coding and icd-10-cm/pcs guide2015

Transcription

coding and icd-10-cm/pcs guide2015
JOURNAL AHIMA
OF
2015 | RESOURCE GUIDE
CODING AND
ICD-10-CM/PCS
GUIDE
2015
Journal of AHIMA April 15 / 71
CONTENTS
3M Health Information Systems................................................. 73
Henry Schein MicroMD............................................................. 81
Administrative Consultant Service, LLC. . .................................... 73
H.I.M. On Call.......................................................................... 79
AHA Central Office................................................................... 74
HRS........................................................................................80
Amphion Medical Solutions....................................................... 74
IMEDX.....................................................................................80
Care Communications............................................................... 73
IOD Incorporated...................................................................... 81
Career Step............................................................................. 75
Kiwi-Tek..................................................................................84
Channel Publishing................................................................... 75
Maxim Healthcare Services, Inc.. ...............................................83
Cymetrix . . ................................................................................ 76
MedData, Inc...........................................................................85
DocuCoders............................................................................. 76
MLT Medical Coding, Inc........................................................... 82
eCatalyst Healthcare Solutions, Inc... ......................................... 76
Ovation Revenue Cycle Services................................................86
Elsevier Clinical Solutions.........................................................77
Practice Management Information Corporation (PMIC).................82
First Class Solutions. . ...............................................................77
Precyse Solutions. . ................................................................... 82
Flash Code Solutions, LLC.. ....................................................... 78
Professional Data Management Group, Inc... ...............................83
FutureNet Technologies Corporation.......................................... 78
RecordsOne............................................................................. 87
Healthcare Cost Solutions......................................................... 81
Stat Solutions..........................................................................83
Health Information Associates................................................... 79
SuperCoder, The Coding Institute..............................................88
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Administrative
Consultant
Service, LLC
3M Health Information Systems is a
global provider of medical records coding,
terminology, and reimbursement solutions
designed to improve clinical and financial
performance.
Our innovative software and consulting
services focus on solutions for clinical
documentation improvement (CDI),
computer-assisted coding (CAC), ICD-10
education, and outsourced coding and
CDI services.
The 3M™ 360 Encompass™ System is a
powerful CAC and CDI tool—automated
intelligence for documentation improvement and coding built on trusted logic
and methodologies for linking clinical and
financial data. It connects and automates
both coding and documentation
improvement—two of the most critical
issues related to ICD-10.
• Revenue Cycle Management
• ICD10 Preparation and Training
• Clinical Documentation Improvement
• Hospital Chargemaster Reviews
• Inpatient/Outpatient Audit Services
• Appeals Process/Investigation Expert
Witness
• Recovery Auditor Appeals
• Appropriate use and billing of
Observation Services
• Physician (RBRVS) Reimbursement
678 Kickapoo Spur, Shawnee, OK 74801
405.878.0118
www.acsteam.net
Care Communications is a nationally recognized,
award-winning HIM leader. CARE offers focused,
effective and comprehensive HIM services for
hospitals and medical practices, including:
• ICD-10 planning, education and
implementation
• Coding quality and clinical documentation
improvement and education
• Temporary coding staffing
• Coding compliance services
• Interim coding management
• Complete coding outsource
Awarded Supplier of Novation
Care Communications, Inc.
800-458-3544
3M Health Information Systems
Phone: 800-367-2447
E-mail: [email protected]
www.3Mhis.com
[email protected]
www.carecommunications.com
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74 CODING AND ICD-10-CM/PCS GUIDE / April 2015
CODING ADVICE
FROM THE
CODING EXPERTS
print
digital
SEE OUR DISPLAY AD ON THE INSIDE BACK COVER.
