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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
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?
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
How            Can Instructors Be Trained?

•   AHIMA Train‐the‐Trainer
•   AAPC & AHIMA Online Courses
•   Pearson Workshops/Web Exs
•   Quality of textbook & instructor resources
•   Maintaining credentials
    – AAPC
       • ICD‐10‐CM proficiency assessment (unproctored)
    – AHIMA
       • ICD‐10‐CM/PCS CEUs
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
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
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
Where         Do We Add ICD‐10?

• Courses
  – Diagnosis coding
  – Advanced coding
  – Separate course(s)
• Timing
  – Now
  – Phased approach
  – Go live date
How           Do We Approach ICD‐10?

• Teaching order
  – Concurrent
  – Sequential
• Resources
  – Electronic code manuals
  – Encoders
  – Textbooks
  – Classroom resources
  – Minimal changes during code freeze
Summary: Moving Ahead



  Plan    Train    Teach
YOU are my 
inspiration! 

Thank You 

MyBlog: 
luvtocode.blogspot.com
lorrpb@gmail.com

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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
  • 4. How Can Instructors Be Trained? • AHIMA Train‐the‐Trainer • AAPC & AHIMA Online Courses • Pearson Workshops/Web Exs • Quality of textbook & instructor resources • Maintaining credentials – AAPC • ICD‐10‐CM proficiency assessment (unproctored) – AHIMA • ICD‐10‐CM/PCS CEUs
  • 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