ICD-10-CM Coding Update for Hospice

Event Information
Product Format
Prerecorded Event
Judy Adams, RN, BSN, HCS-D, AHIMA approved ICD-10-CM Trainer
90 minutes
Product Description

Most Recent Clarifications and Updates to ICD-10-CM Coding That Impact Hospice

The first official update to ICD-10-CM codes became effective on October 1, 2016. All hospice agencies need to be aware of the new, changed and deleted codes to avoid having claims rejected for an improper diagnosis code. In addition to changes in actual diagnosis codes, 2016 introduced a number of changes to the official coding guidelines and interpretations related to coding.

CMS Hospice has implemented many changes in coding requirements for hospice over the last three years, requiring more detailed coding of both related and non-related diagnoses for hospice patients. There continues to be numerous questions related to coding and the 2017 changes have added more complexity for hospice.

This audio conference  by expert speaker Judy Adams will provide a discussion of the most recent clarifications and updates to ICD-10-CM coding that impact hospice. Get various tips and illustrative coding scenarios that incorporate both new code situations and common questions that have been raised by hospice agencies. The changes to the 2017 Official Guidelines include several very significant changes such as the meaning of “with” when it is listed in the Alphabetic Index, Tabular List, or diagnosis statement.

This program will provide an opportunity to discuss some of the most common questions that have arisen over the last 6 months to a year and an opportunity for you to ask additional questions that you might have on hospice coding. While the hospice medical director has primary responsibility for establishing those diagnoses most contributory to the terminal condition, the hospice agency and the Interdisciplinary Group has a responsibility and an opportunity to assist in identifying all existing current diagnoses and conditions. It can also ensure that Official Coding Guidelines are being followed and each patient is eligible for the hospice benefit. This session can also assist your hospice agency with accurate and compliant ICD-10-CM coding to avoid denials of hospice claims.

Session Highlights:

  • 2017 Official ICD-10 Guidelines for Coding and Reporting Diagnoses changes including Excludes I definition exception:
    • Using the word ‘with’ to denote a causal relationship when it is mentioned in tabular lists
    • Alphabet indexes
    • Code assignments which are based on the diagnostic statement of the provider saying that the condition exists
    • Symptoms and signs of coding against diseases processes and using appropriate 7th characters
  • Major changes in coding diabetes and hypertension with heart failure and/or chronic kidney disease or other renal disease
  • Coding dementia and other mental and behavioral disorders
  • Coding sequela of cerebrovascular and neurological conditions versus use of acute codes for patients with head injuries
  • New guidance in Chapter Specific Guidelines related to coding pressure ulcers
  • Common questions on coding such as the number of diagnoses to include, sequencing for neoplasms, etc.

Session Snapshots:

  • How many codes should be placed on the hospice bill
  • Selecting Hospice diagnoses
  • Changes in terminology within body system chapters
  • Coding Clinic Clarification - Guidelines
  • Using and reporting unspecified codes
  • Updated guidance from coding clinic
  • Convention changes
  • Multiple underlying causes for a condition
  • Etiology/manifestation convention
  • Multiple coding for a single condition
  • Dementia Coding - Definition and codes
  • Traumatic vs Non-traumatic CV disease
  • Changed guidance on coding a fulminating breast ulceration

Who should attend?

  • Coders
  • Medical Directors
  • Quality improvement staff
  • Supervisors or patient care coordinators with responsibility to directly code or approve the coding for particular patients

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About Our Speaker

Judy Adams - Home Health Coding Expert

Judy Adams, RN, BSN, HCS-D, HCS-O, has been involved in health care in numerous health care setting over the span of her career. She has been involved in nearly every aspect of home health care over the last three decades including direct clinical care, supervision, administration and quality improvement.

In 2009, she opened her own education and consultation company with a primary focus on...   More Info
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