You have a solid foundation of what ICD-10-CM is, and how to apply the codes. There is only one more step left.....
The documentation requirements to support ICD-10-CM -- it leaves many practices wide open for lost reimbursements, audits, fines and even penalties.
The new diagnosis coding system has approximately five times more codes (14,025 vs. 69,832) in order to support a greater level of detail (i.e. laterality, severity and complexity of disease conditions, severity of injuries, intraoperatives vs. post-procedural complications, etc.). And ICD-10-CM codes' added detail necessitates added documentation to justify their use.
You can get this higher-level ICD-10-CM education by joining coding and compliance expert, Deborah Grider, CPC, CPMA, CCS-P, CDIP, for her recorded webinar "Advanced ICD-10-CM: The Final Step to Your Success". She'll focus on the higher-level principles most likely to cause errors and/or significantly impact your revenue.
This 90-minute ADVANCED session will slice apart key aspects of the ICD-10 requirements and guidelines, and provide practical, step-by-step tactics needed to make sure your claims get paid the first time. Here are just a couple of the targeted topics you'll dominate:
• Medical Necessity: Ensure solid support for your procedures or services and ensure your claims are audit-proof
• Avoid denials by knowing when to use signs and symptoms in lieu of a definitive diagnosis
• Make sure your claims get paid with proven tactics for correctly utilizing external cause codes
• Compare ICD-9-CM and ICD-10 documentation differences to make the transition easier, faster and less painful
• Specialty Breakdown: Dig into a variety of specialty examples and nuances to make implementation a reality
Anyone that is responsible for applying and ensuring accurate diagnosis codes needs to be prepared for this monumental change, for example:
√ Coders & Billers: Obviously coders and billers must understand the system to ensure accurately coded, filed and paid claims.
√ Practice Managers: If you're a practice manager and you're responsible for ensuring your practice's claims get paid correctly, knowing ICD-10 is a must.
√ Physicians & NPPs: As you know, physicians and NPPs are responsible for choosing diagnoses for your patients. Accordingly, it is essential that they have a strong understanding of this system so that your patients are diagnosed correctly.
Meet Your Expert: Deborah Grider, CPC, CPMA, CCS-P, CDIP Senior Manager Revenue Cycle at Blue & CO, LLC
Ms. Grider has over 30 years of experience in coding, reimbursement, practice management, billing compliance, accounts receivable, revenue cycle management, and compliance across many specialties.
She has provided testimony for the National Committee on Health Care Vital Statistics on ICD-10 implementation and is considered an ICD-10 expert in the country. She developed the education and training for ICD-10 Implementation for Physicians and Payers for the American Academy of Professional Coders, and the ICD-10 Implementation Training for the Indiana Hospital Association. She served in 2009-2012 on the ICD-10 Stakeholders Committee in Washington, DC advising CMS and HHS of the challenges with ICD-10 Implementation.
Ms. Grider consults with private practices, physician networks, health plans, and hospital-based educational programs. She helped develop and implement a Medical Assisting Program for Methodist Hospital of Indiana (IU Health) under a federal re-training grant. She conducts many seminars throughout the year on coding and reimbursement issues. She is the former program director of the Medical Coding Program for Clarian Health Partners (IU Health). Deborah is a legal coding advisor for many attorneys nationally.