CMS Coding and Clinical Documentation Resources

“As with ICD-9, CMS offers ample resources to assist both coders and clinicians with coding and clinical documentation for ICD-10. Below are links to specific resources CHCs may find helpful.

• Official Government Coding Guidelines: Diagnosis Coding
• Official Government Coding Guidelines: Inpatient Procedure Coding
• Click here to access additional coding and clinical documentation resources.” [Source: CMS]

ICD-10 and Medicaid Updates

Medicaid Provider Billing Workshops:

Provider billing workshops include both Colorado Medical Assistance Program billing instructions and a review of current billing procedures. Class descriptions and workshop calendars are also posted in the Provider Training section of the Medicaid website.

ICD-10 Updates from Medicaid: 

External end-to-end testing has confirmed that Medicaid's systems are integrated, operable, and ready to accept the new ICD-10 codes and formats on October 1, 2015. Effective October 1, 2015, ICD-10 is now active and replacing ICD-9 diagnosis codes. Providers should note the ICD-10 implementation is Date of Service (DOS) specific:

• ICD-9 diagnosis and surgical procedure codes will be required on claims that contain DOS or dates of discharge (DOD) on or before September 30, 2015.

• ICD-10 diagnosis and surgical procedure codes are required on claims that contain DOS or DOD on or after October 1, 2015.

Claims submitted with both ICD-9 and ICD-10 codes will be rejected.
Medicaid billing manuals have been updated ICD-10 codes. Click here to access the manuals.
Appendix R – Provider Claim Report Denial/Error Codes Update for ICD-10. Click here to find this document under "Appendices" 

Please contact the Department’s fiscal agent, Xerox State Healthcare at 800-237-0757 with billing questions. Please contact Sean Gagnon at Sean.Gagnon@state.co.us or 303-866-3467, or Shawna Tye at Shawna.Tye@state.co.us or 303-866-2347 with questions regarding the ICD-10 implementation project.

HCPF's Provider Bulletin:

Click here to view the October Provider Bulletin. The bulletin covers topics of interest to providers and billing professionals.

HCPF's At a Glance:

Click here to view the September edition of At a Glance. This publication provides information on major initiatives including policy changes and program updates.

ICD-10 Updates from Medicaid – CCHAP Practice Manager Newsletter

“ICD-10 Updates from Medicaid: External end-to-end testing has confirmed that Medicaid's systems are integrated, operable, and ready to accept the new ICD-10 codes and formats on October 1, 2015. Effective October 1, 2015, ICD-10 is now active and replacing ICD-9 diagnosis codes. Providers should note the ICD-10 implementation is Date of Service (DOS) specific:

• ICD-9 diagnosis and surgical procedure codes will be required on claims that contain DOS or dates of discharge (DOD) on or before September 30, 2015.
• ICD-10 diagnosis and surgical procedure codes are required on claims that contain DOS or DOD on or after October 1, 2015.

Claims submitted with both ICD-9 and ICD-10 codes will be rejected.
Medicaid billing manuals have been updated ICD-10 codes. Click here to access the manuals.
Appendix R – Provider Claim Report Denial/Error Codes Update for ICD-10. Click here to find this document under "Appendices"

Please contact the Department’s fiscal agent, Xerox State Healthcare at 800-237-0757 with billing questions. Please contact Sean Gagnon at Sean.Gagnon@state.co.us or 303-866-3467, or Shawna Tye at Shawna.Tye@state.co.us or 303-866-2347 with questions regarding the ICD-10 implementation project.

Check out the Colorado Children’s Healthcare Access Program’s full Practice Manager Newsletter for more information on:

• Preventative Screening Table – Update for ICD-10
• Young Minds Matter: Supporting Children's Mental Health Through Policy Change
• Tobacco Cessation Resource Group
• Reminder - Colorado PAR Program - New Vendor
• Medicaid Provider Relations Team
• Medicaid Provider Billing Workshops” [Source: CCHAP]

ICD-10 Preparation and Provider Trainings Available!

