ICD-10 Coding Concepts for Optometry and Ophthalmology

ICD-10 Training for Ophthalmology and Optometry

Event Information
Product Format
Prerecorded Event
Presenter(s)
Jeffrey Restuccio, CPC, COC, MBA
Length
90 minutes
Product Description

Training for Managers, Coders, Billers and Providers to Improve ICD-10 Education


ICD-10 is an updated system for disease reporting, conditions and various other factors that affect healthcare. Various organizational and managerial tasks need to be made to ensure that you can face the post-implementation challenges. First up, you need to prepare and implement a training program, rework the free tickets, update software on practice management, establish the policies of documentation as well as an internal audit system to surely ensure compliance and accuracy, if you have not done so earlier.

This session by expert speaker Jeffrey Restuccio, CPC, CPC-H, MBA will provide managers, coders, billers and providers in Optometry and Ophthalmology with the information they need to improve their ICD-10 education post transition.

In ICD-10 the increase in the number of codes seems formidable, though much of the increase is due to bilateral eye diagnosis codes (right, left, bilateral and unspecified). For example, in ICD-9 procedures were reported with modifiers RT and LT but in ICD-10 most Eyecare diagnoses will be reported by eye or eyelid. The second major issue is specificity. More codes will mean more specific descriptions of diagnoses. All this and much more will be covered during this webinar.

Most Eyecare professionals are seen to be not following the coding concepts of ICD-9. It is very important for all the Eyecare professionals to enhance as well as improve their ICD-9 coding to understand and improve their ICD-10 coding system. 

The training session will include value-added information such as,

  • Explanation of the larger picture – know the way new coding system will affect reimbursement and practice. Understand the coding concepts in an easy way.
  • Enhanced explanation and description of the disease as well as descriptions customized for staff in coding and billing
  • Explore various additions and exceptions that include ICD-9 codes which don’t crosswalk as well as new ICD-10 descriptions.
  • Organize diagnosis codes as well as code groups so as to boost learning process.

TRAINING CONTENT

Documentation Issues Covered

  • ICD-10 Guidelines Overview
  • Practice management system
  • Electronic medical records system
  • Decide if you are going to use a book, a cheat sheet or a look-up program to select the new ICD-10 codes.
  • Learn the specific and detailed codes so that there are no gaps in ICD-10 coding.
  • Integrate the new ICD-10 codes into the LCD’s and understand medical necessity requirements of carriers.

Specific Implementation Plan Topics Covered

  • Establishing a training schedule
  • Reworking the clinic fee ticket
  • Learning the structure, organization, and unique features of ICD-10-CM.
  • Learning about system impact and ASC X12 version 5010 software.
  • Using assessment tools to identify areas of strength/weakness in medical terminology and medical record documentation
  • Pre-implementation audit of the assessment documentation by providers.
  • Review any documentation from carriers concerning ICD-10.
  • Review your practice management and your EMR system.
  • How to develop good coding and documentation habits!

Goals and Objectives

  • Goal: Reduce denied claims
  • Goal: Reduce improperly documented claims
  • Report accurately all ICD-10 codes in 2015-16.
  • Develop good documentation, coding and billing habits early.
  • Audit-proof your clinic.

Concepts and Implementation

  • What is GEMS?
  • What are the new guidelines that I need to know?
  • How much time should I allocate toward ICD-10 training?
  • The importance of eye anatomy to ICD-10 coding.
  • The importance of medical terminology for ICD-10 coding.
  • Why a crosswalk is a first step but not sufficient for accurate coding.

Specific Eyecare Coding

  • Specific review of top Eyecare conditions such as glaucoma, cataracts, DES, ARMD, retinal conditions and injuries.
  • Review of common Eyecare acronyms and how they translate to ICD-10
  • Review of bilateral and non-bilateral codes
  • Eyelid ICD-10 codes
  • Relevant codes not reported by eye.
  • Signs and symptoms codes not specifically Eyecare-related.
  • Injuries and accident codes
  • Top peripheral codes applicable to Eyecare such as diabetes and hypertension.
  • How late effect codes are now listed as “sequela.”
  • Foreign body codes

Disease and condition concepts

  • Congenital versus juvenile versus senile–all different ICD-10 categories.
  • Diabetes coding and manifestations
  • Glaucoma coding
  • The importance of coding for accidents and injuries
  • Understanding screening codes

Who should attend?

  • Optometrists
  • Ophthalmologists
  • Practice managers
  • Coders
  • Reimbursement specialists
  • Billers
  • Nurses

Order Below or Call 1-866-458-2965 Today

You can also order through:
Phone

1-866-458-2965

Fax

1-919-287-2643

About Our Speaker

Jeffrey Restuccio - Ophthalmology and Optometry Coding Expert

Jeffrey Restuccio, CPC, COC, MBA, is a certified coding instructor specializing in Eyecare coding, billing and documentation. Jeff has over twenty five years of experience and since 2007 has conducted over 365 live seminars, nationwide specifically for Eyecare. Jeff has personally audited over 10,000 medical records and presents nationally on auditing and documentation issues. Through the www.eyecodingforum.com website, Jeff offers coding and billing training, audits and a...   More Info
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