Improving Accuracy in ICD 10 Coding for Home Health Care

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Purpose

Increase accuracy in application of ICD10 codes to documentation resulting in quicker claim processing and improved reimbursement for home care agencies.

Description

Complete and accurate coding based on comprehensive documentation is critical to ensuring prompt and appropriate reimbursement for client services in home care. Home care providers caring for clients with complex cares or multiple diagnoses face increased challenges in determining accurate codes for services with implementation of ICD-10.

This class provides hands-on practice and guidance to improve accuracy in the use of the expanded code set. Coders can use the pre-test course to gauge their current knowledge or simply proceed with this course to practice application of the codes through a series of home care case scenarios.

Delivery

This is a self-paced course with optional knowledge check quizzes after the lesson. This non-graded quizzes allow you to check your understanding of the lesson objectives before proceeding. Participants must have access to an ICD-10 CM Code book in order to look up codes during the course and post-test. If an ICD-10 CM code book is not available, participants may click on the CMS website link to access and identify codes through this online resource: https://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-GEMs.html.

After the final lesson you will be required to take the final exam. You must score 80% or higher to pass the course and obtain a certificate of completion.

Objectives

Contact Time

1.2 PLEASE NOTE: This course is not designed to meet nursing continuing education requirements

1.2 contact hour(s) based on 50 minute contact hour

1.0 contact hour(s) based on 60 minute contact hour

Approval(s)

HLC - Higher Learning Commission

"Rochester Community and Technical College is fully accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools."

HLC Institution ID:1399

Estimated Time

The estimated time for completion for this activity is. 1.0 hours

Intended Audience

This course is designed for individuals responsible for coding and classifying health data for agencies.

Course Planning Team

Kathy L. Richie, RN, BSN; Kristi Kiehne; MBA; Christine Bushaw, MEd, RHIT; Mary Juenemann, MS, RHIA, CCS

Conflict of Interest Disclosures

Commercial Support Disclosure

This course (CE activity) was developed in accordance with ANCC criteria and Commercial Support Guidelines; the planners and authors of this course have disclosed no relevant financial, personal or professional relationships with any commercial entities pertaining to this activity. Therefore, the content is free of commercial bias for or against any product or commercial entity.

Non-endorsement of Products and Off Label Use

This course provides a balanced view of therapeutic options. Use of generic names is always considered before using trade names. Consequently, if trade names are necessary, when available, we will use trade names from several companies. RCTC and the course planning team do not endorse any products or drugs that may be mentioned in this course.

Christine Bushaw - Med, RHIT (Author Originating)

Chris Bushaw, MEd, RHIT is an instructor for Health Information Technology/Coding Specialist Programs at Rochester Community & Technical College. Previous to this position, she spent over 30 years at the Mayo Clinic in Rochester in various supervisory and management positions including the Health Information Management Department. Chris has a bachelor's degree in Business Management and a Master's degree in Human Resource Development/Adult Education from the University of Minnesota. In December 2008, Chris graduated from the Health Information Technology Program and obtained her RHIT shortly after.

Mary Juenemann - MS, RHIA, CCS (Author Originating)

Mary Juenemann is an instructor in the Health Information Technology program at Rochester Community and Technical College in Rochester. Mary has been teaching for the past 16 years within the Minnesota State Colleges and Universities System. Prior to teaching, Mary had been a DRG Coding Analyst for McKennan Hospital in Sioux Falls, a Coding Specialist for Dakota Clinic in Fargo, and a Health Information Manager for Family HealthCare Center in Fargo and Moorhead. Mary is a past president for MHIMA Region E and past co-auditor for the MHIMA Audit committee. She is a graduate of the HIA program at the College of St. Scholastica and completed her Master's degree in Educational Leadership with Emphasis in Teaching with Technology at Minnesota State University - Moorhead.

Copyright

Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.

Acknowledgment

This course was developed with Rochester Community and Technical College's Center for Business and Workforce Education located in Rochester Minnesota.

Web Links Utilized

Barta, A., DeVault, K., Zeisset, A., and Kuehn, L. - Chicago AHIMA

Centers for Disease Control and Prevention, (n.d.). - Retrieved from website http://www.cdc.gov/nchs/icd/icd10cm.htm

Optum - Retrieved from Optum website https://www.optumcoding.com/NonProd/2945/

American Medical Association - Retrieved from American Medical Association website: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/hipaahealth-insurance-portability-accountability-act/transaction-code-set-standards/icd10-code-set.page

Papazian-Boyce, L. - Upper Saddle River: Pearson Education

World Health Organization, (n.d.). - Retrieved from website: http://www.who.int/classifications/icd/en/

Features

Written language - English : Yes

Course Code:

HD_QA

Course Category:

Medical Coding