CODING AND ICD-10-CM/PCS GUIDE2015
JOURNAL AHIMA OF 2015 | RESOURCE GUIDE CODING AND ICD-10-CM/PCS GUIDE 2015 Journal of AHIMA April 15 / 71 CONTENTS 3M Health Information Systems................................................. 73 Henry Schein MicroMD............................................................. 81 Administrative Consultant Service, LLC. . .................................... 73 H.I.M. On Call.......................................................................... 79 AHA Central Office................................................................... 74 HRS........................................................................................80 Amphion Medical Solutions....................................................... 74 IMEDX.....................................................................................80 Care Communications............................................................... 73 IOD Incorporated...................................................................... 81 Career Step............................................................................. 75 Kiwi-Tek..................................................................................84 Channel Publishing................................................................... 75 Maxim Healthcare Services, Inc.. ...............................................83 Cymetrix . . ................................................................................ 76 MedData, Inc...........................................................................85 DocuCoders............................................................................. 76 MLT Medical Coding, Inc........................................................... 82 eCatalyst Healthcare Solutions, Inc... ......................................... 76 Ovation Revenue Cycle Services................................................86 Elsevier Clinical Solutions.........................................................77 Practice Management Information Corporation (PMIC).................82 First Class Solutions. . ...............................................................77 Precyse Solutions. . ................................................................... 82 Flash Code Solutions, LLC.. ....................................................... 78 Professional Data Management Group, Inc... ...............................83 FutureNet Technologies Corporation.......................................... 78 RecordsOne............................................................................. 87 Healthcare Cost Solutions......................................................... 81 Stat Solutions..........................................................................83 Health Information Associates................................................... 79 SuperCoder, The Coding Institute..............................................88 April 2015 / CODING AND ICD-10-CM/PCS GUIDE Administrative Consultant Service, LLC 3M Health Information Systems is a global provider of medical records coding, terminology, and reimbursement solutions designed to improve clinical and financial performance. Our innovative software and consulting services focus on solutions for clinical documentation improvement (CDI), computer-assisted coding (CAC), ICD-10 education, and outsourced coding and CDI services. The 3M™ 360 Encompass™ System is a powerful CAC and CDI tool—automated intelligence for documentation improvement and coding built on trusted logic and methodologies for linking clinical and financial data. It connects and automates both coding and documentation improvement—two of the most critical issues related to ICD-10. • Revenue Cycle Management • ICD10 Preparation and Training • Clinical Documentation Improvement • Hospital Chargemaster Reviews • Inpatient/Outpatient Audit Services • Appeals Process/Investigation Expert Witness • Recovery Auditor Appeals • Appropriate use and billing of Observation Services • Physician (RBRVS) Reimbursement 678 Kickapoo Spur, Shawnee, OK 74801 405.878.0118 www.acsteam.net Care Communications is a nationally recognized, award-winning HIM leader. CARE offers focused, effective and comprehensive HIM services for hospitals and medical practices, including: • ICD-10 planning, education and implementation • Coding quality and clinical documentation improvement and education • Temporary coding staffing • Coding compliance services • Interim coding management • Complete coding outsource Awarded Supplier of Novation Care Communications, Inc. 800-458-3544 3M Health Information Systems Phone: 800-367-2447 E-mail: [email protected] www.3Mhis.com [email protected] www.carecommunications.com 73 74 CODING AND ICD-10-CM/PCS GUIDE / April 2015 CODING ADVICE FROM THE CODING EXPERTS print digital SEE OUR DISPLAY AD ON THE INSIDE BACK COVER. April 2015 / CODING AND ICD-10-CM/PCS GUIDE 75 You asked for ... AFFORDABLE ICD-10 Take Control of Your Coding Needs ... we delivered!!! Channel Publishing, Ltd. ICD-10 PRODUCTS 2015 ICD-10 CODE BOOKS • 2015 Enhanced Generic ICD-10-CM — Only $69.95 • 2015 Enhanced Generic ICD-10-PCS — Only $59.95 2016 ICD-10 CODE BOOKS • 2016 ICD-10-CM, The Educational Annotation of ICD-10-CM (Available September 2015) Includes all Enhanced features, plus: COLOR highlighting, Definitions and Illustrations, Anatomy and Physiology Reviews, MS-DRG, MCE, AHA notations ... and more! • Annual Version (Paperback) — July Sale $55.95 • SoftCover Version (Loose-leaf, 3-hole punched pages, updateable yearly) — July Sale $59.95 Career Step offers the planning and education resources required to build the long-term coding education strategy you need to be successful through ICD-10 and beyond! • Future Updates: 30% below new book reg. price • 2016 ICD-10-PCS, The Educational Annotation of ICD-10-PCS (Available September 2015) Includes all Enhanced features, plus: COLOR highlighting, Definitions and Illustrations, Anatomy and Physiology Reviews, MS-DRG, MCE, AHA notations ... and more! • Annual Version (Paperback) — July Sale $45.95 • SoftCover Version (Loose-leaf, 3-hole punched pages, updateable yearly) — July Sale $49.95 • Assess retention of ICD-10 education • Reinforce ICD-10 training gaps through online, webinar, and onsite training • Future Updates: 30% below new book reg. price • Prepare physicians for ICD-10 documentation • Transition existing coders to inpatient or specialty coding • Provide new coder training in I-9 or I-10 • Hire Career Step medical coding graduates See why some of the largest names in healthcare have chosen Career Step as their EDUCATIONAL PARTNER. corporatetraining.careerstep.com 1-888-989-7512 ICD-10 TRAINING — SEMINAR-IN-A-BOX • Learning ICD-10-CM (DVDs, CM book, Workbook) • Professional Version: Designed to teach others • Individual Version: Teach yourself (12 CEUs) • Learning ICD-10-PCS (DVDs, PCS book, Workbook) • Professional Version: Designed to teach others • Individual Version: Teach yourself (20 CEUs) ICD-10 TRAINING — EXERCISE BOOKS • • • • • 2015 Mastering ICD-10-CM Exercise Book 2015 Mastering ICD-10-PCS Exercise Book 2015 Mastering ICD-10-CM Guidelines Exercise Book 2015 Mastering ICD-10-PCS Guidelines Exercise Book The Last Word on ICD-10 Channel Publishing, Ltd. 1-800-248-2882 FOR DETAILS AND ORDERING INFORMATION, VISIT: www.channelpublishing.com JS10045-CBG SEE OUR DISPLAY AD ON PAGE 43. 76 CODING AND ICD-10-CM/PCS GUIDE / April 2015 Optimize Your Revenue Cycle As a leader in providing comprehensive revenue cycle management solutions, our coding professionals are AHIMAcredentialed, experienced and monitored to ensure high accuracy. Our HIM Solutions include: Clinical Coding Documentation Integrity Consulting Services Department Outsourcing Framing the Future of HIM The most important element of our service philosophy is unrelenting client focus. Our success depends entirely on how we serve you.” Chris Meyers, CEO eCatalyst was built on the foundation of knowledge, expertise, and visionary HIM leadership. We deliver the right people, processes, and professional service to our clients, on-time and within budget – guaranteed. 800.308.4940 www.cymetrix.com Remote Coding • Hospital and professional • Backfill, ICD-10 support, complete department outsourcing Code Auditing DocuCoders ® Outsource Remote Coding Specialists • ICD-9, ICD-10, professional • Audit your dual coding eforts • DRG, MS-DRG, APC, inpatient and outpatient ICD-10 • Planning, education and implementation • Computer Assisted Coding (CAC) implementation • Revenue integrity post go-live Strategic Consulting • HIM workflow analysis and operational assessments At Your Service! • Strategic consulting • Interim HIM and coding leaders www.docucoders.com 850.213.3153 eCatalyst brings together the best coding and audit experts to drive significant results for your HIM department and your bottom line. 