"Top ICD-10 Diagnosis Code Webinar Series for Providers
We know providers are busy; however, they are key as we transition from ICD-9 to ICD-10. This series is quick and to-the-point and includes short (5-10 minutes each) webinars on “must know” elements for the most utilized diagnoses codes. AAFP CME credits are available. Cost: $90. Click here to register. *Registration closes Oct. 1, 2015.

Vital Clinical Documentation for Providers
Excellent clinical documentation is the core of effective and safe patient care. Yet coding continues to be one of the most challenging areas for providers and coders. This web-based curriculum offers a step-by-step curriculum during which participants will learn everything they need to know about key components of coding patient history, physical exam and medical decision-making. Using real life clinical examples, participants will see that it's not the quantity of documentation that matters--it's the quality.Cost: $255; 10% discount offered for registrations of 3 or more providers at-one-time. Click here to register.

Please contact Sarah Macrander, SMacrander@cchn.org, with questions." [Source: CCHN]

ICD-10 Preparation and Provider Trainings Available!

Thanks to the Colorado Community Health Network, ClinicNET affiliate clinics have access to the following ICD-10 trainings:

ICD-10-CM Coding Campout - Sept. 15, 2015, 1:00-3:30 p.m.
This, instructor led, ‘live’ webinar allows coders to join in on a practice ICD-10-CM coding session with their peers and will provide an informal, open forum between students and current ICD-10 approved trainers. Cost: $55. Click here to register. Registration closes September 11th.

Top ICD-10 Diagnosis Code Webinar Series for Providers
This training was developed to prepare the busy provider for the transition from ICD-9 to ICD-10. The series includes short (5-10 minutes each) webinars on “must know” elements for the most utilized diagnoses codes. AAFP CME credits are available. Cost: $90. Click here to register.

Evaluation & Management Documentation for Providers
Roughly 80% of all encounters billed include E/M codes, yet evaluation and management coding continues to be the most challenging areas for providers and coders. This web-based curriculum offers a step-by-step curriculum during which participants will learn everything they need to know about key components of history, physical exam and medical decision-making. Using real life clinical examples, participants will see that it's not the quantity of documentation that matters--it's the quality. Cost: $255; 10% discount offered for registrations of 3 or more providers at-one-time. Click here to register.

Please contact Sarah Macrander, SMacrander@cchn.org, with questions. [Source: CCHN]

Free ICD-10 training and resources

“The North Carolina Health and Human Services Department has developed a comprehensive ICD-10 training. The training modules are self-paced, previously recorded webinars and are available at no cost. Women’s Wellness Connection suggests starting with the ICD-10 Basic videos. There are four modules within ICD-10 Basics. Please allow approximately 2.5 hours to complete all four modules. There is no charge for any of the trainings and PDF versions are also available for download. Additional ICD-10 educational resources can also be found on this website.” [Source: Women’s Wellness Connection]

Free ICD-10 Training from CMS: Documentation Excellence - ICD-10 from a Physician’s Perspective

"The Colorado Medical Society and Colorado Access present "Documentation Excellence: ICD-10 from a Physician's Perspective," with James M. Taylor, MD, Senior Medical Director of Clinical Analytics/Performance Improvement at Colorado Access. This 90-minute program is accredited for 1.5 AMA PRA Category 1 Credit(s)™ and will be presented at locations along the Front Range.

The primary audience is intended to be physicians. Practice managers are welcome to attend with one of their practice's physicians. Programs are being scheduled at various locations. Click the links below for registration information. Check this website on CMS.org for more information as additional locations are added. Plan to attend one of these free programs! Those unable to attend live will be able to access a recorded webinar on CMS.org.

• Northern Colorado (Loveland): Sept. 9, 6:30 - 8 p.m.
• Colorado Springs: Sept. 10, 6:30 - 8 p.m.
• Wheat Ridge (Lutheran): Sept. 14, 6 - 7:30 p.m." [Source: CMS]

ICD-10 Preparation and Provider Trainings Available!

Thanks to the Colorado Community Health Network, ClinicNET affiliate clinics have access to the following ICD-10 trainings:

ICD-10-CM Coding Campout - Sept. 15, 2015, 1:00-3:30 p.m.
This, instructor led, ‘live’ webinar allows coders to join in on a practice ICD-10-CM coding session with their peers and will provide an informal, open forum between students and current ICD-10 approved trainers. Cost: $55. Click here to register.

