Understand key differences between ICD-9 and ICD-10 and what will give you the biggest headache (so you can avoid it).
While the structure of ICD-10-CM is similar to ICD-9-CM, there are areas of both conventions and content that have material differences. Those who engage in coding, billing, documentation and audit activities risk delayed payments and denied claims if education and training haven't focused on these areas. This topic focuses on the differences in these topics as well as explains the options that CMS has put forth for those who are still having issues with claims submission.
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Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Agenda
Areas of Significant Change
- Structure and Conventions
- Use of Placeholder for Codes Requiring 7th Digits
- Two Types of Includes Notes
- Terminology and Definition Changes
- Disease Categories With Significant Changes
- Diabetes ( Including Combination Codes, Etiology)
- Circulatory System (Including Sequencing, AMI Redefined, Subsequent New Onset)
- OB (Including Trimester, Fetal Death Redefined, Multiple Gestation, Weeks of Gestation)
- Injuries (Including Fractures, Poisoning, Underdosing, Episode of Care/Encounter)
- Neoplasms (Including Sequencing, Morphology )
Claims Submission Issues
- Waivers Subject to MAC Evaluation
- Free Billing Software
- Provider Internet Portals
- Direct Data Entry
- Paper Claims
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Credits
OnDemand Course
This course was last revised on November 16, 2015.
Call 1-866-352-9540 for further credit information.
This program does NOT qualify, nor meet the National Standard for NASBA accreditation.
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
Faculty
Nancy L. Freeman, RHIA, CHC, MBA, MHA
FTI Consulting
- Managing director at FTI Consulting based in Atlanta, GA with more than 30 years of experience working on complex coding, billing, and health care compliance issues
- Focuses on addressing complex coding and billing concerns in a variety of provider settings; clients include large and small hospitals and health systems, academic medical centers and physician groups
- Experience includes not only working with providers on general compliance reviews, but also working with legal counsel to address complicated coding/billing matters and investigations relating to qui tam, voluntary disclosures, PATH audits, RADV audits, and the requirements of corporate integrity agreements
- B.S. degree in medical record administration, Medical College of Georgia; Master's degrees in business and health administration, Georgia State University
- Can be contacted at 678-429-9704 or [email protected]
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Why Lorman?
Over 37 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.
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