2024: A Travel Odyssey The Role of Generative AI in the Tourism Universe
Welcome to ICD-10 in-services
1. D E V R Y U N I V E R S I T Y C O M M U N I T Y H O S P I T A L
A L I C I A C O O P E R
J A N U A R Y 2 0 1 5
Welcome to ICD-10
2. T H I S I S O N E O F T H E 1 2 M O N T H I N - S E R V I C E S
T O H E L P W I T H T H E T R A N S I T I O N D A T E . O U R
F A C I L I T Y W I L L B E S E T T I N G U P T E S T D A T E S
F O R T H E I C D - 1 0 C O D E S F O R S U B M I S S I O N T O
I N S U R A N C E C O M P A N I E S T H R O U G H O U T T H E
Y E A R .
Devry Community Hospital
3. T H E U S D E P A R T M E N T O F T H E H E A L T H A N D
H U M A N S E R V I C E S H A S M A N D A T E D T H E
R E P L A C E M E N T O F T H E I C D - 9 - C M C O D E S E T S
U S E D T O D A Y . T H E I M P L A N T A T I O N D A T E F O R
T H E I C D - 1 0 S E T S I S E F F E C T I V E O C T O B E R 1 S T
2 0 1 5 .
About ICD-10
4. T H E W O R L D H E A L T H O R G A N I Z A T I O N W A N T E D T O
U N D E R T A K E T H E G L O B A L L E V E L O F T H E I C D - 1 0
S Y S T E M . W I T H T H E I C D - 9 O U T D A T E A N D N O T
E X P A N D A B L E T H E Y A R E B R A N C H I N G O U T O N A N
I N T E R N A T I O N A L L E V E L .
H T T P : / / L I B R A R Y . A H I M A . O R G / X P E D I O / G R O U P S / P U B L I C /
D O C U M E N T S / A H I M A / B O K 3 _ 0 0 5 5 6 8 . H C S P ? D D O C N A M E = B
O K 3 _ 0 0 5 5 6 8
About ICD-1o
5. I C D - 1 0 - C M D I A G N O S I S C O D E S
R I G H T O R L E F T A C C O U N T F O R > 4 0 % O F C O D E S
F I R S T D I G I T I S A L P H A
D E C I M A L I S P L A C E D A F T E R T H E T H I R D
C H A R A C T E R
7 D I G I T S
D I G I T 1 I S A L P H A ; D I G I T 2 I S N U M E R I C
D I G I T S 3 – 7 A R E A L P H A O R N U M E R I C
D E C I M A L I S P L A C E D A F T E R T H E T H I R D
C H A R A C T E R
“ X ” P L A C E H O L D E R S
6 9 , 0 0 0 C O D E S T O B E T T E R C A P T U R E S P E C I F I C I T Y
E X T E N S I V E S E V E R I T Y P A R A M E T E R S
E X T E N S I V E C O M B I N A T I O N C O D E S T O
B E T T E R C A P T U R E C O M P L E X I T Y
2 T Y P E S O F E X C L U D E S N O T E S
What you may find different
6. U P C O M I N G T R A I N I N G
W O R K B O O K S
T H A N K Y O U
Required in-services
7. D E V R Y C O M M U N I T Y H O S P I T A L
F E B R U A R Y 2 0 1 5 I N - S E R V I C E
A L I C I A
ICD-10 Overview
8. - O V E R V I E W
- S T R U C T U R E A N D U S E S
- A C T I O N S A N D T I M E L I N E S
Lets get started
9. I C D - 1 0
I C D - 1 0 – R E P L A C E S I C D - 9 D I A G N O S I S C O D E
S E T S
- I C D - 1 0 C M W I L L B E U S E D T O I D E N T I T Y
D I A G N O S I S C O D E S A C R O S S A L L H E A L T H C A R E
S E T T I N G S
E V E R Y O R G A N I Z A T I O N I N A M E R I C A N W I L L B E
I M P A C T E D B Y I C D - 1 0 A N D M U S T M A K E T H E
T R A N S I T I O N , T H E F I N A L R U L E W A S
A N N O U N C E D A U G U S T 2 4 , 2 0 1 2 . H H S R E L E A S E S
A F I N A L M A N D A T E T H A T E V E R Y O N E C O V E R E D
U N D E R H I P P A C O D E S S T A R T I N G O C T O B E R 1 ,
2 0 1 5 A F T E R T H E 2 0 1 4 P U S H B A C K .
