Upload File

icd 10 lessons from office documentation...title icd 10 lessons from office documentation author...

  • Home
  • Documents
  • ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
66
CLINICAL CONCEPTS FOR ORTHOPEDICS CMS Clinical Concepts

Upload: others

Post on 21-Jan-2021

2 views

Category:

Documents


0 download

Report

TRANSCRIPT

Page 1: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

CLINICAL CONCEPTS FOR ORTHOPEDICS

CMS Clinical Concepts

https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10ClinicalConceptsOrthopedics1.pdf
Page 2: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 LESSONS FROM

OFFICE DOCUMENTATIONPresented by Dr. Frankeny

Page 3: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

OUR CHALLENGE:

CHANGING OUR DOCUMENTATION

ICD 10

Learn the nomenclature

Documenting enough elements to code all 7 characters required

Pre-authorizations for Tests, Surgeries, and DME

Page 4: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BALOG NOTE ONE

DIAGNOSIS: Osteoporosis with now two midthoracic

compression fractures.

Page 5: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE FRACTURE CODING OPTIONS

1. General

1. Document which vertebrae

2. Stable vs unstable

3. Displaced versus nondisplaced

4. Cervical

1. C1

1. Burst

2. Posterior Arch

3. Lateral Mass

4. Other

Page 6: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE FRACTURE CODING OPTIONS (CONT.)

4. Cervical (cont.)

2. C2

1. Type II Dens Fracture

1. Anterior, Posterior displacement or non displaced

2. Other Dens Fracture1. Includes Type I and III

3. Other Fracture of C2

4. Traumatic Spondylolisthesis of C21. Non displaced, displaced, Type 3 displaced

Page 7: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE FRACTURE CODING OPTIONS (CONT.)

4. Cervical (cont.)

3. C3-7

1. Unspecified

1. Nondisplaced, displaced

2. Traumatic Spondylolisthesis

1. Nondisplaced, displaced, Type III displaced

4. All

1. Subluxation by level: e.g. C3-4

2. Dislocation by level

Page 8: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE FRACTURE CODING OPTIONS (CONT.)

5. Thoracic and Lumbar Spine

1. Document which level

2. Fracture types

1. Wedge Compression

2. Burst

1. Stable versus Unstable

3. Other

3. Subluxation and Dislocation at level e.g. T 6-7

Page 9: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE FRACTURE CODING OPTIONS (CONT.)

6. Ribs

1. Single or multiple

2. Left or Right

Page 10: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BALOG NOTE TWO

DIAGNOSIS: Idiopathic well balance scoliosis.

Page 11: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE DEFORMITIES

1. Document for all

1. Level

1. Cervical, cervicothoracic, thoracic, thoracolumbar, lumbar,

lumbosacral

2. Kyphosis and Lordosis

1. Postural

2. Unspecified

3. Other secondary

1. Post laminectomy

2. Post surgical lordosis or flatback

Page 12: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINE DEFORMITIES (CONT.)

3. Scoliosis

1. Congenital

1. Due to bony malformation

2. Infantile Idiopathic

3. Juvenile Idiopathic

4. Adolescent Idiopathic

5. Neuromuscular

6. Other Secondary (degenerative lives here)

Page 13: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BALOG NOTE FOUR

DIAGNOSIS: Left knee sprain, no evidence of

fracture superimposed on otherwise well functioning

left knee replacement.

Page 14: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

KNEE SPRAINS

If you mention it, you have to say which ligament:

Collateral ligament: Lateral (fibular), Medial (tibial)

Cruciate ligament: Anterior, Posterior

Patellar ligament

Superior tibiofibular joint (ligament)

Page 15: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ALTERNATIVE TO KNEE SPRAIN

Specify left or right

Contusion

Effusion

Pain

Stiffness

****Knee pain is not a diagnosis that supports medical necessity for dispensing a DME product

Page 16: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BOAL NOTE ONE

DIAGNOSIS: End-stage degenerative arthritis of the

right knee.

Page 17: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ARTHRITIS: THESE TYPES APPLY TO ALL JOINTS1. Bilateral, Left, or Right, Specific Joint

Osteoarthritis

Primary

Post Traumatic

Other Secondary Osteoarthritis

Any and all other causes

E.g. Hip osteoarthritis secondary to Hip Dysplasia

Crystalline Arthritis

Gout

Idiopathic

Lead induced

Drug induced

Renal disease induced

Other secondary

Page 18: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ARTHRITIS (CONT.)1. Bilateral, Left or Right, Specific Joint (cont.)