Top ICD-10 Diagnosis Code Webinar Series for Providers
This training was developed to prepare the busy provider for the transition from ICD-9 to ICD-10. The series includes short (5-10 minutes each) webinars on “must know” elements for the most utilized diagnoses codes. AAFP CME credits are available. Cost: $90. Click here to register.

Evaluation & Management Documentation for Providers
Roughly 80% of all encounters billed include E/M codes, yet evaluation and management coding continues to be the most challenging areas for providers and coders. This web-based curriculum offers a step-by-step curriculum during which participants will learn everything they need to know about key components of history, physical exam and medical decision-making. Using real life clinical examples, participants will see that it's not the quantity of documentation that matters--it's the quality. Cost: $255; 10% discount offered for registrations of 3 or more providers at-one-time. Click here to register.

Please contact Sarah Macrander, SMacrander@cchn.org, with questions. [Source: CCHN]

ICD-10 Preparation and Provider Trainings Available!

Thanks to the Colorado Community Health Network, ClinicNET affiliate clinics have access to the following ICD-10 trainings:

ICD-10-CM Coding Campout - Sept. 15, 2015, 1:00-3:30 p.m.
This, instructor led, ‘live’ webinar allows coders to join in on a practice ICD-10-CM coding session with their peers and will provide an informal, open forum between students and current ICD-10 approved trainers. Cost: $55. Click here to register.

Top ICD-10 Diagnosis Code Webinar Series for Providers
This training was developed to prepare the busy provider for the transition from ICD-9 to ICD-10. The series includes short (5-10 minutes each) webinars on “must know” elements for the most utilized diagnoses codes. AAFP CME credits are available. Cost: $90. Click here to register.

Evaluation & Management Documentation for Providers
Roughly 80% of all encounters billed include E/M codes, yet evaluation and management coding continues to be the most challenging areas for providers and coders. This web-based curriculum offers a step-by-step curriculum during which participants will learn everything they need to know about key components of history, physical exam and medical decision-making. Using real life clinical examples, participants will see that it's not the quantity of documentation that matters--it's the quality. Cost: $255; 10% discount offered for registrations of 3 or more providers at-one-time. Click here to register.

Please contact Sarah Macrander, SMacrander@cchn.org, with questions. [Source: CCHN]

Documentation Excellence: ICD-10 from a Physician’s Perspective

"The Colorado Medical Society and Colorado Access present "Documentation Excellence: ICD-10 from a Physician's Perspective," with James M. Taylor, MD, Senior Medical Director of Clinical Analytics/Performance Improvement at Colorado Access. This 90-minute program is accredited for 1.5 AMA PRA Category 1 Credit(s)™ and will be presented at locations along the Front Range.

The primary audience is intended to be physicians. Practice managers are welcome to attend with one of their practice's physicians. Programs are being scheduled at various locations. Click the links below for registration information. Check this website on CMS.org for more information as additional locations are added. Plan to attend one of these free programs! Those unable to attend live will be able to access a recorded webinar on CMS.org.

• Denver: Aug. 24, 7:30 - 9 a.m. (morning program)
• Denver: Aug. 24, 6 - 7:30 p.m. (evening program)
• Northern Colorado (Loveland): Sept. 8, 6:30 - 8 p.m.
• Colorado Springs: Sept. 10, 6:30 - 8 p.m." [Source: CMS]

MLN Connects National Provider Call August 27: Countdown to ICD-10

“Don’t miss the Medicare Learning Network (MLN) Connects Call Thursday, August 27; 2:30-4 pm ET — five weeks before ICD-10 implementation on October 1, 2015. CMS Acting Administrator Andy Slavitt will be opening the call with a national implementation update. Then, Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA) will be joining us with coding guidance and tips, along with updates from CMS. To Register: Visit MLN Connects Event Registration. Space may be limited, register early.

Agenda:

• National implementation update, CMS Acting Administrator Andy Slavitt
• Coding guidance, AHA and AHIMA
• How to get answers to coding questions
• Claims that span the implementation date
• Results from acknowledgement and end-to-end testing weeks
• Provider resources

Target Audience: Medical coders, physicians, physician office staff, nurses and other non-physician practitioners, provider billing staff, health records staff, vendors, educators, system maintainers, laboratories, skilled nursing facilities, home health agencies, and all Medicare providers.