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ICD-9 Coding ICD-10 Assessment, Training and Testing ICD-10 Practice Environment Clinical Documentation Improvement Regulatory Compliance Reimbursement Contact us today to get started on your customized training plan. So much depends on it. Cortrak Standard Includes scanning capabilities which are tied to request Cortrak Plus Includes scanning capabilities which are tied to request, utilizes Microsoft® SQL Server Our ICD-10 Services Awareness Education – Management & Physicians Dual Coding Validation Documentation Deficiency Reviews DRG Shift Analysis www.icd-10online.com (866) 429-3067 800-274-1214 www.FirstClassSolutions.com www.Cortrak.com SEE OUR DISPLAY AD ON PAGE 39. 78 CODING AND ICD-10-CM/PCS GUIDE / April 2015 Who Cares? Who cares how coding and transcripton services affect your report quality, patent care, physician satsfacton, and billing? We do … and that’s what makes us different. Call today to learn how FutureNet cares for how you care for healthcare. 100% Certfied Coding Services Team Flexible, fast & accurate ICD-9/ICD-10 100% Domestc Transcripton Services Top ter KLAS ranked performance Low Cost Pricing With No Hidden Fees Free mobile apps, interfaces & e-sign Stage 2 Inpatent & Ambulatory EHRs Powerful NLP, CAC & CDI tools for MU 20 Years With Same Management Team Stable firm delivering flexible solutons 800.200.5440 5440 www.FNEHR.com April 2015 / CODING AND ICD-10-CM/PCS GUIDE takes coding on a new path. W E K N O W W H AT M AT T E R S . Q U A L I T Y. S E R V I C E . P E AC E O F M I N D. IT’S ABOUT THE PEOPLE BEHIND THE NUMBERS. THEY’RE WHAT MAKE THE DIFFERENCE H.I.M. ON CALL knows the way. Address coder shortages Eliminate coding backlogs Improve code quality Manage financial impact Make H.I.M. ON CALL your permanent resource for all of your coding needs! For more than 20 years, HIA has been committed to quality in everything we do, from the training of our staff, to relationships with our clients. As a result we’ve become a leading provider of coding and review services. We have made it a point to get beyond the numbers game and create a culture built on inclusiveness and encouragement; it’s about nurturing relationships with both our clients and our employees. Compliance Reviews · Education · Coding Services New ICD-10 Direction, New ICD-10 Team Meet them all here! himoncall.com/leadership 866-HIA-CODE | hiacode.com SEE OUR DISPLAY AD ON THE INSIDE FRONT COVER. 79 80 CODING AND ICD-10-CM/PCS GUIDE / April 2015 Choose experience. Choose excellence. Choose HRS. Remote Coding Solutions Domestic, international or hybrid options Temporary staff or complete outsource Dual coding – Hospital & Professional Coding Quality Reviews DRG – MS-DRG – APC – Inpatient – Outpatient ICD-10 – Dual coding – Compliance education Hospital & Professional Strategic Consulting Clinical documentation gap analysis CDI program tune-up – Change management Workflow analysis – HIM operations evaluation ICD-10 Readiness Documentation audits – Dual coding reviews End-to-end test coding Gap analysis – Readiness assessments Coder and non-coder training AHIMA-approved ICD-10 trainers 800.329.0365 www.HRScoding.com Bringing Precision to the Process At iMedX, we understand the growing complexity resulting from the changes in healthcare coding requirements. We can help by ensuring that your receivables are not negatively impacted by any coding delays. Our Coding Services Cover: • Same Day Surgery • Acute Care • Inpatient • Observation • Clinics • Emergency Department • All Ancillary Departments • Home Health & Hospice The training time and learning curve required by ICD-10 will require a trusted business partner to keep the unbilled accounts in line with your goals. Prepare in advance, and partner with iMedX to secure resources that will fex with your needs. Learn more about iMedX at imedx.com or give us a call at 404.418.0096 April 2015 / CODING AND ICD-10-CM/PCS GUIDE Healthcare Audit Resource Technology Database solutions for the ever-changing environment of the External Audit • CodingAuditsinICD-9andICD-10: MS-DRG/APR-DRG/APC/HCC/LTAC • MedicalNecessityReviews • RACReviewsandAppeals • ChargeDetailAudits • PACTValidationAudits • RemoteCoding:ICD-9andICD-10 • HIMInterimManagement • OnlineICD-10Tutorials Optimizing Your Rightful Reimbursements HealthcareCostSolutions,Inc. Newport Beach, CA 92660 866.427.7828 / 949.721.2795 www.hcsstat.com SEE OUR DISPLAY AD ON PAGE 46. Henry Schein MicroMD 760 Boardman-Canfeld Rd. Boardman, OH 44512 800-624-8832 micromd.com Henry Schein MicroMD provides simple yet powerful Practice Management and EMR solutions with functionality, tools and training to assist with your ICD-10 transition. 