of $15,000.
Continue our partnership with The Advisory Board through ICD-10 which is $35,000
Add additional $11,000 for physician training and $10,000 for coder training to compliment what they did in 2013 and 2014.
As BHS put their ICD-10 plan together, they evaluated top 10 MS-DRGs for potential shifts in payment.
This was important to help provide more focused training plan for the coders and physicians, and to minimize financial impact.
The delay gives everyone extra time to be prepared.
These things have been high priority for BHS and have impact on your coding budget.
There will continue to be a demand for coders, so we have to be creative in our staffing plans. BHS created a post-graduate program to help address their increase in FTEs.
Post-grads are brought in at a wage level below a Level 1 coder.
Other facilities are also implementing post graduate programs.
Survey conducted in June 2014 by HIM Connections. Survey sent to 94 Director/Coding Managers at acute care facilities. 22% response rate.