Keep Up to Date on ICD-10: Visit the CMS ICD-10 website and Roadto10.org for the latest news and resources to help you prepare. Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.” [Source: CMS]

ICD-10-CM Coding Webinar on June 25

“With less than 6 months until ICD-10 implementation, this webinar on June 25, 12:00-1:00pm, will introduce you to the basics of coding in ICD-10. The majority of the coding concepts outlined in Webinar 1 (on May 18) will apply in this webinar, but we will review any guidelines and changes related to the new code set.  ICD-10 is all about specificity and this is derived from thorough provider documentation. This webinar will discuss new conceptual additions as well as chapter specific examples, which demonstrate how the code set is used in a practical setting. This webinar will cover a variety of specialties and conditions and will apply to all types of services such as family planning, school based health, chronic disease screening, and primary care.

Call information for the webinar: Go to https://stateofcolorado.centurylinkccc.com/CenturylinkWeb/FamilyPlanning. Click on the “Guest” tab; enter your name and your email. You can enter your phone number for CenturyLink to call you or dial 1-877-820 7831 and enter passcode 628189# (Press # after the passcode).” [Source: CDPHE]

ICD-10 Webinar Series

“Did you miss the ICD-9 webinar that was held on May 18? Review the ICD-9-CM Coding webinar from May 18.

The next ICD-10-CM Coding webinar will be on June 25 from 12:00 - 1:00 pm. Click here for more information.

With less than 6 months until ICD-10 implementation, this webinar will introduce you to the basics of coding in ICD-10. The majority of the coding concepts outlined in Webinar 1 will apply in this webinar, but we will review any guidelines and changes related to the new code set.  ICD-10 is all about specificity and this is derived from thorough provider documentation. This webinar will discuss new conceptual additions as well as chapter specific examples, which demonstrate how the code set is used in a practical setting. This webinar will cover a variety of specialties and conditions and will apply to all types of services such as family planning, school based health, chronic disease screening, and primary care.” [Source: CDPHE]

Colorado Children’s Healthcare Access Program Practice Manager Newsletter – ICD-10 Presentation Recording

“ICD-10 Presentation Recording and Slides: On Thursday April 23rd, Denny Flint from The Talon Group gave a fun and informative presentation with practical guidance on how practices can prepare for the rollout of the new ICD-10 diagnosis code set. The presentation recording and PowerPoint slides can be accessed here.

Check out CCHAP’s latest Practice Manager Newsletter for information on:

• Medicaid 2015 Fee Schedule is Live
• Medicaid Enhanced Primary Care Program
• Screening, Brief Intervention, and Referral to Treatment - Important Policy & Coding Updates
• Add-A-Baby Project
• Child Abuse and Neglect Campaign
• Repeal of the Sustainable Growth Rate (SGR)” [Source: CCHAP]

Save the Date: ICD-10 Webinar Series

“Save the dates:

• ICD-10 Part 1: May 18th, 12:00-1:00pm
• ICD-10 Part 2: June 25th, 12:00-1:00pm

These webinars will be facilitated by RT Welter and the second webinar will build on the concepts and information shared in the first. Webinar content will be geared towards providers and coders. If you have specific questions, cases or codes you would like covered, please email them to greta.klingler@state.co.us. Login in information will be sent out closer to the webinar dates. No registration is required.” [Source: CDPHE]

CCHAP Practice Manager Meeting April 23rd: Get Ready for ICD-10

“The Colorado Children’s Healthcare Access Program (CCHAP) will be hosting a presentation on ICD-10 implementation for providers, managers, and staff on April 23rd noon-1pm. The presenter is a national expert on ICD-10 and we are excited to be able to bring his expertise to medical home practices in Colorado. You may attend in person or via webinar remotely. RSVP by emailing joanie.muzzulin@childrenscolorado.org. The meeting will be held at Fitzsimons Village, 13100 East Colfax Avenue, Aurora, CO 80045, Silverton Conference Room - 6th Floor.