ICD-10 Overview
10. I C D - 9 C M I S O U T D A T E D
- 3 0 Y E A R S O L D – T E C H N O L O G Y H A S C H A N G E D
- M A N Y C A T E G O R I E S F U L L
- N O T D E S C R I P T I O N E N O U G H
- R E I M B U R S E M E N T W O U L D E N H A N C E A C C U R A T E
P A Y M E N T F O R S E R V I C E S R E N D E R E D
- Q U A L I T Y W O U L D F A C I L I T A T E E V A L U A T I O N O F
M E D I C A L P R O C E S S E S A N D O U T C O M E S
- W H A T C H A R A C T E R I S T I C S A R E N E E D E D I N A
C O D I N G S Y S T E M
- F L E X I B L E E N O U G H T O Q U I C K L Y
I N C O R P O R A T E E M E R G I N G D I A G N O S I S A N D P R O C E D U R E S
- E X A C T E N O U G H T O I D E N T I F Y
D I A G N O S E S A N D P R O C E D U R E S P R E C I S E L Y
I C D - 9 I S T O O O L D T O A N D N O T A B L E T O H A N D L E T H E
E X P A N D I N G O F H E A L T H C A R E .
Why we are moving forward
11. S T R U C T U R E D I F F E R E N C E S I C D - 1 0 C M
D I A G N O S I S
I C D - 1 0 C M – D I A G N O S I S C O D I N G
C H A N G E I N S T R U C T U R E A N D V O L U M E
- 6 9 0 0 0 C O D E S F O R I C D - 1 0
- A D D E D S P E C I F I C I T Y A N D A D D E D C O M P L E X I T Y
- E L E C T R O N I C C R O S S W A L K C R E A T E D A N D F R E E
F R O M C M S
- I C D - 1 0 H A S T H R E E V O L U M E S A N D 3 - 7 D I G I T S
- T H E 1 S T D I G I T I S A N A L P H A A - Z
- T H E 2 N D D I G I T I S N U M E R I C
- T H E 3 - 7 D I G I T I S A L P H A O R N U M E R I C
Structure of ICD-10
12. W E W I L L B E C O M P L E T I N G A 1 2 M O N T H I N -
S E R V I C E F O R A U P D A T E O N I C D - 1 0 .
I C D 1 0 W E W I L L B E G O I N G L I V E O N O C T O B E R
1 S T 2 0 1 5 , T H E R E W I L L B E A P R I L 1 S T A N D
S E P T E M B E R 1 S T O U R T E S T D A T E S .
C O M P E T I T I O N O F T H E I C D - 1 0 W O R K B O O K
Action and timeline
13. M A R C H 5 T H 2 0 1 5 A T 9 : 0 0 A M
P L E A S E P L A N T O A T T E N D
Next in-service
15. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A
M A R C H 5 T H 2 0 1 5
Regulations ICD-10
16. T H E D E P A R T M E N T O F H E A L T H A N D H U M A N S E R V I C E S
P U B L I S H E D T H E F I N A L R E G U L A T I O N 4 5 C F R 1 6 2 , 1 0 0 2
- W H I C H R E Q U I R E D T H E U S E O F I C D - 1 0 C O D E S E T S I N
A L L H I P P A T R A N S A C T I O N .
- T H I S I S F E D E R A L M A N D A T E D T H A T A L L
C L E A R I N G H O U S E , H E A L T H P L A N S P R O V I D E R S A R E
U S I N G T H E E L E C T R O N I C T R A N S A C T I O N T H A T M U S T
T R A N S I T I O N T O T H E I C D - 1 0 C O D E S E T S O N T H E D A T E O F
S E R V I C E .
Regulation
17. N E X T M E E T I N G A P R I L 1 5 T H 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
18. D E V R Y C O M M U N I T Y H O S P I T A L
A P R I L 1 5 T H 2 0 1 5
A L I C I A
The Benefits
19. U S A G E O F C U R R E N T M E D I C A L T E R M I N O L O G Y
U S A G E S O F C O D E W I T H G R E AT E R S P E C I F I C I T Y A N D D E TA I L
I M P R O V E D C O D I N G B A S E D O N A D V A N C E M E N T S I N H E A LT H C A R E
I M P R O V E D H E A LT H C A R E M E A S U R E M E N T A N D R E P O R T I N G W I T H
L E S S E R R E J E C T E D C L A I M S
I M P R O V E D D ATA E X C H A N G E A N D PAT I E N T C A R E B Y C O L L E C T I N G
M O R E D E S C R I P T I V E D ATA R E S U LT I N G I N I M P R O V E D PAY M E N T
P R O V I D I N G C O D E S T O A L L O W C O M PA R I S O N O F M O R TA L I T Y A N D
M O R B I D I T Y D ATA W H I C H M A K E S F O R B E T T E R C L I N I C A L D E C I S I O N S
Benefits
20. T H E D I F F E R E N C E B E T W E E N R I G H T A N D L E F T
I T S P EC I F I ES I N I T I A L V E RS U S S U B S EQ U E N T E N CO U N T E R
I T D ES C R I B ES RO U T I N E A N D D E L AY E D H EA L I N G
N O N U N I O N O R M A L - U N I O N
What was not in ICD-9 that will
be in ICD-10
21. P L E A S E P L A N A T T E N D N E X T M E E T I N G M A Y
1 0 T H 2 0 1 5
Thank you
22. D E V R Y C O M M U N I T Y H O S P I T A L
M A Y 1 0 T H 2 0 1 5
A L I C I A C O O P E R
H A P P I E R T H A N A C A M E L O N W E D N E S D A Y S
How happy are we about ICD-
10?
