icd-10

Praxen bekommen einen digitalen Helfer, der sie beim Verschlüsseln von Diagnosen unterstützen soll. Dennis Ballwieser, Arzt und Chefredakteur der Apotheken Umschau, erklärt, wie die Kodierunterstützung arbeitet und was Ärzt:innen tun müssen.

Da in genau einem Jahr die ICD-11 in Kraft tritt, machte ich in dieser Woche schon mal einen kleinen Ausblick wagen.

Die Diagnose: manchen bereitet sie Angst, andere sehnen sich, dem Kind endlich einen Namen zu geben. Depressive Episode, Emotional instabile Persönlichkeitsstörung des Borderline-Typs, Zwangsstörung, Bulimia nervosa, Anpassungsstörung, Posttraumatische Belastungsstörung usf. Eine passende Diagnose ist ein wichtiger Schritt hin zu einer passenden Behandlung. Doch die psychodynamischen Verfahren bleiben bei der Klassifikation von Symptomen nicht stehen, sondern versuchen, die Problematik eines Patienten auf mehreren Ebenen zu erfassen: welche Konflikte, welche Abwehr, welche Strukturebene liegen vor? Und was läßt sich daraus ablesen?

The next big milestone for ICD-10 is the 2018 Coordination and Maintenance Committee meeting in Baltimore. The two-day meeting covered the latest requests for diagnosis and procedure codes. Monitoring and reporting on the meeting during this edition of Talk Ten Tuesdays will be Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC and an ICD10monitor contributor.

Other segments to be featured on the broadcast include:

• News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and reports on the newly released Fourth Universal Definition of Myocardial Infarction. Dr. Field is the treasurer of the American College of Physician Advisors.

• Tuesday Focus: The American Medical Association has released its 2019 code changes. Reporting on this developing story is senior healthcare consultant Deborah Grider.

• Mental Health Report: Catherine Harrison-Restelli, MD, medical director for hospital services at Sheppard Pratt Health System, reports on Social Determinants of Health (SdoH), especially adverse childhood events and their impact on physical and mental health.

• Coding Report: Gloryanne Bryant reports on steps facilities should take to strengthen their coding and compliance programs, especially in the wake of the alleged upcoding at Providence St. Joseph health system.

There are 78,881 ICD-10-PCS codes for fiscal year 2019. Of these there will be 392 new codes; eight revision titles; and 216 deleted codes, according to nationally recognized coding authority Gloryanne Bryant, who reports our lead story during this episode. The files, recently released by the Centers for Medicare & Medicaid Services (CMS), and first reported by ICD10monitor, contain information on the ICD-10-PCS updates that all hospital inpatient coding professionals are to use for discharges occurring from Oct. 1, 2018, through Sept. 30, 2019.

• National Spotlight: Nonaccidental trauma (NAT): ICD10monitor contributor and Talk Ten Tuesdays co-host Erica Remer, MD, reports on a coding-clinical disconnect when documenting child abuse—a serious problem on many levels and a particular focus during this episode. Joining the discussion is Laura Hayman, RN, a clinical documentation integrity specialist with a Midwestern teaching facility which is a level 1 pediatric trauma center.
  
  
• Tuesday Focus – SDoH: Ellen Fink-Samnick, an award-winning industry expert and author, reports on one of the hottest topics in healthcare—the Social Determinants of Health.
  
  
• Talk Ten Tuesdays News Desk: Sherri Dumford, Director of External Affairs for the Healthcare Administrative Technology Association (HATA), reports on the X12 meeting in Florida. Chartered by the American National Standards Institute, the organization develops and maintains EDI standards that facilitate consistent electronic interchange of healthcare transactions.
  
  
• TalkBack: Talk Ten Tuesdays co-host Dr. Erica Remer reports on news coming out of the recent national conference of the American College of Physician Advisors.

Talk Ten Tuesdays. More than just talk.™

It's auditing season, and nationally recognized coding and documentation authority Terry Fletcher will be reporting on errors she is uncovering in a review of more than 1,000 records. During this episode, she shares her findings in the first of a four-part series on auditing issues in physician documentation. While maintaining that CPT® and ICD-10 coding does become less risky when documentation is done properly, she offers corrective actions one can to take to prevent negative payer audits.

Other segments featured in this episode include:

• News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and present the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors.
  