Crystalline Arthritis (cont.)

Calcium Deposition:

Hydroxyapatite Deposition Disease

Chondrocalcinosis

Familial

Other

Inflammatory Arthritis

RA seropositive

Without other organ or system involvement

With other organ or system involvement

RA seronegative

Juvenile RA

Page 19: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ARTHRITIS: THESE APPLY TO ALL JOINTS

. Bilateral, Left or Right, Specific Joint (cont.)

Reactive Arthritis

Due to an infection elsewhere in body (previously Reiter’s syndrome)

Post Intestinal Bypass

Post Dysenteric

Post Immunization

Other

Neuropathic: Charcot

Page 20: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ARTHRITIS: THESE TYPES APPLY TO ALL JOINTS

1. Bilateral, Left or Right, Specific joint (cont.)

Infectious Arthritis

Pyogenic Arthritis

Staph

Strep

Pneumococcal

Other Bacteria

Lyme

Gonococcal

TB

Page 21: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BUERK NOTE THREE

DIAGNOSIS: Right ankle sprain.

Page 22: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ANKLE SPRAIN TYPES

1. Calcaneofibular (lateral)

2. Deltoid

3. Tibial-Fibular

Page 23: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

BUERK NOTE FOUR: PROXIMAL

HUMERUS FRACTURE

DIAGNOSIS: Right proximal humerus fracture,

healing well.

Page 24: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SHOULDER

1. Arthritis

1. See Above

2. Instability

1. Dislocation or subluxation Glenohumeral Joint

1. Anterior, posterior, inferior, or other

1. Congenital

2. Pathological

3. Traumatic

4. Recurrent

Page 25: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SHOULDER (CONTINUED)

3. Instability (cont.)

1. AC joint

1. Subluxation (previously Grade 1)

2. Dislocation 100-200% (previously Grade 2)

3. Dislocation >200%

4. Inferior

5. Posterior

2. SC Joint

1. Anterior

2. Posterior

Page 26: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SHOULDER (CONTINUED)

Subacromial Pathology

1. Impingement syndrome

2. Bursitis

3. Calcific Tendinitis

4. Bicipital Tendinitis and Rupture

5. Chronic Rotator Cuff Tear

1. Incomplete

2. Complete

6. Acute Rotator Cuff Tear

Page 27: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SHOULDER (CONTINUED)

5. Fractures

1. Surgical Neck

1. 2, 3, 4 part

2. Greater Tuberosity

3. Lesser Tuberosity

Page 28: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DAHL NOTE TWO

DIAGNOSIS: Right foot sprain/strain.

Page 29: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPRAIN/STRAIN FOOT

Must specify ligament

Tarsal ligament

Tarsometatarsal ligament

Page 30: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DAHL NOTE FOUR

DIAGNOSIS: Buckle fracture, left distal ulnar shaft

and distal radial shaft.

Page 31: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

MUST DOCUMENT FOR ALL FRACTURESInitial versus subsequent encounter

Laterality: Left vs Right

Fracture Pattern: Transverse, oblique, spiral, comminuted

Non-Displaced versus Displaced

Closed versus Open (then Gustillo type)

Anatomy: Epiphysis, Metaphysis, Diaphysis, Proximal, Distal

Type: Colles, Barton’s, Salter type, etc.

Underlying Cause: Traumatic (describe), pathological, stress

Underlying Disease: Osteoporosis?

Healing process: routine, delayed, nonunion, malunion

E.G.

History: “This is the 6 week follow up visit for this 79 year old….”

X-ray: “Two views of the left wrist reveal a transverse, non-displaced, closed, distal radius Colles type fracture that is healing routinely.”

Impression: “Left distal radius, transverse, non-displaced, closed, Colles type fracture secondary to a fall, with a history of osteoporosis. The fracture appears to be healing routinely.”

Yes, it is suggested that you describe the fracture in the x-ray and impression sections!!

Page 32: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DAHMUS NOTE TWO

DIAGNOSIS: Right patella fracture.

Page 33: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

MUST DOCUMENT TYPE OF FRACTURE

Comminuted (displaced)

Comminuted Non displaced

Longitudinal (displaced)

Longitudinal Non displaced

Osteochondral (displaced)

Osteochondral Non displaced

Transverse (displaced)

Transverse Non displaced

REMEMBER ALL FRACTURES ALL NEED COMPREHENSIVE FRACTURE DOCUMENTATION!