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
75
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• 2016 ICD-10-CM, The Educational Annotation
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Career Step offers the planning and
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• Future Updates: 30% below new book reg. price
• 2016 ICD-10-PCS, The Educational Annotation
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Definitions and Illustrations, Anatomy and Physiology
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• Annual Version (Paperback) — July Sale $45.95
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• Assess retention of ICD-10 education
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ICD-10 TRAINING — SEMINAR-IN-A-BOX
• Learning ICD-10-CM (DVDs, CM book, Workbook)
• Professional Version: Designed to teach others
• Individual Version: Teach yourself (12 CEUs)
• Learning ICD-10-PCS (DVDs, PCS book, Workbook)
• Professional Version: Designed to teach others
• Individual Version: Teach yourself (20 CEUs)
ICD-10 TRAINING — EXERCISE BOOKS
•
•
•
•
•
2015 Mastering ICD-10-CM Exercise Book
2015 Mastering ICD-10-PCS Exercise Book
2015 Mastering ICD-10-CM Guidelines Exercise Book
2015 Mastering ICD-10-PCS Guidelines Exercise Book
The Last Word on ICD-10
Channel Publishing, Ltd.
1-800-248-2882
FOR DETAILS
AND ORDERING INFORMATION, VISIT:
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JS10045-CBG
SEE OUR DISPLAY AD ON PAGE 43.
76 CODING AND ICD-10-CM/PCS GUIDE / April 2015
Optimize Your Revenue Cycle
As a leader in providing comprehensive
revenue cycle management solutions,
our coding professionals are AHIMAcredentialed, experienced and monitored
to ensure high accuracy.
Our HIM Solutions include:
Clinical Coding
Documentation Integrity
Consulting Services
Department Outsourcing
Framing the Future of HIM
The most important element of our
service philosophy is unrelenting client
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Chris Meyers, CEO
eCatalyst was built on the foundation of knowledge,
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• DRG, MS-DRG, APC, inpatient and
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• Planning, education and implementation
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Strategic Consulting
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At Your Service!
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eCatalyst brings together the best coding and
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your HIM department and your bottom line.
Call: 623-236-3336
Visit: www.eCatalystHealth.com
Email: [email protected]
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
77
First Class Solutions, Inc. SM
Not your traditional healthcare
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to YOUR needs since 1988
Our HIM Services
eLearning for Efective Coding and
Clinical Documentation Improvement
 Operational Assessments
 Temporary HIM Management
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Support
 Scanning and Transcription Analyses
 Scanning Software Implementation Project
Management
 Scanning Operations Management
 CAC Guidance & RFP Management
 CAC Implementation Management
 ICD-10 Project Management (Limited)
 ICD-10 DRG Shift/Documentation Analysis
Our Release of Information Software
Accurate, complete coding and clinical documentation
are critical to a healthcare organization’s mission and
operations, impacting both quality of care and fnancial
viability.
That’s why targeted training from Elsevier is so
important.
ICD-9 Coding
ICD-10 Assessment, Training and Testing
ICD-10 Practice Environment
Clinical Documentation Improvement
Regulatory Compliance
Reimbursement
Contact us today to get started on your customized
training plan. So much depends on it.
 Cortrak Standard Includes scanning
capabilities which are tied to request
 Cortrak Plus Includes scanning capabilities
which are tied to request, utilizes Microsoft®
SQL Server
Our ICD-10 Services
 Awareness Education – Management &
Physicians
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 DRG Shift Analysis
www.icd-10online.com
(866) 429-3067
800-274-1214
www.FirstClassSolutions.com
www.Cortrak.com
SEE OUR DISPLAY AD ON PAGE 39.
78 CODING AND ICD-10-CM/PCS GUIDE / April 2015
Who Cares?
Who cares how coding and transcripton
services affect your report quality, patent care,
physician satsfacton, and billing?
We do … and that’s what makes us different.
Call today to learn how FutureNet cares for
how you care for healthcare.
100% Certfied Coding Services Team
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Powerful NLP, CAC & CDI tools for MU
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Stable firm delivering flexible solutons
800.200.5440
5440
www.FNEHR.com
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
takes coding
on a new path.
W E K N O W W H AT M AT T E R S .
Q U A L I T Y. S E R V I C E . P E AC E O F M I N D.
IT’S ABOUT THE PEOPLE
BEHIND THE NUMBERS.
THEY’RE WHAT MAKE THE
DIFFERENCE
H.I.M. ON CALL
knows the way.
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Make H.I.M. ON CALL your permanent
resource for all of your coding needs!