81 82 CODING AND ICD-10-CM/PCS GUIDE / April 2015 ONE SINGLE SOLUTION PRECYSE — TRANSFORMING COMPLEX WORKFLOWS INTO PRODUCTIVE OPERATIONS • ONE and only frm to receive 100% positive comments from clients about it’s ICD-10 services* • ONE integrated platform for inpatient and outpatient CAC and CDI • ONE expert team to empower your HIM, coding and CDI innovation * “ICD-10 CONSULTING: ROADMAP TO A SUCCESSFUL TRANSITION.” DECEMBER 2012. © KLAS ENTERPRISES, LLC. ALL RIGHTS RESERVED. WWW.KLASRESEARCH.COM WWW.PRECYSE.COM | 1-866-PRECYSE April 2015 / CODING AND ICD-10-CM/PCS GUIDE Keep using your current ICD-9 sofware and keep getng paid. It is no surprise that Diagnosis Billing Codes are changing — upgrading your Billing System to ICD-10 can be costly. Make Maxim your HIM Partner! We offer customized solutions including: • Remote and on-site coding support • Auditing services • Clinical documentation improvement • HIM departmental outsourcing • Facility wide ICD-10 training Maxim provides only the highest quality HIM talent and services to help you achieve your HIM goals. Take advantage of our expertise and call us today! Delivering Results, Growing Careers EAST 866-265-0589 WEST 866-316-8773 www.maximhealthinformationservices.com Are you ready? We have a simple, cost-efectve soluton that will ensure that you keep getng paid in the upcoming ICD-10 environment while using your current ICD-9 Medical Billing System. No need to upgrade your entre system to ICD-10 — untl you’re ready. FOR MORE INFORMATION Visit our website at PDMG.com to see how you can keep getng paid while using your current ICD-9 Medical Billing System. Be ready with PDMG Stat Solutions, Inc. is a highly respected coding company focusing our efforts on providing the highest level of quality credentialed HIM professionals along with the finest personalized customer service. *Onsite or Remote Coding *Coding Quality Reviews *Interim HIM Management For more information please call us 888-297-7212 [email protected] www.statsolutionsinc.com 83 84 CODING AND ICD-10-CM/PCS GUIDE / April 2015 Your Coding Solution iS JuSt a CliCk awaY kiwi-tek.com om • Faster Turnaround • Optimal Compensation • Cost-Efective BPO KIWI -TEK™ can deliver the best coding solutions tailored to your specifc workfow with guaranteed quality and turnaround times. We are committed to providing fast, accurate remote coding for any healthcare • Quality Focused • ICD-10 Certifed • Maximum Compliance provider, in any location, for any patient type. And, to provide you with the most cost-efective options, we ofer domestic and international coding experts. 8900 Keystone Crossing, Suite 1095, Indianapolis, IN 46240 Phone: 317-571-3440 | Toll-Free: 866-709-5494 April 2015 / CODING AND ICD-10-CM/PCS GUIDE ICD-10 Y93.D Activities involving arts and handcrafts You’ve got to draw the line somewhere. ICD-10 has been drawn out until October 2015. But that doesn’t mean you should lie around waiting until then. Take advantage of the extra time and improve your cash flow by getting proactive with your revenue cycle. Discover how MedData can help your organization boost revenue from patient payments by 50%. CALL TODAY! 800-835-7474 meddata.com/ahima SEE OUR DISPLAY AD ON THE BACK COVER. 85 86 CODING AND ICD-10-CM/PCS GUIDE / April 2015 Anxious About ICD-10? We Code with Confdence. Ovation Coding Services is built on the foundation of continuous quality improvement and combines Outsourced Coding, Quality Audit Services and Intelligent Coding Analytics to create the ultimate coding solution. The result is zero coding backlog, guaranteed quality, reduced costs, and eliminates worry over coding resources, or shortage-driven cost increases. Outsourced Coding 2000+ dedicated FTE coding team 4 million+ charts per month | 48 hour turnaround Quality Audit Services Ensure completeness of coding and assignment of proper codes Intelligent Coding Analytics 100% automated analysis of every chart Developed, implemented and tested at UPMC revenue cycle operation. Ovation’s services automate manual processes, streamline workfows, and ensure healthcare providers are paid quickly and accurately. Code with Confdence. Contact us: 412.432.5697 or www.ovationrcs.com. SEE OUR DISPLAY AD ON PAGE 7. 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