2024 ICD-10 Updates– Correct & Compliant Coding

Format: On-Demand Webinar

Presenter: Betsy Rios, CPC

Duration: 90 minutes

Course Description:

ICD-10, the 10th revision of the International Classification of Diseases, is a globally recognized system used for classifying and coding diseases, injuries, and other health conditions. With its increased specificity, guidelines, and coding conventions, ICD-10 provides healthcare professionals and organizations with a comprehensive framework for accurately documenting and reporting diagnoses. This system, developed by the World Health Organization (WHO), offers a more detailed and precise coding structure compared to its predecessor, ICD-9. The enhanced specificity of ICD-10 allows for better characterization of diseases and conditions, resulting in improved clinical data analysis, research, and healthcare decision-making. Moreover, ICD-10's guidelines and coding conventions help ensure consistency and uniformity in coding practices, facilitating efficient communication among healthcare providers, payers, and other stakeholders in the healthcare industry.

In this webinar we will take a deep dive into ICD-10 guidelines and how to utilize those guidelines to ensure you are selecting the most specific diagnosis available. We will discuss and explain the differences in DX Coding related to service settings such as inpatient vs outpatient. This program will provide each participant with information needed to ensure proper assignment of appropriate ICD-10 codes. This webinar will also cover general ICD-10-CM coding conventions. Topics covered will also include unspecified diagnosis coding and overuse as well as acceptable use of unspecified codes. Topics will also address nonspecific documentation. The session will also shed light on personal history vs current condition and when to report which codes. We will also cover the importance of Z codes, social determinants of health and other status codes. This session will cover the importance of clinical documentation for selection of codes. We will go over challenges of balancing both quality and productivity to ensure reported codes are reflected in physician documentation. Abbreviations (NEC, NOS, etc.)  commonly used in ICD-10 will be defined with examples given. We will tell you how to address improvements in the specificity of clinical documentation and improving your processes to ensure medical coding professionals are coding to the highest specificity. We will tell you about resources that can be vital to gaining a better understanding of ICD-10 conventions, guidelines, and coding instructions. We will present clinical examples and walk you through the code selection process.

Learning Objectives:

• Understand ICD-10 CM coding conventions
• Understand ICD-10 Guidelines
• Documentation Requirements & Importance of Clinical Documentation
• Importance of Specificity
• Personal History Codes
• Social Determinant Codes
• Unspecified Codes
• Improvements in Clinical Documentation Strategies

Areas Covered in the Session:

• General Coding Guidelines
• Documentation of Conditions
• ICD 10 Background
• Conventions for ICD 10
• Alphabetic Index and Tabular List
• Format and Structure
• Placeholder Characters and 7th Characters
• Abbreviations - NEC and NOS
• Punctuation
• Other and Unspecified Codes
• Note regarding “With” and “NEC”
• Includes Notes/Inclusion Terms
• Excludes Notes
• Interpretation of And / With in ICD-10
• ICD 10 CM General Coding Guidelines
• Acute vs Chronic
• Code First/Use Additional
• Signs/Symptoms
• Acute vs Chronic
• Code First/Use Additional Code
• Linkage of Conditions
• Clinical Scenario
• E11.22 – Type 2 DM with diabetic CKD
• I13.0 – Hypertensive heart and chronic kidney disease with heart failure stage 1 through stage 4
• I50.9 – Heart failure unspecified
• N18.4 – Chronic Kidney Disease Stage 4
• Z79.4 – Long term (current) use of insulin
• Documentation by Clinicians other than provider
• Borderline Diagnosis
• General Coding Information for Pain
• Complicated Coding Conditions
• Severe Sepsis
• Septic Shock
• MRSA- methicillin-resistant Staphylococcus aureus
• MSSA-methicillin-susceptible Staphylococcus aureus
• Section II H Uncertain Diagnosis
• Other common coding Chapter specific Guidelines
• General Pregnancy Coding Guidelines
• General Pregnancy (Chapter 15 Complications) Coding Guidelines
• Chapter 21:  Factors Influencing health status and contact with services (Z Codes)

Suggested Attendees:

• Coders
• Billers
• Clinicians
• Physicians
• Mid-Level Providers
• Clinical Documentation Specialist
• HIM Directors
• HIM Personnel
• Administrators
• Auditors
• Administrators
• Practice Managers
• Claims Adjusters
• Reimbursement Staff

About the Presenter:

Betsy Rios, CPC has been in the healthcare industry for over 20 years. She has served in different management capacities in PPS Hospitals, CAH Hospitals, Professional Clinics and Rural Health Clinics. She is currently CEO at Divinity Health Consulting and Revenue Cycle Operations Manager at HCCS and was previously the Professional Fee Coding Manager.

Reach Us:

Email: care@skillacquire.com