ICD-10 Essentials for HomecareICD-10 Essentials for Homecare
ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation
Remain profitable and compliant under the ICD-10 coding system, as you begin preparation for the upcoming transition. Beacon Health provides you with a three-step plan that takes you from understanding the differences between ICD-9 and ICD-10 to full-scale ICD-10 readiness at your agency with ICD-10 Essentials for Homecare: Your Guide to Preparation and Implementation. You will learn the fundamentals of ICD-10 coding, what you can do today to manage the transition to ICD-10, and how to prepare for the impact on your daily operations. Complete with a chronological, step-by-step ICD-10 implementation action plan for your entire agency, this book is the perfect primer to get you where you need to be in order to survive and thrive under ICD-10.
This book will help you:
- Implement simple coding changes immediately to ease the burden of the transition in future months
- Familiarize your coders with the ICD-10 format to ensure a smooth transition and avoid interruption of payments during implementation
- Develop timelines to train clinicians in new documentation requirements and ensure readiness by the implementation date
- Achieve leadership buy-in for the necessary budget, policy changes, and infrastructure upgrade to accommodate ICD-10 requirements
- Prevent payment denials under ICD-10 by determining primary diagnosis and sequencing in the new coding system
- Compare what documentation is necessary now to what will be required under ICD-10 with an ICD-9/ICD-10 crosswalk tool
- Ensure system readiness with a list of questions to ask your vendor
- Execute a step-by-step action plan throughout your agency to ensure timely ICD-10 readiness
Table of Contents
Acronym GuidePART I: Understanding the Fundamentals of ICD-10-CM Coding
- Introduction
- The Origins of ICD Coding
- Getting to Know the ICD-10-CM Manual
- Understanding the Coding Manual: Format and Setup
- Alphabetical index
- Tabular listing (essential under ICD-10)
- Conventions and Terms
- Format and structure (categories, subcategories, code)
- The 3-7 characters expansion
- New dummy place holders
- The complex general coding guidelines
- Five Easy Steps to Accurate Coding
- Primary and Other Diagnoses
- Selection of the primary and other diagnoses
- Case mix diagnosis
- Home health plan of care
- Effective Management of the Coding Process
- Referral and clinical documentation impact on coding
- The query process
- Coding functions and productivity
- Coding manager required skills
- Coverage Criteria
- Eligibility for coverage
- The new face-to-face encounter
- Home health care CAHPS survey
- Conditions of coverage
- OASIS
- CoPs and OASIS requirements
- OBQI and OBQM pre-survey reports
- Home health compare
- Receiving Appropriate Reimbursement
- Home health PPS
- Medical supplies, non-routine supplies, and DME under PPS
- HHRG and case mix adjustments
- Case Mix and Coding
- Diagnostic categories
- Grouper logic
- Ethical Coding Practice
- HIPAA and coding practices
- Health care fraud and abuse
- Corporate Compliance
- AHIMA Standards of Ethical Coding
- ICD-10 Implementation Planning
- Step-by-step plan
- Education tool
- Administration Leadership and Support
- Managing the Coding Function
- Intake, liaisons, clinician
- Query
- Query forms and questions
- Understanding GEM
- Fiscal and Billing Necessities
- Information Systems Readiness
- Checklist for vendor readiness
- Performance Improvement Data
- Compliance Oversight
Valuable tools and forms include:
- ICD-9/ICD-10 crosswalk
- Step-by-step action plan for implementation
- Vendor readiness questions
- Query form for clinicians
- Query form for intake
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- Danvers, MA : Beacon Health, 2011.
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