BNN Healthcare Consulting Educational Offerings

ICD-10 Programs

1. General Awareness

This session is designed to increase awareness and provide an understanding of the impact to your organization.

Objectives

  1. Provide an overview of the current state of ICD-10
  2. Review recent regulatory decisions and industry perspectives
  3. Raise awareness and understanding of challenges that ICD-10 brings to the healthcare industry
  4. Provide techniques, best practice and helpful hints as you begin the ICD-10 transition

2. ICD-10 CM/PCS

This program is designed to educate staff responsible for healthcare coding, billing and reimbursement professionals in the organization and structure of ICD-10-CM (diagnoses) and PCS (procedures).  It compares ICD-9 with ICD-10 chapter specific coding examples and explains the changes between the two coding conventions and guidelines.  This program also provides training with the application of ICD-10-CM/PCS codes.

The objective of this program is to provide a comprehensive overview of ICD-10-CM/PCS coding and its components.  The program will provide clients with a working knowledge of ICD-10-CM/PCS coding used in the healthcare setting.  Attendees will have the opportunity to participate in hands-on coding exercises to gain practical coding experience and learn the concepts associated with coding.

Objectives

  1. Learn the requirements of ICD-10 coding conventions
  2. Apply definitions and guidelines to determine correct diagnosis and procedure codes
  3. Gain an understanding of the clinical information defining disease processes in order to assign appropriate codes to these conditions
  4. Understand the similarity and differences between ICD-9 and ICD-10 codes
  5. Apply knowledge of coding principles by assigning accurate and precise diagnosis and procedure codes pertaining to all body systems
  6. Build on experience gained in coding scenarios for inpatient and outpatient settings
  7. Identify documentation/chart improvement opportunities

3. Documentation Analysis

The focus of provider documentation analysis is review of medical records and identifying key areas of risk relative to ICD-10-CM documentation.

Objectives

  1. Review sampling of provider records for ICD-9-CM primary and secondary code assignments
  2. Compare and cross walk to ICD-10-CM code(s)
  3. Identify documentation deficiencies for reporting the most specific ICD-10-CM code
  4. Provide feedback and education tailored to providers and organizations

4. Anatomy and Physiology

This program is designed to provide coding and HIM professionals with a basic and fundamental background in the anatomy and physiology of the various organ systems in the human body, including pathophysiology. The course is designed to follow the same progression as the accompanying text, Advanced Anatomy & Physiology for ICD-10-CM/PCS.  Class material will be in the form of slides and handouts.

Objectives

  1. Review structure and function of all body systems
  2. Provide education to enhance understanding of common diseases and disorders of the various body systems
  3. Review medical terminology and commonly performed diagnostic tests and procedures including commonly used medications

ICD-10 Professionals

Janet Hodgdon, CPA, CPC, AHIMA Approved ICD-10-CM/PCS Trainer, Director
Margaret Fortin, CPC, CPC-H, CHC, AHIMA Approved ICD-10-CM/PCS Trainer, Senior Manager
Gina Hobert, MBA, CPC-I, CHC, CEMC, AHIMA Approved ICD-10-CM/PCS Trainer, Senior Manager
Hayat Freeman-Lutes, CPC, CEMC, Senior
Dianne Rodrigue, PA, MHP, CPC, AHIMA Approved ICD-10-CM/PCS Trainer, Senior

Medical Coding Course

This course will be offered to provide students with a working knowledge of CPT, ICD-9-CM and HCPCS coding used in the professional medical setting. The students will participate with hands-on coding including evaluation and management services, diagnostic testing, diagnostic coding and surgical procedures.

This fast-paced course is intended to provide those familiar with medical billing/coding to gain a thorough understanding of the medical coding process. The curriculum is also structured to prepare the student for national coding certification. The prerequisite requirements for this course are at least 2 years experience with ICD-9-CM and CPT coding. The program outline includes:

  • Hands-on coding
  • Workbook exercises
  • Preparation for coding certification
  • Proficiency exam

Why attend the course?

According to the U.S. Department of Labor, an estimated 35,000 new coding related jobs will be available before 2018. This represents a 20% increase in the field, which is a higher rate of growth than average for other occupations.

“As the baby-boomers retire, there will be an increasing demand for all healthcare services, including medical coding. This demand will create a favorable job market.”

Employers: How will this benefit you?

  • Effective and efficient coders are essential to the financial success of a practice, helping physicians maximize accurate and timely reimbursements.
  • As medical practices continue to encounter outside pressure from governmental and third party payers, and increased audits and higher operating expenses, the importance of employing experienced coders with a proven knowledge of coding and billing skills has never been greater.
  • Certified, professional coders ensure correct coding upfront before the claim is submitted and prevent lengthy claim follow-up and denial management. Appropriately coded claims are reimbursed more efficiently and physicians receive reimbursement for the services they render in a timely manner.
  • Under the Medicare Modernization Act, Center for Medicare and Medicaid Services (CMS) recommends that physicians employ certified coders.
  • A certified coder can ensure that Medicare, Medicaid and commercial insurance are in compliance.

Revenue Management Team

The faculties of the Knowledge Hub are professionals who have served in the healthcare industry for most of their careers. Maggie Fortin, Hayat Freeman-Lutes, and Dianne Rodrigue all bring specialized expertise to these sessions tailored to the audience, as opposed to “cookie-cutter” lectures.

Chart Audit Review Education Services

Proper coding is essential for medical billing compliance and can dramatically impact reimbursement. The Knowledge Hub’s coding reviews are designed to provide a summary of data quality, documentation, accuracy and assignment. At the conclusion of our review, findings, recommendations and issues will be communicated in a written report. Subsequent to this, we will provide on-site education with provider specific chart audit results and E/M coding criteria.

Our approach to practitioner education emphasizes on the individual needs of the physician/non-physician practitioner. We understand that the focus of these encounters is patient care and that the medical record, first and foremost, is a patient care tool. The medical record/encounter must also be a coding, billing and compliance tool. The education that we offer reflects this understanding and concentrates on coding documentation requirements and methods which practitioners can employ to document what they do and how that documentation translates into code selection. We view this as a vital component of the process.

In summary, Baker Newman Noyes Knowledge Hub’s approach to physician dialogue is educational rather than punitive. We use the reviewed records to demonstrate strengths and weaknesses during our one-on-one sessions with providers. By utilizing this approach, physicians and staff can easily relate to the education.

Course description:

  • 17.5 CEU hrs; program will include in-depth discussions on:
    • Documentation principles
    • Identifying key components
      • History, Exam, Medical Decision Making
    • 1995 and 1997 Documentation Guidelines
    • Review types of E/M services
    • Contributory factors
    • Discussion of “Gray” areas
    • EHR Audits

The class also includes:

  • Hands-on chart auditing with clinical examples
  • Setting up an internal audit process
  • Take-home exam
  • In-class presentation


Requirements:

  • Basic knowledge of E/M principles
  • Experience and knowledge of chart auditing or E/M coding required
  • Coding certification NOT necessary

 


For more information, please contact the BNN Knowledge Hub at
(800) 244-7444, ext. 7580