ICD-10-CM/PCS TIP. Audience: Payers/FinanceConduct a business impact and assess the impact on future reimbursementIdentify, pursue and collaborate with providers who generate the highest volume of claimsEach organization needs to perform their own assessment or gap analysis even if governmental a
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1. ICD-10-CM/PCS TIP
Medical Terminology/Terms need to be accurate even in the registration/admitting process.
Learn the basics of ICD-10-CM/PCS, the who, what, where, when and why
2. ICD-10-CM/PCS TIP Audience: Payers/Finance
Conduct a business impact and assess the impact on future reimbursement
Identify, pursue and collaborate with providers who generate the highest volume of claims
Each organization needs to perform their own assessment or gap analysis even if governmental analysis states the impact will be low
Involve Decision Support staff early to assist with analysis and reporting
3. ICD-10-CM/PCS TIP Audience: CDI
Focus on specific documentation improvement efforts that will directly impact ICD-10-CM/PCS code assignment.
Update physician query forms/templates NOW and make sure you have a tracking process for queries.
Become aware of ICD-10-CM/PCS and what it means to our organization and what is means to patient care! 3
4. ICD-10-CM/PCS TIP Audience: HIM/Coding
Guidelines are similar to ICD-9-CM – overcome the fear
Change is good, good for healthcare
ICD-10-CM/PCS will help improve patient data which will help improve patient care
With ICD-10-PCS the classification is suited for and with the technology or today and in the future
The ICD-10-CM Disease index terminology is more is more specific and up to date
5. ICD-10-CM/PCS TIP Audience: Physicians
Healthcare is driven by clinical data; the data comes from the codes; which come from the documentation in the medical record.
ICD-10-CM/PCS offers a great opportunity for improved clinical data which has a wide-range of impact and benefits including but not limited to clinical research, outcomes, reimbursement and quality of care.
ICD-10-CM is similar to ICD-9-CM but with greater expansion and specificity.
6. ICD-10-CM/PCS TIP Audience: All
ICD-10-CM/PCS is important to our healthcare system as it will allow greater clinical data capture
Clinical data is needed and used throughout healthcare for pay for performance, quality, legal aspects, regulatory, reimbursement, research and outcomes.
Many departments will be impacted and we are planning and preparing for this transition …. together !
Become aware and obtain basic educational information on ICD-10 by accessing the following website: www.XXXXXX (fill in your organizations website address)