coding and icd-10-cm/pcs guide2015...see our display ad on page 43. april 2015 / coding and...
TRANSCRIPT
Journal of AHIMA April 15 / 71
CODING AND ICD-10-CM/PCS GUIDE2015
JOURNAL AHIMAOF
2015 | RESOURCE GUIDE
3M Health Information Systems ................................................73
Administrative Consultant Service, LLC .....................................73
AHA Central Office .................................................................. 74
Amphion Medical Solutions ...................................................... 74
Care Communications ..............................................................73
Career Step ............................................................................ 75
Channel Publishing .................................................................. 75
Cymetrix ................................................................................. 76
DocuCoders ............................................................................ 76
eCatalyst Healthcare Solutions, Inc. .......................................... 76
Elsevier Clinical Solutions ........................................................77
First Class Solutions ................................................................77
Flash Code Solutions, LLC ........................................................78
FutureNet Technologies Corporation .........................................78
Healthcare Cost Solutions ........................................................ 81
Health Information Associates ..................................................79
Henry Schein MicroMD ............................................................ 81
H.I.M. On Call .........................................................................79
HRS........................................................................................80
IMEDX ....................................................................................80
IOD Incorporated ..................................................................... 81
Kiwi-Tek .................................................................................84
Maxim Healthcare Services, Inc ................................................83
MedData, Inc. .........................................................................85
MLT Medical Coding, Inc. .........................................................82
Ovation Revenue Cycle Services ...............................................86
Practice Management Information Corporation (PMIC).................82
Precyse Solutions ....................................................................82
Professional Data Management Group, Inc. ................................83
RecordsOne ............................................................................87
Stat Solutions .........................................................................83
SuperCoder, The Coding Institute .............................................88
CONTENTS
3M Health Information Systems
Phone: 800-367-2447
E-mail: [email protected]
www.3Mhis.com
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 improve-
ment 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.
Administrative
Consultant
Service, LLC
678 Kickapoo Spur, Shawnee, OK 74801
405.878.0118
www.acsteam.net
• 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
73April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Care Communications is a nationally recognized,award-winning HIM leader.CARE offers focused,effective and comprehensive HIM services forhospitals and medical practices, including:
• ICD-10 planning, education andimplementation• Coding quality and clinical documentationimprovement and education• Temporary coding staffing• Coding compliance services• Interim coding management• Complete coding outsource
Awarded Supplier of Novation
Care Communications, Inc.800-458-3544
SEE OUR DISPLAY AD ON THE INSIDE BACK COVER.
CODING AND ICD-10-CM/PCS GUIDE / April 201574
CODING ADVICE FROM THE
CODING EXPERTS
digital
SEE OUR DISPLAY AD ON PAGE 43.
75April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Take Control of
Your Coding Needs
Career Step offers the planning and
education resources required to build
the long-term coding education strategy
you need to be successful through
ICD-10 and beyond!
• Assess retention of ICD-10 education
• Reinforce ICD-10 training gaps through
online, webinar, and onsite training
• Prepare physicians for ICD-10 documentation
• Transition existing coders to inpatient or
specialty coding
• Provide new coder training in I-9 or I-10
• Hire Career Step medical coding graduates
See why some of the largest names in
healthcare have chosen Career Step as their
EDUCATIONAL PARTNER.
corporatetraining.careerstep.com
1-888-989-7512Channel Publishing, Ltd.
1-800-248-2882FOR DETAILS
AND ORDERING INFORMATION, VISIT:
www.channelpublishing.comJS10045-CBG
Channel Publishing, Ltd.ICD-10 PRODUCTS
• 2015 Enhanced Generic ICD-10-CM— Only $69.95• 2015 Enhanced Generic ICD-10-PCS — Only $59.95
• 2016 ICD-10-CM, The Educational Annotation of ICD-10-CM (Available September 2015)
Includes all Enhanced features, plus: COLOR highlighting,Definitions and Illustrations, Anatomy and Physiology
Reviews, MS-DRG, MCE, AHA notations ... and more!
