Embed Size (px)
Citation preview
Journal of AHIMA April 16 / 71
CODING AND ICD-10-CM/PCS GUIDE2016
JOURNAL AHIMAOF
2016 | RESOURCE GUIDE
CONTENTSAdministrative Consultant Service, LLC ........................ 83
AGS Health ................................................................ 72
AHA Central Office ..................................................... 73
American Society of Anesthesiologists ..........................74
Career Step ............................................................... 73
Channel Publishing ..................................................... 75
Coding Concepts, Inc. ................................................. 75
DocuCoders ............................................................... 83
eCatalyst Healthcare Solutions, Inc. ............................. 83
First Class Solutions ................................................... 76
Flash Code Solutions, LLC ........................................... 76
FutureNet Technologies Corporation ............................ 77
H.I.M. ON CALL .......................................................... 77
Health Information Associates ..................................... 78
Healthcare Cost Solutions ........................................... 83
HRS........................................................................... 78
iMedX ........................................................................ 79
Kiwi-Tek .................................................................... 80
Maxim Healthcare Services, Inc ................................... 83
MLT Medical Coding, Inc. ............................................ 83
Navigant Healthcare Cymetrix Corporation ................... 83
Practice Management Information Corporation (PMIC)......79
QualCode, Inc. ........................................................... 83
RecordsOne ............................................................... 81
Stat Solutions, Inc. ..................................................... 83
TruCode ..................................................................... 82
73April 2016 / CODING AND ICD-10-CM/PCS GUIDE
CODING ADVICE FROM THE
CODING EXPERTS
NELLY-LEON CHISEN, RHIA
AUTHOR OF 2016 HANDBOOK
EDITOR OF CODING CLINICS
ICD-10-CM AND ICD-10-PCS
CODING HANDBOOK
www.ahacentralofce.com
CODING AND ICD-10-CM/PCS GUIDE / April 201674
Order nowasahq.org/ezcode
14-560
Anesthesia Coding Resources
The American Society of Anesthesiologists latest additions of the
Relative Value Guide® and CROSSWALK® help you navigate your
way to compliant claims. For the biggest savings, purchase the
combo package.
Best Seller
Relative Value Guide
The Relative Value Guide (RVG™) is an essential tool for all
anesthesia practices and contains the most up-to-date CPT®
codes and full descriptors for anesthesia services, including the
ASA’s anesthesia base unit values and more.
Best Seller
CROSSWALK
CROSSWALK provides the CPT anesthesia code that most
specifcally describes the anesthesia service for a particular
diagnostic or therapeutic CPT procedure code.
SEE OUR DISPLAY AD ON PAGE 58.
75April 2016 / CODING AND ICD-10-CM/PCS GUIDE
Channel Publishing, Ltd.
1-800-248-2882FOR DETAILS
AND ORDERING INFORMATION, VISIT:
www.channelpublishing.comJS10046-CBG
• 2016 ICD-10-CMSee Web Site for Details/Pricing
• 2016 ICD-10-PCSSee Web Site for Details/Pricing
• 2017 ICD-10-CM, The Educational Annotation of ICD-10-CM (Available September 2016)
Includes all Enhanced features, plus: COLOR highlighting,Definitions and Illustrations, Anatomy and Physiology
Reviews, MS-DRG, MCE, AHA notations ... and more!
• Annual Version (Paperback) — July Sale $54.95• Spiral Version (Spiral coil) — July Sale $59.95
• With Tabs — July Sale $69.95• SoftCover Version (Loose-leaf, 3-hole punched
pages, updateable yearly) — July Sale $64.95• Future Updates: 30% below new book reg. price
• Optional Tab Set — July Sale $11.95
• 2017 ICD-10-PCS, The Educational Annotation of ICD-10-PCS (Available September 2016)
Includes all Enhanced features, plus: COLOR highlighting,Definitions and Illustrations, Anatomy and Physiology
Reviews, MS-DRG, MCE, AHA notations ... and more!
• Annual Version (Paperback) — July Sale $45.95• Spiral Version (Spiral coil) — July Sale $50.95
• With Tabs — July Sale $60.95• SoftCover Version (Loose-leaf, 3-hole punched
pages, updateable yearly) — July Sale $55.95• Future Updates: 30% below new book reg. price
• Optional Tab Set — July Sale $11.95
July Sale Prices Expire 7/31/16
See Web Site for Details/Pricing• Learning ICD-10-CM/PCS (DVDs, code book, workbook)
• Professional Version: Designed to teach others
• Individual Version: Teach yourself (12/20 CEUs)
• Mastering ICD-10-CM Exercise Book
• Mastering ICD-10-PCS Exercise Book
• Mastering ICD-10-CM Guidelines Exercise Book
• Mastering ICD-10-PCS Guidelines Exercise Book
2017 ICD-10 CODE BOOKS
ICD-10 TRAINING — DVDs, EXERCISE BOOKS
You asked for ...
AFFORDABLEICD-10
... we delivered!!!
2016 ICD-10 CODE BOOKS
Now
Available in
Spiral Coil
Binding
SEE OUR DISPLAY AD ON PAGE 35.