Page 34: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DAILEY NOTE THREE

Right 5th metacarpal fracture

Page 35: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

TYPE OF FRACTURE / LOCATION OF FRACTUREDisplaced versus Non Displaced

Base

Shaft

Neck

Label type of metacarpal fracture e.g. Bennetts, Rolando’s, Boxers

REMEMBER ALL FRACTURES ALL NEED COMPREHENSIVE FRACTURE DOCUMENTATION!

Page 36: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DEMUTH NOTE FOUR

Left knee medial meniscus tear with instability

Page 37: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

MENISCUS TEAR

Left or Right

Medial or Lateral

Old injury or tear:

Anterior horn

Posterior horn

Bucket Handle

Degenerative, Cystic

New Injury or tear:

Bucket Handle

Complex

Peripheral

Other

Page 38: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

HELY NOTE THREE

DIAGNOSIS: Left shoulder sprain, definite improvement over the

past week.

Page 39: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SHOULDER SPRAIN

Dislocation or Subluxation:

Anterior

Posterior

Inferior

Sprain of the Shoulder:

Coracohumeral ligament

Rotator cuff

Superior labrum

Page 40: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

WOLF NOTE THREE

DIAGNOSIS: Spinal stenosis, with kyphosis,

degenerative disc disease, she is secondary to pain

thoracolumbar spine reconstruction.

Page 41: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

SPINAL STENOSIS

Must specify the location of stenosis

Occipito-atlanto-axial region

Cervical Region

Cervicothoracic Region

Thoracic Region

Thoracolumbar Region

Lumbar Region

Lumbosacral Region

Sacral and Sacroccygeal Region

Page 42: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

DEGENERATIVE DISC DISEASE

Must document levels

Occipito-atlanto-axial, cervical, cervico-thoracic, thoracic,

thoracolumbar, lumbar, lumbosacral, sacral

Spondylosis

• With or without myelopathy or radiculopathy

• Disc Disorder or Displacement or Degeneration

• With or without myelopathy or radiculopathy

• Sciatica

• With or without lumbago or lumbar pain

• Radiculopathy

• Document level

Page 43: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

HORGAN NOTE ONE

Gout right ankle

Page 44: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

GOUT

Type of gout needs to be documented

Idiopathic

Lead Induced

Drug Induced

Gout due to renal impairment

Other secondary gout

Gout unspecified

Page 45: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

OUR CHALLENGE:

CHANGING OUR DOCUMENTATION

ICD 10

Learning the nomenclature

Documenting enough elements to code all 7 characters

Pre-authorizations for Tests, Surgeries, and DME

Page 46: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

MEMORY AIDS AND REFERENCES

On the walls of the cubicles: General Documentation Guidelines and ICD 10 fracture documentation

In the Documentation Guidelines spiral notebooks: ICD 10 and Pre-authorization

On the Share Drive

Half Sheet changes to incorporate ICD documentation

Changes to Router to better match ICD 10 documentation

Via the link on our mobile website (blocked to public access)

Page 47: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

http://www.oip.com/icd10-mobile
Page 48: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE CONTACTS

Page 49: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

http://www.oip.com/icd10-mobile
Page 50: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Documentation Guidelines

Page 51: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

General

Documentation Guidelines

Page 52: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

General

Documentation Guidelines

Page 53: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Documentation Guidelines

Page 54: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 55: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Documentation Guidelines

Page 56: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Test/Surgery Preauthorization

Page 57: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 58: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 59: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 60: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 61: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 62: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Documentation Guidelines

Page 63: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

DME Preauthorization

Page 64: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM
Page 65: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

ICD 10 CODES

Page 66: ICD 10 Lessons from Office Documentation...Title ICD 10 Lessons from Office Documentation Author Stephanie Posey Created Date 8/26/2015 4:00:09 PM

ICD 10 MOBILE

Example of embedded ICD 10 coding

information


CARDIOTHORACIC SURGERY and common Documentation tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

Rehabbing Your Documentation for ICD-10f45ebd178a369304538a... · 4/15/2009  · Documentation for ICD-10: Musculoskeletal, Sports, Pain and Spine Medicine ... When asking physicians