• Annual Version (Paperback) — July Sale $55.95• SoftCover Version (Loose-leaf, 3-hole punched
pages, updateable yearly) — July Sale $59.95• Future Updates: 30% below new book reg. price
• 2016 ICD-10-PCS, The Educational Annotation of ICD-10-PCS (Available September 2015)
Includes all Enhanced features, plus: COLOR highlighting,Definitions and Illustrations, Anatomy and Physiology
Reviews, MS-DRG, MCE, AHA notations ... and more!
• Annual Version (Paperback) — July Sale $45.95• SoftCover Version (Loose-leaf, 3-hole punched
pages, updateable yearly) — July Sale $49.95• Future Updates: 30% below new book reg. price
• 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)
• 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
2015 ICD-10 CODE BOOKS
ICD-10 TRAINING — SEMINAR-IN-A-BOX
ICD-10 TRAINING — EXERCISE BOOKS
You asked for ...
AFFORDABLEICD-10
... we delivered!!!
2016 ICD-10 CODE BOOKS
CODING AND ICD-10-CM/PCS GUIDE / April 201576
Call: 623-236-3336 Visit: www.eCatalystHealth.com
Email: [email protected]
eCatalyst was built on the foundation of knowledge, expertise, and visionary HIM leadership. We deliver the right people, processes, and professional service to our clients, on-time and within budget – guaranteed.
Remote Coding• Hospital and professional• Backfill, ICD-10 support, complete
department outsourcing
Code Auditing• ICD-9, ICD-10, professional• Audit your dual coding eforts• DRG, MS-DRG, APC, inpatient and
outpatient
ICD-10• Planning, education and implementation• Computer Assisted Coding (CAC)
implementation
• Revenue integrity post go-live
Strategic Consulting• HIM workflow analysis and operational
assessments• Strategic consulting• Interim HIM and coding leaders
eCatalyst brings together the best coding and audit experts to drive significant results for your HIM department and your bottom line.
The most important element of our service philosophy is unrelenting client
focus. Our success depends entirely on how we serve you.”
Chris Meyers, CEO
Framing the Future of HIM
DocuCodersOutsource Remote Coding Specialists
®
www.docucoders.com850.213.3153
At Your Service!
Optimize Your Revenue Cycle
As a leader in providing comprehensive
revenue cycle management solutions,
our coding professionals are AHIMA-
credentialed, experienced and monitored
to ensure high accuracy.
Our HIM Solutions include:
Clinical Coding
Documentation Integrity
Consulting Services
Department Outsourcing
800.308.4940
www.cymetrix.com
SEE OUR DISPLAY AD ON PAGE 39.
77April 2015 / CODING AND ICD-10-CM/PCS GUIDE
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.
www.icd-10online.com
(866) 429-3067
eLearning for Efective Coding and
Clinical Documentation Improvement
FFiirrss tt CCllaassss SSoolluutt ii oonnss ,, IInncc ..SS MM
Not your traditional healthcare
consulting firm… services customized
to YOUR needs since 1988
Our HIM Services
Operational Assessments
Temporary HIM Management
Coding Validation Audits and Coding
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
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
Dual Coding Validation
Documentation Deficiency Reviews
DRG Shift Analysis
800-274-1214
www.FirstClassSolutions.com
www.Cortrak.com
CODING AND ICD-10-CM/PCS GUIDE / April 201578
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.
800.200.5440
www.FNEHR.com
5440
100% Certfied Coding Services Team
Flexible, fast & accurate ICD-9/ICD-10
100% Domestc Transcripton Services
Top ter KLAS ranked performance
Low Cost Pricing With No Hidden Fees
Free mobile apps, interfaces & e-sign
Stage 2 Inpatent & Ambulatory EHRs
Powerful NLP, CAC & CDI tools for MU
20 Years With Same Management Team
Stable firm delivering flexible solutons
SEE OUR DISPLAY AD ON THE INSIDE FRONT COVER.
79April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Address coder shortages Eliminate coding backlogs Improve code quality Manage financial impact
Make H.I.M. ON CALL your permanent resource for all of your coding needs!
