Tom Ormondroyd, Vice President/GM, Precyse Learning Solutions
Louis Vick, Product Manager Post-Acute, HealthStream
Reagan Sanders, Associate Partner Manager, HealthStream
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ICD-10-CM is a major initiative for Post-Acute Care (PAC) organizations. This paper will discuss the positive outcomes, illuminate the major changes PAC organizations can expect, and address the new opportunities ICD-10 will present for delivering and tracking patient care.
How Is ICD-10 Playing Out in the Post-Acute Care World?
Post-acute care (PAC) organizations are at varying states of readiness. With so much ado about ICD-10’s impact on acute care organizations, the post-acute care side of the story hasn’t been spoken loudly enough. This is due in part to PAC providers’ somewhat hands-off approach under ICD-9. Many in post-acute care have squeaked by with ICD-9 cheat sheets, scaled back coding policies, and non-credentialed staff. Some PAC providers even dismiss ICD-10 as a “coding issue.” With ICD-10-CM (Clinical Modification), however, this approach will not suffice. To start, the increase in codes is substantial. There are more than 13,000 diagnostic codes in ICD-9-CM, in Volumes 1 and 2. In ICD-10-CM, this number skyrockets to more than 70,000 diagnostic codes. These changes apply to all post-acute care organizations including skilled nursing facilities (SNFs), long-term acute care (LTAC) organizations, home health agencies, hospice, and others.
This paper includes:
- Why It’s Time for ICD-10
- How ICD-10-CM Impacts 5 Major Areas in Post-Acute Care Settings
- Big Documentation Changes Ahead
- The New Wild World of Codes
- Breaking ICD-10-CM Coding Myths
- Reimbursement and ICD-10-CM
- Quality Reporting Under ICD-10-CM