CODING AND ICD-10-CM/PCS GUIDE / April 201676
FFiirrss tt CCllaassss SSoo lluutt ii oonnss ,, IInncc .. SSMM
Not your traditional healthcare
consulting firm… services customized
to YOUR needs since 1988
HIM, Compliance & ICD-10 Services
HIM Operational Assessments &
Interim Management Workflow and Labor Assessments
Long or Short Term Engagements
Physician Practice Compliance Support Coding and Documentation Reviews
HIPAA Risk Assessment and Staff Education
Privacy Officer Services
ICD-10 Coding Validation Audits DRG and Coding Accuracy Validation
Remedial and Advanced ICD-10 Education
Scanning System Selection,
Implementation, and Project Assistance RFP Development & System Set-up
Clean-up Projects (misplaced documents, QA
backlogs, etc.)
SNF HIM and Compliance Consulting Chart Compliance Audits & HIM Guidance
HIPAA Privacy Consulting Hospitals, Physician Practices, Skilled
Nursing Facilities & Assisted Living Entities
CAC System Selection & Implementation RFP Development & Project Management
Release of Information Software
Cortrak Standard includes scanning
capabilities which are tied to the request
Cortrak Plus includes scanning
capabilities which are tied to request,
utilizes Microsoft® SQL server
800-274-1214 www.FirstClassSolutions.com
www.Cortrak.com
SEE OUR DISPLAY AD ON PAGE 40.
77April 2016 / CODING AND ICD-10-CM/PCS GUIDE
Coding capacity or coding quality?
You get both!
Our capacity erases backlogs.
Our quality delivers confdence.
z Remote coding and abstractingz Facility and professional component codingz Coding compliance reviews
Accelerate your ICD-10 productivity and quality. Overcome coding denials.
Let’s talk details today! Visit www.himoncall.com/capacity
610-435-5724 [email protected]
StopStop your run-away nStop your run-away awayStop your run-away
codicoding costs!
Want to rollWant to roll back the clock on ICD-backWant to roll back the clock on ICD-D-Want to roll back the clock on ICD-
10 service & technology price10 service & technology price hikes?hikes?10 service & technology price hikes?
You invested heavily before the transiton, but
now that it’s here, ICD-10 feels more like Y2K
than the predicted armageddon. Slight impact
to coder productvity is real, but it’s not enough
to justfy the huge cost jump moving forward.
If you’re looking for labor and technology rates
that make sense again, FutureNet has them:
• Lowcostinpatent&outpatentcoders
with experience and proven quality
• Nominimumoverfowvolumesupto
complete department outsourcing
• Accurate&efcientcloud-basedencoder,
CAC&/orcompletecodingplatorms
• Highly reliable track record with SSAE 16/
SOC 2 audited security infastructure
• Exceptonalcustomerserviceteamknown
forsuperiorclientcommunicatons
• Over 20 year’s experience exclusively
dedicatedtoclinicaldocumentaton
• Also ask about our 2015-2016 Best in KLAS
transcriptonservices&sofware
www.fnehr.com
800.200.5440
SEE OUR DISPLAY AD ON THE INSIDE BACK COVER.
CODING AND ICD-10-CM/PCS GUIDE / April 201678
IT’S ABOUT THE PEOPLE
BEHIND THE NUMBERS.
THEY’RE WHAT MAKE THE
DIFFERENCE
For more than 20 years, HIA has been
committed to quality in everything we
do, from the training of our staff, to
relationships with our clients. As a result
we’ve become a leading provider of
coding and review services. We have
made it a point to get beyond the
numbers game and create a culture built
on inclusiveness and encouragement; it’s
about nurturing relationships with both
our clients and our employees.
Compliance Reviews · Education · Coding Services
866-HIA-CODE | hiacode.com
WE KNOW W HAT M ATTE R S .
QUALITY. SERVICE. PEACE OF MIND.
800.329.0365 www.HRScoding.com
Choose experience.
Choose expertise.
Choose HRS.
Remote Coding Solutions
Domestic, International or Hybrid OptionsTemporary Staff or Complete Outsource
Facility & Professional
Coding Quality Audits
Inpatient-Outpatient-MS/APR-DRGICD-10-CM/PCS – APC – CPT – E/M
Concurrent & RetrospectiveFacility & Professional
Risk Adjustment ReviewsData-Driven Audit Program Development
Strategic Consulting
Clinical Documentation AnalysisCDI Program Tune-Up – Change Management
Workflow Analysis – HIM Operations Evaluation
Education & Training
Coder, Auditor & PhysicianCDI Specialist Training
Coding Compliance Education
79April 2016 / CODING AND ICD-10-CM/PCS GUIDE
CODING AND ICD-10-CM/PCS GUIDE / April 201680
KIWI-TEK’s blended coding combines world-class ofshore coders with the fnest domestic
coding supervisors to provide responsive, reliable, high-quality outsourced medical coding.
At 40% less cost than an in-house coding department or purely domestic outsource coding company.
KIWI-TEK Improves Your Coding Health
KIWI-TEK’s blended coding will meet or exceed your present coding performance at 40% lower cost.