New ICD-10 Direction, New ICD-10 Team
Meet them all here!
himoncall.com/leadership
H.I.M. ON CALL knows the way.
takes codingon a new path.
IT’S ABOUT THE PEOPLE
BEHIND THE NUMBERS.
THEY’RE WHAT MAKE THE
DIFFERENCE
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
about nurturing relationships with both
our clients and our employees.
Compliance Reviews · Education · Coding Services
866-HIA-CODE | hiacode.com
WE KNOW WHAT MATTERS .
QUALITY. SERVICE. PEACE OF MIND.
CODING AND ICD-10-CM/PCS GUIDE / April 201580
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.
Our Coding Services Cover:
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.
Learn more about iMedX at imedx.com or
give us a call at 404.418.0096
Bringing Precision to the Process
• Acute Care
• Observation
• Emergency Department
• Home Health & Hospice
• Same Day Surgery
• Inpatient
• Clinics
• All Ancillary Departments
800.329.0365 www.HRScoding.com
Choose experience.
Choose excellence.
Choose HRS.
Documentation audits – Dual coding reviews
End-to-end test coding
Gap analysis – Readiness assessments
Coder and non-coder training
AHIMA-approved ICD-10 trainers
ICD-10 Readiness
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
SEE OUR DISPLAY AD ON PAGE 46.
81April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Henry Schein MicroMD760 Boardman-Canfeld Rd.Boardman, OH 44512
800-624-8832micromd.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.
Healthcare Audit Resource Technology Database solutions for the ever-changing environment of the External Audit
• CodingAuditsinICD- andICD-10:MS-DRG/APR-DRG/APC/HCC/LTAC
• MedicalNecessityReviews• RACReviewsandAppeals• ChargeDetailAudits• PACTValidationAudits• RemoteCoding:ICD- andICD-10• HIMInterimManagement• OnlineICD-10Tutorials
Optimizing Your Rightful Reimbursements
HealthcareCostSolutions,Inc.Newport Beach, CA 2660
866.427.7828 / 4 .721.27 5www.hcsstat.com
CODING AND ICD-10-CM/PCS GUIDE / April 201582
WWW.PRECYSE.COM | 1-866-PRECYSE
ONE SINGLE SOLUTIONPRECYSE — TRANSFORMING COMPLEX
WORKFLOWS INTO PRODUCTIVE
OPERATIONS
• ONE and only frm to receive 100%
positive comments from clients about
it’s ICD-10 services*
• ONE integrated platform for inpatient
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
83April 2015 / CODING AND ICD-10-CM/PCS GUIDE
Make Maxim your HIM Partner!
We offer customized solutions including:• Remote and on-site coding support• Auditing services• Clinical documentation improvement• HIM departmental outsourcing • Facility wide ICD-10 training
Maxim provides only the highest quality HIM talent and services to help you achieve your HIM goals. Take advantage of our expertise and call us today!
Delivering Results, Growing Careers
EAST 866-265-0589 WEST 866-316-8773
www.maximhealthinformationservices.com
Stat Solutions, Inc. is a highly respected coding company focusing our efforts on providing the highest level of quality credentialed HIM professionals along with the finest personalized customer service.
*Onsite or Remote Coding *Coding Quality Reviews
*Interim HIM Management
For more information please call us 888-297-7212
[email protected] www.statsolutionsinc.com
Keep using your current ICD-9 sofware
and keep
getng paid.
It is no surprise that Diagnosis
Billing Codes are changing —
upgrading your Billing System
to ICD-10 can be costly.
Are you ready?
We have a simple, cost-efectve soluton
that will ensure that you keep getng paid
in the upcoming ICD-10 environment while
using your current ICD-9 Medical Billing
System. No need to upgrade your entre
system to ICD-10 — untl you’re ready.
FOR MORE INFORMATION
Visit our website at PDMG.com to see how
you can keep getng paid while using your
current ICD-9 Medical Billing System.