Rehabbing Your Documentation for ICD-10f45ebd178a369304538a-da09e9363888411f910f2103a3cb9db6.r58...Rehabbing Your Documentation for ICD-10: Musculoskeletal, Sports, Pain and Spine

Emergency Department ICD-10 Case Studies & Documentation Tips

PLASTIC SURGERY and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

Post ICD-10 Clinical Documentation Improvement (CDI

Coding Clinic for ICD-9-CM and Documentation …blogs.hcpro.com/acdis/wp-content/uploads/2012/05/ICD-9-CM-Doc-Im… · HCPro, Inc., presents Coding Clinic for ICD-9-CM and Documentation

Understanding Clinical Documentation Requirements for ICD-10

Documentation Tips for Pulmonary/Critical Carephysicianresourcecenter.com/wp-content/uploads/2015/08/ICD-10... · Documentation Tips for Pulmonary/Critical Care. ICD-10 classifications:

CRITICAL CARE and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

ICD-10 Documentation Improvement Strategies

ICD 10 Documentation Specificity – Nephrology and Common Documentation Tips -- based on Conifer ICD 10 CDI Queries

ICD-10-PCS The Lessons We Learned - … · ICD-10-PCS The Lessons We Learned. ... Standardized Terminology- Definitions are well defined, ... Root Operation

ICD-10 & Clinical Documentation Improvement Strategies€¦ · ICD-10 & Clinical Documentation Improvement Strategies ... Resection of distal ileum ... Resection of the descending

Post ICD-10 Clinical Documentation Improvement (CDI ... · Post ICD-10 Clinical Documentation Improvement (CDI) Program Revitalization North Carolina Health Information Management

Documentation Improvement Strategies in ICD-10 · Documentation Improvement Strategies in ICD-10 August 2019. Jennifer Bash, RHIA, CIRCC, CPC, RCC ... •ICD-10 Risk Areas in Radiology

Clinical Documentation Improvement – Telling The Patient Story Thru ICD-10 Clinical Documentation Improvement – Telling The Patient Story Thru ICD-10 Presented

ANESTHESIOLOGY and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

Common ICD-10 Documentation Deficiencies Rural... · Common ICD-10 Documentation Deficiencies Sharon Shover, CPC ... , Childbirth, Puerperium (O00-O9A) • OB, delivery and ... Abnormalities

Countdown to ICD-10 to ICD-10 August 27, ... • Preparing for ICD-10: Coding and Documentation – ... ICD-10-CM diagnosis codes must be

ICD-10 and Clinical Documentation

ORTHOPEDIC SURGERY and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

CARDIOLOGY and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

Querying for ICD-10-PCS Documentation - ACDIS · Querying for ICD-10-PCS Documentation Rebecca A. “Ali” Williams, RN, MSN, CCDS Manager Clinical Documentation Improvement Consulting

QualiTest icd 10 testing lessons learned - public

ICD-10 Education Scripps Mercy Physician Partnersphysicianresourcecenter.com/.../2015/06/ICD10Education-Scripps-Mercy-MD... · ICD-10 Documentation for back pain: ICD-10 Documentation

ICD-10 documentation - PeaceHealth...ICD-10 documentation Women’s Health Care Symposium September 25 th, 2015 Springfield, Oregon Dr. Juanita Doerksen [email protected] Cell:

Documentation and coding for icd 10

ICD-10 Documentation Requirements - NARHCnarhc.org/wp-content/uploads/2013/09/ICD-10-Documentation... · “Documentation for ICD-10 is an unnecessary burden.” ... Type I or Type

Clinical Documentation for ICD-10 - AAPCstatic.aapc.com/a3c7c3fe-6fa1-4d67-8534-a3c9c8315... · Clinical Documentation for ICD-10 Presented by: Rhonda Buckholtz, ... •Patient is

VASCULAR SURGERY and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries

ICD-10-CM OVERVIEW OF UPCOMING DOCUMENTATION COMPONENTS OF ICD-10-CM

Clinical Documentation Improvement ICD-10 Transition from ICD-9

Common Radiology Diagnoses: ICD-9 to ICD-10 Mapping · ICD-9 Code ICD-9 Description ICD-10 Documentation Issues Laterality Episode of Care Acute/ Chronic Anatomical Site Specificity

FAMILY PRACTICE and Other Common Documentation Tips ICD 10 Documentation Specificity Needed based on Conifer ICD 10 CDI Queries