For more than 20 years, HIA has been
committed to quality in everything we
do, from the training of our staff, to
relationships with our clients. As a result
we’ve become a leading provider of
coding and review services. We have
made it a point to get beyond the
numbers game and create a culture built
on inclusiveness and encouragement; it’s
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Compliance Reviews · Education · Coding Services
New ICD-10 Direction, New ICD-10 Team
Meet them all here!
himoncall.com/leadership
866-HIA-CODE | hiacode.com
SEE OUR DISPLAY AD ON THE INSIDE FRONT COVER.
79
80 CODING AND ICD-10-CM/PCS GUIDE / April 2015
Choose experience.
Choose excellence.
Choose HRS.
Remote Coding Solutions
Domestic, international or hybrid options
Temporary staff or complete outsource
Dual coding – Hospital & Professional
Coding Quality Reviews
DRG – MS-DRG – APC – Inpatient – Outpatient
ICD-10 – Dual coding – Compliance education
Hospital & Professional
Strategic Consulting
Clinical documentation gap analysis
CDI program tune-up – Change management
Workflow analysis – HIM operations evaluation
ICD-10 Readiness
Documentation audits – Dual coding reviews
End-to-end test coding
Gap analysis – Readiness assessments
Coder and non-coder training
AHIMA-approved ICD-10 trainers
800.329.0365
www.HRScoding.com
Bringing Precision
to the Process
At iMedX, we understand the growing
complexity resulting from the changes in
healthcare coding requirements. We can help
by ensuring that your receivables are not
negatively impacted by any coding delays.
Our Coding Services Cover:
• Same Day Surgery
• Acute Care
• Inpatient
• Observation
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• Emergency Department
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The training time and learning curve required by
ICD-10 will require a trusted business partner to
keep the unbilled accounts in line with your goals.
Prepare in advance, and partner with iMedX to
secure resources that will fex with your needs.
Learn more about iMedX at imedx.com or
give us a call at 404.418.0096
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Healthcare Audit Resource Technology
Database solutions for the ever-changing
environment of the External Audit
• CodingAuditsinICD-9andICD-10:
MS-DRG/APR-DRG/APC/HCC/LTAC
• MedicalNecessityReviews
• RACReviewsandAppeals
• ChargeDetailAudits
• PACTValidationAudits
• RemoteCoding:ICD-9andICD-10
• HIMInterimManagement
• OnlineICD-10Tutorials
Optimizing Your Rightful Reimbursements
HealthcareCostSolutions,Inc.
Newport Beach, CA 92660
866.427.7828 / 949.721.2795
www.hcsstat.com
SEE OUR DISPLAY AD ON PAGE 46.
Henry Schein MicroMD
760 Boardman-Canfeld Rd.
Boardman, OH 44512
800-624-8832
micromd.com
Henry Schein MicroMD provides
simple yet powerful Practice
Management and EMR
solutions with functionality,
tools and training to assist with
your ICD-10 transition.
81
82 CODING AND ICD-10-CM/PCS GUIDE / April 2015
ONE SINGLE SOLUTION
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• ONE and only frm to receive 100%
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it’s ICD-10 services*
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and outpatient CAC and CDI
• ONE expert team to empower your
HIM, coding and CDI innovation
* “ICD-10 CONSULTING: ROADMAP TO A SUCCESSFUL TRANSITION.” DECEMBER 2012.
© KLAS ENTERPRISES, LLC. ALL RIGHTS RESERVED. WWW.KLASRESEARCH.COM
WWW.PRECYSE.COM | 1-866-PRECYSE
April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Keep using
your current
ICD-9 sofware
and keep
getng paid.
It is no surprise that Diagnosis
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upgrading your Billing System
to ICD-10 can be costly.
Make
Maxim your
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Stat Solutions, Inc. is a highly respected
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For more information please call us
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83
84 CODING AND ICD-10-CM/PCS GUIDE / April 2015
Your Coding Solution
iS JuSt
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om
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April 2015 / CODING AND ICD-10-CM/PCS GUIDE
ICD-10 Y93.D
Activities involving
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SEE OUR DISPLAY AD ON THE BACK COVER.
85
86 CODING AND ICD-10-CM/PCS GUIDE / April 2015
Anxious About ICD-10?
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April 2015 / CODING AND ICD-10-CM/PCS GUIDE
87
88 CODING AND ICD-10-CM/PCS GUIDE / April 2015
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88 / Journal of AHIMA April 15