23. T H E F U T U R E O F I C D - 1 0 I S S T A R T I N G V E R Y
S O O N .
I C D - 1 0 W I L L C H A N G E E V E R Y T H I N G
The future of ICD-10
24. C H A N G E S A R E G O I N G T O T H R O U G H T H E
W H O L E H O S P I T A L T O T H E P H Y S I C I A N S T O
U S C O D E R S .
D O C U M E N T A T I O N C H A N G E S W I L L B E V E R Y
I M P O R T A N T O N S E L E C T I N G T H E C U R R E N T
C O D E .
Changes
25. T O K E E P U P W I T H T H E C H A N G E S O N L I N E
T O O L S C A N H E L P
H T T P : / / W W W . C M S . G O V / M E D I C A R E / C O D I N G /
I C D 1 0 / P R O V I D E R R E S O U R C E S . H T M L
H T T P : / / W W W . A A P C . C O M / I C D -
1 0 / T R A I N I N G . A S P X
Keeping up with the changes
26. N E X T M E E T I N G J U N E 1 S T 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
27. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A C O O P E R
J U N E 1 S T 2 0 1 5
The Plan
28. - O U R G O L I V E D A T E I S S E P T E M B E R 3 0 T H 2 0 1 5
- N O B I L L I N G W I L L G O O N U N T I L A F T E R
O C T O B E R 1 S T 2 0 1 5
Q U E S T I O N S ?
Go live date
29. W I T H T H E T R A N S I T I O N P E R I O D T H E R E W I L L B E
N O B I L L I N G D U R I N G T H I S T I M E . T H I S W I L L
A L L O W O U R C O D E R S T O W O R K I N O N T H E
E N C O U N T E R S .
- T R A N S I T I O N P E R I O D I S S E P T E M B E R 2 7 T H
T H R O U G H O C T O B E R 1 S T 2 0 1 5 .
- I N T H I S P E R I O D I C D - 9 W I L L N O T B E A L L O W E D
W E W I L L O N L Y U S E I C D - 1 0 C O D E B O O K S .
Transition Period
30. N E X T M E E T I N G J U L Y 2 3 R D 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
31. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A
J U L Y 2 3 R D 2 0 1 5
Potential issues
32. - P O T E N T I A L I S S U E W I T H A N O T H E R D E L A Y
- B E I N G U N P R E P A R E D
- N O T H A V I N G T H E C U R R E N T T O O L S
-
Issues that may come
33. T O H E L P W I T H T O L I M I T E D T H E I S S U E S W E
H A V E I M P L A N T E D T H E 1 2 M O N T H T R A I N I N G
F O R T H E I C D - 1 0
Training is the key
34. N E X T M E E T I N G A U G U S T 2 0 T H 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
35. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A
A U G U S T 2 0 T H 2 0 1 5
Impact on Business
36. I T W I L L N O T B E E A S Y T O D E T E R M I N E D R G
G R O U P E R B A S E D O N I C D - 1 0 C O D E S .
W E M A Y H A V E A L I M I T E D D I S P U T E W I N D O W ;
W E N E E D T O U P T O D A T E W I T H A L L O U R
C O N A T I O N A L A G R E E M E N T S
T H E I C D - 1 0 M A Y H A V E A R I P P L E E F F E C T O N
M A N A G E D C A R E P L A N S C O V E R A G E A N D
P A Y M E N T P O L I C I E S A N D R E P O R T I N G
S Y S T E M S T H A T A R E B A S E D O N I C D - 1 0 .