Be ready with PDMG
CODING AND ICD-10-CM/PCS GUIDE / April 201584
Your Coding Solution
iS JuSt
a CliCk awaY
• Faster Turnaround
• Optimal Compensation
• Cost-Efective BPO
• Quality Focused
• ICD-10 Certifed
• Maximum Compliance
KIWI-TEK™ can deliver the best coding
solutions tailored to your specifc workfow
with guaranteed quality and turnaround
times. We are committed to providing fast,
accurate remote coding for any healthcare
provider, in any location, for any patient
type. And, to provide you with the most
cost-efective options, we ofer domestic
and international coding experts.
kiwi-tek.comom
8900 Keystone Crossing, Suite 1095, Indianapolis, IN 46240
Phone: 317-571-3440 | Toll-Free: 866-709-5494
SEE OUR DISPLAY AD ON THE BACK COVER.
85April 2015 / CODING AND ICD-10-CM/PCS GUIDE
ICD-10 has been drawn out until October 2015. But that doesn’t mean you should lie around waiting until then. Take advantage of the extra time and improve your cash flow by getting proactive with your revenue cycle. Discover how MedData can help your organization boost revenue from patient payments by 50%.
CALL TODAY! 800-835-7474
You’ve got to drawthe line somewhere.
meddata.com/ahima
ICD-10 Y93.DActivities involvingarts and handcrafts
SEE OUR DISPLAY AD ON PAGE 7.
CODING AND ICD-10-CM/PCS GUIDE / April 201586
Code with Confdence. Contact us: 412.432.5697 or www.ovationrcs.com.
We Code with Confdence.
Anxious About ICD-10?
Ovation Coding Services is built on the
foundation of continuous quality improvement
and combines Outsourced Coding, Quality Audit
Services and Intelligent Coding Analytics to
create the ultimate coding solution. The result
is zero coding backlog, guaranteed quality,
reduced costs, and eliminates worry over coding
resources, or shortage-driven cost increases.
Developed, implemented and tested at UPMC
revenue cycle operation. Ovation’s services
automate manual processes, streamline
workfows, and ensure healthcare providers are
paid quickly and accurately.
Outsourced Coding 2000+ dedicated FTE coding team 4 million+ charts per month | 48 hour turnaround
Quality Audit Services Ensure completeness of coding and assignment of proper codes
Intelligent Coding Analytics 100% automated analysis of every chart
87April 2015 / CODING AND ICD-10-CM/PCS GUIDE
88 / Journal of AHIMA April 15
CODING AND ICD-10-CM/PCS GUIDE / April 201588
ICD-10 Coding Made EasyRequires no knowledge of ICD-10 CM codeset.
» Try the only pictorial coding workfow tool
» Developed by The Orthopaedic Center’s trauma
surgeon Brian Scholl based on clinical residency
coding training
» Cuts code lookup time from 3-5 mins to 30
seconds!
» Adds additional must codes to
picklist as you select base code
» Avoids reimbursement snaggles
with coding workfow routed to
most specifc code
» Export codes directly to any EHR, PMS, Coder
Available in: PC, Web-based, iOS, Android Phones and Tablets
Available for: Orthopedics, Neurosurgery, Physical Therapy,
Chiropracty, Ophthalmology, Optometry, Emergency
Medicine, Urgent Care, Family Practice
Buy now: www.supercoder.com/BoneCoder10
For more information call 866-228-9252
The Coding Institute LLC, 2222 Sedwick Drive, Durham, NC 27713
The tool doctors
have been asking for!
set.
g workfow tool
edic Center’s trauma
on clinical residency
m 3-5 mins to 30
s to
ode
ggles
ed to
y EHR, PMS, Coder
d Phones and Tablets
Physical Therapy,
Emergency
coder com/BoneCoder10
F17.21,
Nicotine
dependence,
cigarettes
M13.16,
Monoarthritis,
not elsewhere
classifed, knee
J40.0,
Unilateral
emphysema
M84.472P,
Pathological fracture, left ankle, subsequent
encounter for fracture with malunion