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Diagnosis Evolution: The ICD-9 to ICD-10 Transition
Rating: 4.5 out of 5(73 ratings)
392 students

Diagnosis Evolution: The ICD-9 to ICD-10 Transition

Everything you need to know about transitioning your practice, your billing, and your in-house medical records to ICD-10
Created byNate Fowler
Last updated 6/2014
English
English [Auto],

What you'll learn

  • Understand the history of ICD and why we use it
  • Understand the structure of ICD-10
  • Be capable of filling out a revised CMS-1500 form's diagnosis section
  • Understand what Electronic Health Record (EHR) systems to use
  • Understand the differences between ICD-9 and ICD-10
  • Know how ICD-10 affects your practice and diagnosis

Course content

1 section • 15 lectures • 45m total length
  • Introduction0:44

    This is the introduction for the course, setting the stage for what we will talk about when it comes to ICD-9 and ICD-10.

  • Who am I and what's all this billing stuff about?2:53
  • ICD-9 and it's problems4:12

    Explain ICD-9 limitations, such as code depletion and misdiagnosis, that hinder billing and tracking, and how ICD-10, used worldwide, improves disease tracking and accommodates new treatments.

  • Introducing ICD-106:50

    Learn how ICD-10 introduces tens of thousands of diagnosis and procedure codes, the clinical modification and procedure coding systems, their expandable structure, and the adoption timeline in health care.

  • Moving to EHR with ICD-102:11

    Move to EHR with ICD-10 requires upgrading your EHR to support the revised CMS form for electronic submissions, and consider online software for cost, security, and cloud backup.

  • Differences between ICD-9 and ICD-105:52
  • The structure of ICD-10 with a drill-down example3:37

    Explore the ICD-10 structure, from CMS blocks to dept level drill-downs, with the J series for respiratory diseases and an example of acute frontal sinusitis using dot locators.

  • Resources5:12

    Prepare for the ICD-9 to ICD-10 transition by educating yourself on compliance requirements, adopting ICD-10 now, reviewing training materials, memorizing essential codes, and leveraging government and vendor resources.

  • Dual-Coding and it's advantages3:14

    Practice dual coding by applying ICD-9 and ICD-10 on both forms to ensure accurate billing during the transition and build staff familiarity.

  • Cross-Walking and it's dangers3:20
  • What you need to get started2:01

    Learn to focus on the specific ICD-9/ICD-10 codes you actually use, create a quick reference guide, and document precise diagnoses to ease transition and ensure accurate coding and payment.

  • Examples of Insurance Companies and how they process1:35

    Explore how payers adopt ICD-10, including Anthem Blue Cross accepting ICD-10 and ICD-9 codes with faster electronic submissions, and Optum Health and Medi-Cal requiring revised forms and hard-copy submissions.

  • What the new Revised CMS-1500 form looks like (and how to use it with ICD-10)1:08

    Review the revised CMS-1500 form and its ICD-10 usage, highlighting changes in boxes 21 and 24, including 12 diagnosis codes and the switch from 1–4 to A–L.

  • Quiz Yourself on ICD-10
  • The future of ICD1:58

    Forecast the future of ICD with ICD-11 integration, moving toward human-readable definitions and software-based, axonal-based coding via dropdowns and body-part navigation to streamline medical billing.

  • Wrapping up0:56

    Reach out to me or Cristi with questions, support nonprofit fundraising for a safe house for domestic abuse families and human trafficking survivors, and embrace new abilities to learn technologies.

Requirements

  • The ability to keep track of industry acronyms (that will be defined during the course)

Description

This is the ultimate course on the ICD-9 to ICD-10 transition.

If you don't know what ICD-10 is and you're practicing medicine, you need to learn this before October 15, 2014 when it goes into mandated effect or you could lose money!

In this course, you'll find out all about how ICD-10 affects your practice, your billing, your diagnosis and how may need to write them differently, and more. Everything about the ICD-10 structure is explained in easy detail, so that you can learn what you need and get back to making money.

You'll also see the quick way to memorize different sections that are applicable to you by seeing how ICD-10 is divided up. Along with some great exercises you can do in your practice to make it so that you are ready for the transition!

Who this course is for:

  • Doctors
  • Nurses
  • Nurse Practitioners
  • Therapists
  • Medical Specialists
  • Medical Billing
  • Psychologists
  • Psychiatrists
  • Social Workers, LCSWs
  • Marriage and Family Therapists, MFTs
  • Licensed Professional Clinical Counselors, LPCCs
  • General Practitioners
  • Family Medicine
  • Hospital and Clinical Staff