Series 1 of Many- Coding Fracture in ICD-9 VS ICD-10 © Copyright Acucare Health Strategies, Inc. All Rights Reserved.

Slides:



Advertisements
Similar presentations
Copyright © 2012 Siemens Medical Solutions USA, Inc. All rights reserved. Innovations ‘11 A914CX-HS C1-4A00.
Advertisements

Mayrene Hernandez, DO Advanced ProMed Inc. Billing and Management Solutions Board Certified in Family Medicine Clinical Assistant Professor for NSU.
Risk Adjustment Hierarchical Condition Categories (HCC Coding)
The Caregiver Journey The Caregiver Journey “When one is sick, two need help”
The Four Pillars. Four Pillars Medication Self-Management Medication Self-Management Patient Centered Health Record Patient Centered Health Record (PHR)
WHAT IS THE PURPOSE OF ICD CODING? Presented by: Tracy D’Errico, RHIA Director HIM Department.
 Diane Datz, RN, MA  Hospice Program Director  HealthCare ConsultLink 
Project Objective To enhance the system of care for atrial fibrillation that not only reduces system costs, but improves the experiences of both patients.
Why it is important and how it affects you as a physician. Jeni Smith, CPC.
Kids’ Inpatient Database: Empowering Scientific Discovery Jay G. Berry MD MPH Complex Care Service, Cerebral Palsy Program, Program for Patient Safety.
Disability, Frailty and Co-morbidity Gero 302 Jan 2012.
1 Drug Utilization for Immediate- and Modified Release Opioids in the U.S. Gianna C. Rigoni, Pharm.D., M.S. Epidemiologist Division of Surveillance, Research.
ICD-10 Getting There….. Radiology. What Physicians Need To Know Claims for ambulatory and physician services provided on or after 10/1/2015 must use ICD-10-CM.
Journal Club Alcohol, Other Drugs, and Health: Current Evidence November-December 2007.
Azara Proprietary & Confidential Controlling High Blood Pressure 2014 Measure Changes Improving Patient Outcomes through Data.
Hospitalizations for Severe Sepsis Among Elderly Medicare Beneficiaries William Buczko, Ph.D. Research Analyst Centers for Medicare & Medicaid Services.
Surveillance of Heart Diseases and Stroke Using Centers for Medicare and Medicaid (CMS) Data: A Researcher’s Perspective Judith H. Lichtman, PhD MPH Associate.
Module 5 Postanalytical Phase of Laboratory Testing.
QUALITY DATA: CODING GUIDELINES BIO 312 E Erin Frankenberger & Michelle Wisniewski.
72 yr old female admitted to facility late Friday afternoon from acute hospital after fall at home. In hospital she had Rt. hip surgery 2 days ago. Other.
Clinical Documentation Improvement CDI. Why? Your documentation reflects the patient in the bed, the necessity of clinical diagnostics, the need for continued.
Unity Point Palliative Care Services
The Macstrak Project ER Case Studies The following is a series of case studies to review different patient types and how they are captured on the form.
1 The San Diego Readmissions Summit February 5, 2015.
Guidelines Most Significantly Affected Under ICD-10-CM
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 4 Electronic Health Records in the Hospital Electronic Health.
Specific Aim 1: Determine the impact of psychiatric disorders on the hospital length of stay (LOS) in pediatric patients diagnosed with SCD admitted for.
Mental and Behavioral Disorders 1. Mental, Behavioral and Neurodevelopment Disorders (F01- F99)  Codes in this chapter include disorders of psychosocial.
 Major burden on health system.  Costs about $ 15B annually.  Percentage occurrence ≈ 20%
Utah Emergency Medical Service Discharges Attributed to Opiate Use For Record Years
What is Clinical Documentation Integrity? A daily scavenger hunt.
Overview of Coding and Documentation. Initial Steps Evaluate and monitor the patient Treat the patient Document the service Code the service.
The Transition to What you need to know for Endocrinology Date | Presenter Information.
The Transition to What you need to know for Nephrology Date | Presenter Information.
Risk Assessment Farrokh Alemi, Ph.D.. Session Objectives 1.Discuss the role of risk assessment in the TQM process. 2.Describe the five severity indices.
The Minnesota Falls Prevention Initiative Falls Preconference Session August 20, 2007 Kari Benson, Minnesota Board on Aging Pam Van Zyl York, Minnesota.
Delirium Literature Update 10/2011 N.J. O’Dorisio.
Improving general hospital care for people with dementia: why, how and with whom? Nye Harries DH SW.
The Transition to What you need to know for Infectious Disease Date | Presenter Information.
Studying Health Care: Some ICD-10 Tools Hude Quan, Nicole Fehr, Leslie Roos University of Calgary and Manitoba Centre for Health Policy.
ICD-10-CM: PRL Training Session 8 Practice Resources, LLC 2015.
Incorporating Telemedicine (TM) to Reduce the Rates of Rehospitalizations in the Chronic Heart Failure (CHF) Population Roshini M. Mathew RN, BSN, Erica.
Health Network Ensuring continuity of care through bridge case management.
WEIGHT GAIN AND PROTEIN MAINTENANCE IN DEBILITATED NURSING HOME ELDERLY Y. LEVINSON, T. DWOLATZKY, A. EPSTEIN, B. ADLER, L. EPSTEIN NEVE SIMCHA GERIATRIC.
Copyright © 2016 McGraw-Hill Education. All rights reserved. No reproduction or distribution without the prior written consent of McGraw-Hill Education.
Advance Care Planning Unit 8: Advance care planning and the challenge of dementia.
GERIATRIC EDUCATION SERIES Presented in partnership by Funded in part by a grant from the EJC Foundation.
DOCUMENTATION FOR MEDICAL STUDENTS Balasubramanian Thiagarajan.
THE UNITED STATES HEALTH CARE SYSTEM Combining Business, Health, and Delivery CHAPTER Copyright ©2012 by Pearson Education, Inc. All rights reserved. The.
만성질환자 관리 : 재활 세브란스병원 간호부장 김 현 옥.  Political Trends  Economic Trends  Demographic Trends  Technological Trends  Societal Trends  Professional Organization.
Malnutrition is common in US hospitalized patients In 2010, approximately 1.2 million hospitalized patients over the age of 18 had.
/ ©2015 NAVIGANT CONSULTING, INC. ALL RIGHTS RESERVED 1 TERRANCE GOVENDER MD CLINICAL DOCUMENTATION INTEGRITY.
Ventilator-associated Pneumonia Among Elderly Medicare Beneficiaries in Long-term Care Hospitals William Buczko, Ph.D. Research Analyst Centers for Medicare.
International Classification of Diseases, Tenth Revision, Clinical Modification 1.
R. Papani, A. G. Duarte, Y-L. Lin, G. Sharma
Update to EPM changes Proposed rule changes announced in August:
Cindy Hatton President & CEO Susan Levitt V.P. Clinical Services/COO
WHO Collaborating Centre in Calgary, Canada
Geriatrics Curriculum to Model Characteristics of the
THE APPLICATION OF TELECARE FOR PATIENTS WITH CARDIOVASCULAR DISEASE
Presented by Joe Nichols MD Principal – Health Data Consulting
Recently Diagnosed vs Chronic HF Associated with Better Outcomes
NSG 5003 Enthusiastic Studysnaptutorial.com
Care of the Elderly and Cultural Competence
The Medical Coding System
Guidelines for the Older Adult With CKD
Age Friendly Places – Healthcare Sector
Quality Improvement Projects
DRG and Code Reconciliation – CDI and HIM Coding Teamwork
Case 5 Revision surgery after pertrochanteric fracture
Presentation transcript:

