Icd 10 Expert For Home Health And Hospice Without Guidelines

Author : Joan L. Usher
Publisher : Beacon Health, a Division of Blr
ISBN 13 : 9781601468352
Total Pages : 0 pages
Book Rating : 4.4/5 (683 download)

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Download or read book ICD-10 Essentials for Homecare written by Joan L. Usher and published by Beacon Health, a Division of Blr. This book was released on 2011-10-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 Guide PART 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 PART II: Home Health Specifics: What You Need to Know 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 PART III: ICD-10-CM Preparation and Implementation 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