Instructions to join the meeting remotely:
1. Open a web browser and enter URL: www.readytalk.com
Enter participant access code: 2093166
2. Dial in by phone for the audio portion of the conference: 1-866-740-1260
Enter the participant access code: 2093166” [Source: CCHAP]

Free webinar on March 27: A Small Physician Practice’s Route to ICD-10

“The Centers for Medicare & Medicaid Services and the Health Resources and Services Administration (HRSA) are offering a free webinar Road to 10: A Small Physician Practice’s Route to ICD-10 on March 27, 2:00-3:00pm ET. Designed for physicians, practice managers, and other office staff, this session will provide regarding ICD-10 basics and will highlight the benefits to your practice. In addition, concrete tools and strategies for transitioning to ICD-10 will be discussed. The presentation will cover the following topics: Overview of ICD-10; Ways to Help you Prepare; Documentation Requirements for Common Health Conditions; Customizable Action Plan; Resources and Checklists.

WebEx Information: https://engage.vevent.com/rt/cms~032715
Participant Toll-Free Dial-In Number: (800) 603-1774
Conference ID: 2164597” [Source: HRSA and CMS]

Are you ready for ICD-10? – CCHAP Clinical Newsletter

“ICD-10 Presentation April 23rd:  The Colorado Children’s Healthcare Access Program (CCHAP) will be hosting a presentation on ICD-10 implementation for providers, managers, and staff on April 23rd noon-1pm. This was one of the most requested topics from our annual practice survey. Our presenter is a national expert on ICD-10 and we are excited to be able to bring his expertise to medical home practices in Colorado. You may attend in person or via webinar remotely. The recording will also be available on our CCHAP website following the presentation. All meeting recordings, presentation slides, and related handouts and resource links are available here. Invitations and further details are forthcoming...

ECHO for Children and Youth with Epilepsy: Project ECHO® (Extension for Community Healthcare Outcomes) is an innovative healthcare program developed by the University of New Mexico to treat chronic and complex diseases in rural and underserved areas by supporting and expanding the primary care provider scope of practice.

ECHO Colorado will be launching spring of 2015 to support providers across Colorado and surrounding states. The University of Colorado and Children’s Hospital Colorado have partnered with the American Association of Pediatrics to offer ECHO for Children and Youth with Epilepsy (CYE) as the first ECHO Colorado topic. CYE ECHO, beginning March 3, 2015, is currently recruiting community healthcare providers who are interested in expanding their scope of practice specific to pediatric epilepsy.

During ECHO clinics, healthcare clinicians present de-identified cases using a case-based format by video conferencing equipment. Project ECHO specialists and other participants discuss patient cases and recommendations are made regarding diagnostic and treatment plans. CME credit is provided at no cost for participating (1hour = 1CME credit) conducted via teleconference. Please contact the CYE ECHO program coordinator, Kory Thomas at 303-724-8061 or korrine.thomas@ucdenver.edu to register and for more information.” [Source: Colorado Children’s Healthcare Access Program]

ICD-10 “Road to 10” Training

“Taking advantage of the extended ICD-10 implementation timeframe gives you even more control over your practice’s ICD-10 transition. To help your practice make the best use of this extension, the Centers for Medicare & Medicaid Services (CMS) is excited to offer FREE ICD-10 training: Road to 10: A Small Physician Practice’s Route to ICD-10. The training is August 28th, 12:00-1:00pm at COPIC | 7351 E. Lowry Blvd. | Mile High Room | Denver, CO 80123. Click here to register.

• Study the basics, differences, and benefits of ICD-10
• Explore common codes, primers for clinical documentation, and clinical scenarios all broken out by specialty
• Create a customized Action Plan, personalized by specialty and practice details” [Source: CMS]

Free resources to support your ICD-10 transition

“With the passage of the Protecting Access to Medicare Act of 2014, the ICD-10 compliance data has been extended. To help your practice make the best use of this extension, CMS is excited to offer the Road to 10 Program at http://www.roadto10.org.

Developed with the input of small practice physicians, Road to 10 provides free and actionable resources to support your ICD-10 transition. Whether you are just getting started or have already begun your transition, Road to 10 can help you navigate the path forward for your practice.” [Source: CRHC]