Series 1 of Many- Coding Fracture in ICD-9 VS ICD-10 © Copyright Acucare Health Strategies, Inc. All Rights Reserved

 Mrs. K is a 60 year old female with Alzheimer’s dementia. She trips over a throw rug, falls to the ground, and has immediate hip pain. She is admitted to the hospital and diagnosed with a right intertrochanteric hip fracture. She is prescribed non-surgical management of the fracture and is discharged with orders for home PT and OT. Her co-morbidities include chronic systolic congestive heart failure and chronic atrial fibrillation for which she is prescribed an anticoagulant. A stage I pressure ulcer is noted on the patient’s sacrum at Start of Care.  Upon reviewing the patient’s record, the administrative clinician determines that the fracture description is insufficient. A call is placed to the physician to verify that the patient’s fracture is non-displaced. The field clinician also verifies that the patient was diagnosed with Alzheimer’s disease when she was age 55, which classifies her condition as early onset. © Copyright Acucare Health Strategies, Inc. All Rights Reserved

Contact us to unlock information

 ICD-10 includes more combination codes ◦ Coding this scenario in ICD- 9 uses 12 codes; ICD- 10 describes the patient’s condition in 8 codes. Note that specific types of CHF no longer require two codes. This allows the top 6 diagnosis slots to be utilized more effectively  The vast increase in new codes indicates the greater specificity of the new code set, and selecting the correct code will become more complex than ever ◦ There are approximately 68,000 codes in ICD- 10 versus 14,000 in ICD- 9 ◦ ICD- 10 codes may be up to 7 characters long and contain numbers and letters, including the placeholder x © Copyright Acucare Health Strategies, Inc. All Rights Reserved

Contact us to unlock information © Copyright Acucare Health Strategies, Inc. All Rights Reserved

Contact us to unlock information

© Copyright Acucare Health Strategies, Inc. All Rights Reserved This was just a preview! How does the ICD-9 and ICD-10 coding differences impact your clinical and financial outcome? Care to find out More ?

Feedback: Privacy Policy Feedback
Do Not Sell My Personal Information
About project: SlidePlayer Terms of Service

© 2025 SlidePlayer.com. Inc. All rights reserved.