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About the ICD-10 Hub

6 Responses

1. Isabelle, on August 5, 2013 at 2:05 PM said:

   Good ME-P

   This is a good resource – thanks for sharing.

   Isabelle

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2. Ann Miller RN MHA, on September 23, 2013 at 7:15 PM said:

   Top 20 ICD-10 Twitter Accounts to follow

   1.Steve Sisko, @Shimcode
   2.Brad Justus, @Brad_Justus
   3.the American Health Information Management Association, @AHIMAResources
   4.ICD10Watch.com, @ICD10Watch
   5.Precyse, @PrecyseTweets
   6.3M, @3MHISNews
   7.Optum, @OptumCoding
   8.Jim Denny, @J_Denny
   9.Nuance Healthcare, @NUAN_Healthcare
   10.Jeff Clark, @JeffClarkCT
   11.Kathy McCoy, @KathyMcCoy
   12.Dorothy Trottier, @MedSpecBiller
   13.Elsevier Revenue Cycle eLearning, @ICD10Online
   14.Medical Reimbursement, Inc., @MedReimburse
   15.ICD-10 Hub, @ICD10Hub
   16.Ken Bradley, @Ken_Bradley
   17.WEDI, @WEDIonline
   18.Perficient, @Perficient_HC
   19.Hospital Review, @HospReviewMag
   20.ICD-10 Monitor, @ICD10_Monitor

   Source: Kolendria Fannon
   Source: Healthcare Finance News
   Source URL: http://www.healthcarefinancenews.com/news/20-icd-10-tweeters…
   via Ann Miller RN MHA

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3. Patient Jennie, on June 25, 2014 at 11:43 AM said:

   More on ICD-10

   Medical billing errors are rampant now. Just imagine what they will be when everything from a hangnail caused by skateboarding are coded by bureaucrats in government and the insurance industry.

   They are now attempting to code every possible malady and circumstance that an anal-retentive personality can imagine. Government thinks there can be a form with a checkbox for every circumstance. If there is no checkbox, then your situation does not exist, in their world. They live in a form/checkbox world. Government believes it can pigeonhole life and employees won’t have to think outside the box, so to speak.

   It is absolutely infuriating to deal with government or businesses with a government mentality because if you do not fit into their perception of the world via a form tabulated by them, then there is nothing they can do for you.

   Oh dear, I am already frustrated and discombobulated by the thought.

   Patient Jennie

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4. Ann Miller RN MHA, on March 21, 2015 at 4:30 PM said:

   ‘Doc Fix’ Bill Would Overhaul Health IT Policy, Too

   The bill just introduced to replace Medicare’s sustainable growth-rate formula for physician pay would also significantly alter federal policy on health information technology.

   Lawmakers avoided making any changes to the timeline for requiring the industry to switch to ICD-10 diagnostic and procedure codes. Last year’s temporary “doc fix” included a stealthily added delay of the conversion.

   But, the legislation’s merit-based incentive payment system would fundamentally change the government’s program promoting the adoption and “meaningful use” of health IT. Under the current program, failure to meet meaningful-use requirements would trigger penalties beginning this year. Under the SGR bill, meeting the standards would yield a bonus.

   Source: Darious Tahir, Modern Healthcare [3/19/15]

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5. Dreama Sloan-Kelly MD CCS, on April 24, 2015 at 3:08 PM said:

   More on ICD-10

   Recently I opined about documentation and ICD-10 with a generalized overview about how ICD-10 will change documentation in the medical record forever. This is not necessarily a bad thing — what I love about ICD-10 is its specificity, it actually reflects what is occurring in the clinical setting.

   Now, I am going to delve deeper into documentation and ICD-10 and talk about the specifics of what needs to be documented clinically to support the most specific ICD-10 code. I say this every time I speak about ICD-10 and I will say it until everyone hears my mantra: specificity in documentation is the key — remember, it is rumored that payors tier their reimbursements based on the specificity of the ICD-10 code chosen, don’t get caught on the losing end with shaved reimbursements due to lack of training.

   What specific areas need to be documented to support the most specific ICD-10 code:

   • Laterality: The provider needs to state if the problem is on the right, left or if it is bilateral. In the past we were only concerned about this in regards to CPT codes, now it is an issue in regards to the diagnosis codes. For example, otitis media is coded based on which ear is affected along with other factors. As a whole, doctors are great about documenting laterality, but if you notice they are not and there is a code that requires it, point it out to the provider and train them to be specific. I always say if it has two parts that can be delineated based on left, right, or both — document it as such.

   • Acute vs. Chronic: This is the one area doctors are not great about documenting, but it makes a huge difference in choosing an ICD-10 code — stress to your providers to get into the habit of stating if the problem is acute, chronic, or subacute. Ask the provider to define what those terms mean to him or her. I often state that if the patient has had 3 months or less of symptoms it is acute, more than 3 months it is chronic.

   • Episode of Care: This really comes into play when dealing with fracture care — the doctor must make it clear if this encounter was the initial encounter, subsequent encounter, or sequelae. Yes, this information can often be deduced from the medical record itself but I always train my providers to be as complete as possible to leave no room for error.

   • Tobacco Use: Many codes require past or current exposure to tobacco smoke to be coded along with the primary diagnosis code. This requirement makes it imperative that the provider document a thorough social history and bring it forward on each visit. Examples of diagnosis that require tobacco information are hypertension and sinusitis.

   • Age: Some codes are broken down based on age so it is important that the note clearly denotes the patient’s age. Some doctors are good about restating the patient’s age in the HPI, others are not — as long as it is noted somewhere in the medical record that is enough information to choose the appropriate code when age is a factor.

   • Type of Healing: Again this will be a big issue in regards to fracture care. ICD-10 codes want to know if it is normal healing, delayed healing, or malunion of the fracture. This is a huge departure from current documentation standards so it is imperative that doctors are made aware of this now, so they can get into the habit of documenting this information way before the implementation date

   After reading all of this you are probably grasping your chest feeling like getting ready for ICD-10 will be a painful, and arduous task — that will not be the case at all. With just a little bit of training, and practice, your providers and support staff will be ICD-10 ready way ahead of the implementation date.

   Dreama Sloan-Kelly MD CCS

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6. Ann Miller RN MHA, on October 4, 2015 at 3:02 AM said:

   Just When You Thought it was Safe, ICD-11 Looms for 2018

   DREAMA – At Security Health Plan, a 230,000-member payer owned by Marshfield Clinic in Wisconsin, the impact of ICD-10 won’t be felt immediately. Security received its first claims files the evening of Oct. 1 for services provided earlier that day, said Sara Foemmel, the plan’s claims operations director. Few hiccups are expected. “We’ve tested a tremendous amount with all of the providers,” Foemmel said.

   But in 2018 comes ICD-11. Foemmel said her colleagues have just discussed the new codes, which are in beta testing now. “We just want to get through ICD-10 in the first couple of months, and then we’ll get a game plan for ICD-11 once more information is released,” Foemmel said.

   Source: Joseph Conn and Bob Herman, Modern Healthcare [10/2/15]

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