My message is to ensure that all medical personal understand how important it is to complete and sign the medical documentations for each patient. In additional they much know how the medical documentation determined which medical code should be used or not to be used. A detailed training plan should be created to address the needs of each population of user from those who casually interact with coded data to those who assign the codes or verify the assignment of data codes. I results I wish to accomplish are the following:
The Changes between ICD-9 and ICD-10 code sets.
Differences between ICD-10-CM and ICD-10-PCS code sets.
How ICD-10 coding could affect patient encounters.
How the transition will affect departments.
Regulatory requirements.
Quality Improvement.
Clinical Documentation Improvement.
The challenges and barriers of ICD-10-CM/PCS coding transitions.
Create a checklist for the staff.
The font or typeface I will use or script-like fonts around 14, in bold those typically work better as heading fonts rather than body text and 12 for the body. I use of visuals communication would help me effectively deliver my message on the important issues with documentation and with the pictures and graphs, showing gains and loss of loss revenue would help them understand what is required for compliance and increase revenue. I will also show the standard required to be in compliances with The Joint Commission rule and regulations. The reason for my choice for training materials because is easiest way too explained and train the staff with all the new changes. These training sessions will be workshops and departmental in-services with custom design to fit each service needs. My training or transition would start with and introduction to explained in detail the new system of ICD-10
The ICD-10 Transition
The ICD-9 code sets used to report medical diagnoses and inpatient Procedures will be replaced by ICD-10 code sets. This fact sheet provides background on the ICD-10 transition, general guidance on how to prepare for it, and resources for more information. About ICD-10
ICD-10-CM/PCS International Classifications of Diseases, 10th Edition, and Clinical Modification Procedure Coding System consist of two parts.
1. ICD-10-CM for diagnosis coding outpatient
2. ICD-10-PCS for inpatient procedure coding.
ICD-10-CM for use in all U.S. health care settings. Diagnosis Coding under ICD-10-CM uses 3 to 7 digits instead of the 3 to 5 digits used with ICD-9-CM, but the format of the code sets is similar. ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10¬ PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedures coding.
The transition to ICD-10 is occurring because ICD-9 produces limited data about patients’ medical conditions and hospital inpatient procedures. ICD-9 is 30 years old, has outdated terms, and is inconsistent with current medical practice. Also, the structure of ICD-9 limits the number of new codes that can be created, and many ICD-9 categories are full.
I start with the E&M because every visit does not require a This New Patient Summary table demonstrates the required levels of the 3 key components for E&M code selection: History, Exam, and Medical Decision Making; elements must be met in all 3.. I do a summary of the requirement a refresher of the E&M outpatient codes.
This New Patient Summary table demonstrates the required levels of the 3 key components for E&M code selection: History, Exam, and Medical Decision Making; elements must be met in all 3.
This New Patient Summary table demonstrates the required levels of the 3 key components for E&M code selection: History, Exam, and Medical Decision Making; elements must be met in all 3.
Next I would add a example of E&M codes with procedure and countine though the most common outpatient services and I would start with the inpatient process. I hope with the review and and example and other training aids the medical staff would understand that it more important than ever with the documenatation and explained in different senario how it could affect you and patient legally and medically, when treatment is not documenated. Using visual most times it help, just not just having a boring training where you lnow no ones is paying attendition. I will use other visual aids and charts on a few different power points. Since it so much imformation to take in I will do a basis summary of the changes. Inaddition I will complete on trainging aids using what the Department of Veterans Affairs adding some of my material making it more customize for our Medical Center breaking it up so the staff wouldn’t get overwhelm.
Iexplain and show them that structurally, ICD-9-CM is running out of room to add new codes. New diagnosis codes are submitted by medical societies, quality monitoring organizations and others annually. ICD-10-CM will allow not only for more codes but also for greater specificity and thus better epidemiological tracking, analysis of disease patterns and treatment outcomes, supports quality measurement efforts, and leads to accurate reimbursement and supports waste, fraud and abuse initiatives.
Health Information Management(HIM) my department will have assessment each of coding staff they will be the first to complete the training along with the doctors. The doctores training will be more on documenation. The doctors will need to document to the level of ICD-10 allows for very specific code assignment when provider done. The coders will train more on how to select the correct codes. My finial decesion will be the following steps
1. ICD-10 Training ICD
2. ICD-10-CM Anatomy and Pathophysiology
3. ICD-10 Proficiency Assessment
4. ICD-10 Documentation Training for Physicians (detailed)
5. Implementation ICD-10-CM
My Duties As The Medical Records Administration
Management ability to delegate authority, evaluate and oversee people and programs, recognize and adapt to changing priorities; and
Knowledge of the interrelationships and interdependencies among various medical and administrative services and programs.
Teaching or instructing in an adult education program, secondary school, college, military installation, or industrial establishment in the appropriate field(s).
Supervising or administering a training program.
Development or review of training/course materials, aids, devices, etc., and evaluation of training results.
Work in the occupation or subject matter field of the position to be filled that required training or instructing others on a regular basis.
Regulations and standards of various regulatory and credentialing groups; and
Government-wide, agency, and facility systems and requirements in various administrative areas such as budget, personnel, and procurement.
Planning, developing, and directing a medical records program for a health care facility that meets both institutional goals and standards of accrediting agencies.
Evaluating and analyzing the organization and operation of medical records services, including medical records and indexes, and recommending and/or implementing appropriate revisions and modifications.
Assisting medical and administrative staff in evaluating the quality and appropriateness of patient and health care services.
Designing information systems to collect, analyze, monitor, report, and maintain privacy and confidentiality of patient and institutional data for health care related programs, and evaluating and implementing changes to assure the reliability of data.
Developing and implementing policies and procedures for processing legal medical documents and insurance and correspondence requests in accordance with Federal, State, and local statu Refernce
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http://vaww.vhaco.va.gov/him/
