PDFs of Lorraine Papazian-Boyce's presentation during the Pearson, Practice Makes the Professional Web Series held on 11/2/12.
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Papazian-Boyce: INCORPORATING ICD‐10‐CM/PCS IN YOUR MIBC PROGRAM
1. EDUCATOR UPDATE:
INCORPORATING
ICD‐10‐CM/PCS
IN YOUR MIBC PROGRAM
Lorraine M. Papazian‐Boyce, MS, CPC
AHIMA‐Approved ICD‐10‐CM/PCS Trainer
Author, ICD‐10‐CM/PCS Coding:
A Map for Success
MyBlog: luvtocode.blogspot.com
lorrpb@gmail.com
2. Incorporating ICD‐10‐CM/PCS
in Your MIBC Program
When • Should We Start Teaching?
How • Can Instructors Be Trained?
Who • Needs ICD‐10?
Why • Start ICD‐10 Now?
What • Should We Cover?
Where • Do We Add ICD‐10?
How • Do We Approach ICD‐10?
3. When Should We Start Teaching?
1/1/2011 AHIMA ICD‐10‐CM/PCS CEUs available
10/2012 AHA Coding Clinic incorporates ICD‐10‐CM/PCS
Fall 2012 Providers begin ICD‐10‐CM/PCS staff training
Mid‐2013 Hospitals begin dual‐system coding (optional)
10/1/2013 AAPC ICD‐10‐CM Proficiency Assessment opens
4/1/2014 AHIMA Certification Exams convert to ICD‐10‐CM/PCS
10/1/2014 ICD‐10‐CM/PCS GO LIVE DATE
(Hospital discharges, outpatient & physician services)
12/31/2014 AHIMA ICD‐10‐CM/PCS CEUs due
1/1/2015 AAPC Certification Exams convert to ICD‐10‐CM
9/30/2015 AAPC ICD‐10‐CM Proficiency Assessment due
5. Who Needs ICD‐10?
Setting ICD‐10‐CM ICD‐10‐PCS
Physician offices X ‐
Outpatient hospitals X ‐
Inpatient hospitals X X
Payers X X
Billing services X X
6. Why Start ICD‐10 Now?
• Train instructors
• Enhance students’ job skills
• Equip students to be a resource
• Prepare for dual coding to begin in 2013
• Prepare students for certification
• Support legacy use of ICD‐9 after transition
• Offer workforce education
7. What Should We Cover?
• Similarities
– Index, tabular list, instructional notes, look‐up tables
• Differences
– Organization, code structure, anatomic specificity
• New features
– Excludes1 & 2, extensions, more combination codes
• New concepts
– Underdosing, episode of care, laterality, overlapping
neoplasm sites
• New and changed OGCR
– Anemia, AMI, mental health
8. Where Do We Add ICD‐10?
• Courses
– Diagnosis coding
– Advanced coding
– Separate course(s)
• Timing
– Now
– Phased approach
– Go live date
9. How Do We Approach ICD‐10?
• Teaching order
– Concurrent
– Sequential
• Resources
– Electronic code manuals
– Encoders
– Textbooks
– Classroom resources
– Minimal changes during code freeze