Visit kiwi-tek.com or call 317-584-5093 today.
Highly educated, superbly trained ofshore coders
Communicate only with domestic managers
24/7 as-needed resources
Fast chart turnaround
95%+ accuracy
Maximum compliance
Optimal compensation
No startup costs
81April 2016 / CODING AND ICD-10-CM/PCS GUIDE
CODING AND ICD-10-CM/PCS GUIDE / April 201682
IF YOU COULD DESIGN YOUR OWN ENCODER,
IT WOULD PROBABLY WORK A LOT LIKE OURS.
That’s because the TruCode EncoderThat’s because the TruCode Encoder is designed by is designed by
HIM professionals. Our intuitive, knowledge-basedHIM professionals. Our intuitive, knowledge-based
solution is built to be coder-friendly. Forsolution is built to be coder-friendly. For example, example,
our unique Research Pane gives you immediateour unique Research Pane gives you immediate
access toaccess to the latest coding references without theaccess to the latest coding references without latestaccess to the latest coding references without coding references withoutaccess to the latest coding references without
any additional searching.
With the TruCode Encoder you can assign
more accurate codes in less time while
streamlining your workfows.
Arrange your free demo at
TruCode.com/myencoder
Lisa Fix, RHIT, Team Leader, West Holt Memorial Hospital
“ ”My team can’t imagine using another encoder.
83April 2016 / CODING AND ICD-10-CM/PCS GUIDE
ADMINISTRATIVECONSULTANTSERVICE
Specializing in:
Revenue Cycle ManagementICD10 AuditsClinical Documentation ImprovementHospital Chargemaster ReviewsInpatient/Outpatient Audit ServicesAppeals Process/ Expert WitnessRecovery Auditor AppealsAppropriate Use and Billing of Observation ServicesPhysician (RBRVS) Reimbursement
405.878.0118www.acsteam.net
DocuCodersOutsource Remote Coding Specialists
®
www.docucoders.com850.213.3153
At Your Service!
Coding Services
eCatalyst delivers customized remote coding solutions tailored to meet your needs. Services range from temporary
backfll to outsourcing your entire coding department. We serve health systems,
hospitals, clinics, and physician practices. Our quality, productivity and customer
service is guaranteed!
U.S., ofshore or blended, eCatalyst ofers scalable remote coding options:
www.eCatalystHealth.com 623-236-3336
t�*OQBUJFOUt�0VUQBUJFOUt�1SPGFTTJPOBM
t�*$%����"VEJUTt�*OUFSJN�$PEJOH�
Managers
Healthcare Audit Resource Technology Database solutions for the ever-changing environment of the External Audit
• RemoteCodingSupport:100% U.S. Based / Ongoing QA
• OnlineICD-10Tutorials:FREE to Clients
• CodingAudits: MS-DRG / APR-DRG / APC / ProFee
• ClaimReviewsandAppeals• MedicalNecessityReviews• HIMInterimManagement
Optimizing Your Rightful Reimbursements
HealthcareCostSolutions,Inc.Newport Beach, CA 2660
866.427.7828 / 4 .721.27 5www.hcsstat.com
©
Make Maxim your HIM Partner!
We offer customized solutions including:• Remote and on-site coding support• Auditing services• Clinical documentation improvement• HIM departmental outsourcing • Facility wide ICD-10 training
Maxim provides only the highest quality HIM talent and services to help you achieve your HIM goals. Take advantage of our expertise and call us today!
Delivering Results, Growing Careers
EAST 866-265-0589 WEST 866-316-8773
www.maximhealthinformationservices.com
Since 1995, MLT Medical Coding, Inc
has been dedicated to providing the
highest level of HIM support to clients.
AHIMA/NCRA certified
professionals
15 + years average experience
Staff audited
Quality work at a reasonable rate
On-site or remote
Phone: 630.208.0280
Fax: 630.208.0190
Email: [email protected]
Website: www.mltcoding.com
Improve Productivity and Accuracy
As a leader in providing comprehensive
revenue cycle management solutions,
our credentialed coding professionals
have extensive experience and are
monitored to ensure high accuracy.
Our HIM Solutions include:
• Facility and Professional Coding
• Coding Audits
• Documentation Integrity
• Consulting Services
• Department Outsourcing
navigantcymetrix.com
MEDICAL CODING SERVICES
Inpatient and Outpatient
HCC Medicare Advantage Coding
Specialty Coding: Wound Care CODING COMPLIANCE AUDITS
DRG/Coding Quality Audits
Evaluation & Management Audits - Emergency Room - Professional Fee Services
EDUCATION & TRAINING
ICD-10-CM/PCS
We’re dedicated to providing cost-effective
solutions for all your coding and reimbursement
concerns.
212-368-6200 www.qualcodeinc.com
Stat Solutions, Inc. is a highly respected coding company focusing our efforts on providing the highest level of quality credentialed HIM professionals along with the finest personalized customer service.
*Onsite or Remote Coding *Coding Quality Reviews
*Interim HIM Management
For more information please call us 888-297-7212
[email protected] www.statsolutionsinc.com