  
• CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reports on a holistic approach to documentation improvement versus a narrowly defined approach centering on diagnoses capture.
  
  
• Mental Health Report: Mental and behavioral disorders have recently taken a spotlight in the forefront with recent events, and coding of these disorders can sometimes be tricky, as Rhonda Buckholtz reports. Buckholtz is the Chief Compliance Officer for Century Vision, LLC.
  
  
• Talk Back: Dr. Erica Remer discusses the importance of teaching physicians clinical documentation.

Talk Ten Tuesdays. More than just talk.™

Are you hearing more about risk adjustment methodologies and Hierarchical Condition Categories (HCCs)? No doubt you are. That's because they impact coding, clinical documentation integrity activities and reimbursement. So what impact can you have on any of these issues? During this episode Marie A. Morin, director at Alvarez and Marsal Healthcare Industry Group LLC, reports on her experiences in assisting clients with risk assessment, coding and documentation practices.

Other segments featured in this episode include:

• News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and presents the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors.
  
  
• The Coding Report: Nationally recognized author and consultant Deborah Grider, a senior healthcare consultant with Karen Zupko & Associates, reports on coding trigger point injections for pain management. Trigger point injection therapy is used for the treatment of myofascial pain syndrome (MPS).
  
  
• Tuesday Focus: April is Child Abuse Prevention Month and ICD10monitor contributor Laurie Johnson, a senior healthcare consultant for Revenue Cycle Solutions, reports on using the ICD-10-CM Official Coding and Reporting Guidelines for the proper coding of child abuse and neglect—an epidemic which, according to the Center for Disease Control (CDC), accounted for 1,750 children expiring from abuse or neglect in 2016.

Talk Ten Tuesdays. More than just talk.™

Maligned and misunderstood, the Merit-Based Incentive Payment System (MIPS) is under assault, as industry experts are urging officials at the U.S. Department of Health and Human Services (HHS) to consider repealing the program.

Yet March 31 was when eligible clinicians were to submit their quality data by for the value-based reimbursement program. Delivering an update on MIPS during this episode is nationally recognized revenue cycle authority Lyman Sornberger, chief strategy officer for Capio Partners.

Other segments featured in this episode include:

• News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and presents the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors.
  
  
• Coding Report: Senior healthcare coding educator and consultant Laurie Johnson reports on the ICD-10 code proposals put forth during the recent Coordination and Maintenance Committee meeting.
  
  
• RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C.
  
  
• Type 2 Myocardial Infarctions: Dr. Erica Remer foregoes her usual TalkBack segment to help try resolve the latest confusion behind elevated troponins and Type 2 MI.

Talk Ten Tuesdays. More than just talk.™

Concluding interview/podcast with Carina Edwards from Nuance discusses ICD-10 delay client impact, importance of CLU tools, CLU integration in clinical workflow, and Nuance Healthcare's future market opportunities.

Carina Edwards provides an overview of Clinical Language Understanding, ICD-10 implications, EMR integration, and Nuance's partnership with 3M.

October 1, 2013 is less than 2 years away leaving healthcare providers faced with the daunting task of making the transition from ICD-9 to ICD-10. Many organizations have already started to prepare for the implementation while the majority have not begun any preparations until the deadlines looms closer. HIT Consultant recently spoke with Connie Tohara, Director of Health Information at University of Utah Hospital and Karen Ferrell, Director, Computer-Assisted Physician Documentation (CAPD) Solutions Marketing, Nuance Healthcare to share their thoughts on ICD-10 best practices. Also highlighted is the pilot project between 3M and Nuance Healthcare at University of Utah to utilize technology to provide more specificity and details for documentation. Key highlights of the second volume of this two part podcast series include: Preparing for Computer Assisted Coding Selection ICD-10 v. Meaningful Use Computer Assisted Physician Documentation Lessons Learned ICD-10 Project Management Final Thoughts

HIT Consultant interviews Connie Tohara, Director of Health Information at University of Utah Hospital and Karen Ferrell, Director of Solutions Marketing at Nuance Healthcare about ICD-10 best practices. This is part 1 of the 2 part series. Key highlights of the first volume of this two part podcast series include: Role of Transcription Correlation between Transcription and Coding Pilot project between 3M and Nuance Healthcare Overview & Benefits of Computer Assisted Coding & Computer Assisted Physician Documentation