ICD-10 Compliance : Process Improvement and Maintenance for Long-Term Care

Format:

Book

Author/Creator:

McCarthy, Maureen, author.

Breese, Kristin, author.

Language:

English

Subjects (All):

Long-term care facilities.

Health services administration.

Physical Description:

1 online resource (320 p.)

Other Title:

ICD-10 Compliance

Place of Publication:

HCPro, a division of BLR

Summary:

Is your long-term care facility prepared to implement ICD-10 coding? Between the additional specificity required for code selection and the substantial increase in the number of codes, developing efficient processes is imperative to managing the increased workload.Train your staff now to ensure that effective and compliant processes are in place with ICD-10 Compliance: Process Improvement and Maintenance for Long-Term Care. This book focuses on process improvement before and after the October 1 implementation date. It highlights areas facilities can improve, including collaborating with physicians on documentation accuracy, working with vendors, analyzing revenue risks, claim reviews, and audits. It will help facilities continually monitor their processes to ensure everything is running smoothly.This resource provides:Various examples of effective processes that SNFs can integrate, including specific rationale behind each optionExplanations on what could potentially prevent paymentsGuidance on how to ensure physician documentation accommodates ICD-10 codingEducation on how to code new encountersDual-coding examplesDirection on how to untangle vendor issues to protect SNF Medicare dollarsTable of ContentsChapter 1: Introduction to ICDWhy ICD-10?Benefits of Implementing the ICD-10 Coding SystemChapter 2: Planning the Transition to ICD-10How to Get StartedCritical TasksCoding ImpactHow Would an Organization Finish the Transition if They Started?Chapter 3: Determining the Impact on OperationsDetermine Implementation Impact--Internal vs ExternalEstablishing a Transition PlanChapter 4: Budgeting for the ICD-10 TransitionBudgetary Impact--Implementation CostsPredictive BudgetingChapter 5: Organizational Implementation/Transition PhaseTraining the Facility Coding StaffPreparing the SNF Physician for the TransitionValue of Adoption of ICD-10-CMAssigning ICD-10 CodesDischarge Summary ExamplesTesting PhaseChapter 6: Claims Processing and AuditingRole of the MAC in Claims Edits and EducationGeneral Claims Submissions and Edit Information for All MACsAuditing for Valid Appropriate ICD-10 CodesFree or Low-Cost ResourcesChapter 7: Auditing and Tracking ToolsAuditing Claims for ErrorsTriple-Check Policy s GuideSection 1--Mapping and the GEMsSection 2--How to Use GEM FilesGlossaryDiagnosis Code Set, General Equivalence Mappings, 2014 VersionDocumentation, Appendix A--File and Format DetailChapter 12: General Equivalence MappingsDocumentation for Technical UsersGeneral Equivalence MappingsICD-10 GEMs FY2015 Version UpdateDIAGNOSIS GEMsChapter 13: ICD-10 GEMs FY2015 Version UpdateReferencesWho should read this book?AdministratorsDONsAssistant DONsNursesStaff educatorsCli

Notes:

Part of the metadata in this record was created by AI.

ISBN:

1-55645-479-1