W E W I L L B E L O O K I N G I N T O O U R C O N T R A C T S
W I T H O U R P A Y E R S , T O N E G O T I A T I O N S W I T H
C H A R G E S W I T H T H E U P C O M I N G I C D - 1 0
Impacting Business
37. N E X T M E E T I N G S E P T E M B E R 2 0 T H 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
38. D E V R Y C O M M U N I T Y H O S P I T A L
S E P T E M B E R 2 0 T H 2 0 1 5
A L I C I A
Coding for Hospitals
39. P R O C E D U R E C O D I N G S Y S T E M
W I L L R E P L A C E T H E C U R R E N T I C D - 9 C M
P R O C E D U R E S
I C D - 1 0 P C S H A S 7 D I G I T S
E A C H C A N B E E I T H E R A L P H A O R N U M E R I C
- N U M B E R S 0 - 9
L E T T E R S O A N D I A R E N O T U S E D T O A V O I D
C O N F U S I O N
E X A M P L E S :
0 F B 0 3 Z X - E X C I S I O N O F L I V E R
P E R C U T A N E O U S A P P R O A C H
ICD-10 PCS
40. N E X T M E E T I N G O C T O B E R 3 0 T H 2 0 1 5
P L E A S E P L A N T O A T T E N D
Thank you
41. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A
O C T O B E R 3 0 T H 2 0 1 5
Out patient coding
42. I C D - 1 0 C M H A S 3 - 7 D I G I T S
D I G I T 1 I S A L P H A A - Z
D I G I T 2 I S N U M E R I C
D I G I T 3 A L P H A O R N U M E R I C
D I G I T 4 - 7 A R E A L P H A O R N U M E R I C
E X A M P L E S :
A 6 6 Y A W S
A 6 9 . 2 0 L Y M E D I S E A S E U N S P E C I F I E D
Outpatient ICD-10-CM
43. P L E A S E P L A N T O A T T E N D
N E X T M E E T I N G N O V E M B E R 1 0 T H 2 0 1 5
Thank you
44. D E V R Y C O M M U N I T Y H O S P I T A L
N O V E M B E R 1 0 T H 2 0 1 5
A L I C I A
Changes to the Department
45. H I M D E P A R T M E N T C H A N G E S
- D O C U M E N T A T I O N C H A N G E S / M E D I C A L
R E C O R D S N E E D T O B E S P E C I F I E D T O
S U P P O R T I C D - 1 0 C O D E S E T S
- W I T H O U T T H E D E T A I L T H A T I S N E E D T O
S U P P O R T T H E C O D E W I L L H A V E A N E G A T I V E
I M P A C T O N R E I M B U R S E M E N T .
ICD-10 changes to department
46. Focus areas for HIM
Average record
completion time
Common blockage
Data interface with code
material
Timely record retrieval
and management if in-
house patient records
Training for ICD-10
Code work books
Update tools for coding
Helping physicians and
nursing staff with
documentation with the
completation
47. P L E A S E P L A N T O A T T E N D D E C E M B E R 1 5 T H
2 0 1 5
Thank you
48. D E V R Y C O M M U N I T Y H O S P I T A L
A L I C I A
Working in Codebooks
49. Working in codebooks
Outpatient coding
We are going to split the
room into two groups
Outpatient coding
workbook pages 3-6
Inpatient coding
We are going to split the
room into two groups
Inpatient coding
workbook 7-9
50. I H O P E E V E R Y O N E H A D A G R E A T T I M E
T O D A Y .
Thank you
Editor's Notes
Hello everyone my name is Alicia. I am here to Welcome you to ICD-10 implantation. If any one has any question please don’t hesitant ask.
This is one of the 12 month in-services to help with the transition date. Our facility will be setting up test dates for the ICD-10 codes for submission to insurance companies throughout the year.
With some of the many difference, starting with the right and left which accounts for 40% of the codes. Along with the first digit is an alpha character followed by a numeric digits. Along with 69,000 codes that have been added to better capture the specificity code. We will be going over more in depth of the new system on what to except in the upcoming in-services.
I am passing out the upcoming required training for the impanation of the ICD-10 system and workbooks that we will be working in. Please make arrangements to make all require in-services if you are unable to make some of the in-services please make a point to meet with me for arrangements that can be made. Does anyone have any questions on the upcoming implantation of the ICD-10 or the required in-services.
Welcome to Icd-10 overview in-service for DeVry Community Hospital, My name is Alicia and I will be talking about the overview of the ICD-10 system.
Let’s get started today, we will be going over the overview, structure, uses, action, timelines, tools, and resources.
We will be getting started soon please get some lunch.
How happy are we about ICD-10? We are more excited than a camel on Wednesday
