The eLearning Center for Gatlin Education Services

ICD-10 is a radically upgraded diagnostic and procedural medical coding system, and will soon be mandated by the Federal government for use in the healthcare industry in insurance processing, reimbursement, and statistical data gathering. Preparing for and implementing the massive changes to the existing coding system requires that the healthcare industry start preparing for the impacts now. This new program will present a comprehensive overview of the significant changes in store for both diagnostic and procedural coding along with detailed information on the impacts of the coding changes to medical coders, healthcare staff, physicians, software systems, documentation, and information technology.

This program includes:

  ·  Comprehensive overview of the objectives, edits, and changes within the soon-to-be released International Classification of Diseases, 10th edition (ICD-10).
  ·  Methodology and Template for planning HIM and non-HIM staff, physician, and allied health personnel education.
  ·  Explanation of requirements for upgrading existing software applications, including claims editors, billing and claims, and electronic data interchange clearinghouses.
  ·  In-depth review of the CMS training manual.
  ·  Explanation of how to prepare and develop policy and procedure manual changes, staff training needs, and requirements.
Upon registering, you are given an initial six months to complete the program. Should you need more time, you may request a 6-month extension at no additional charge.

Course Objectives

Upon successful completion of this program, students will be able to:

  ·  Describe the four major objectives that guided the development of ICD-10 PCS.
  ·  Compare structural changes to coding, terminology, and functionality between ICD10 and ICD9.
  ·  Recognize the impacts of ICD10 to policies and procedures, processes, software, billing, and coding.
  ·  Develop plan for addressing the impacts of ICD10 and preparing for the changes, including staff training needs.
  ·  Develop references to enable users to stay current on publication changes and delivery.
  ·  Identify strategies for training personnel on the delivered changes, including:

  ·  Coding/billing
  ·  Quality Assurance
  ·  Utilization Review
  ·  Compliance Staff
  ·  Information Systems
  ·  Outside Vendors
  ·  Prepare plan for Process, Policy, and Procedural re-engineering and documentation.
  ·  Identify IT (software) upgrades required and develop plan for same.

  · Unit I

  ·  ICD-10-CM and ICD-10-PCS: What is it?
  ·  ICD-10-CM and PCS Quick Facts
  ·  ICD-9-CM (Clinical Modification) Diagnostic Codes
  ·  ICD-10-PCS (Procedural Coding System) Codes
  ·  ICD History
  ·  Clinical Modification (CM) Creation

  ·  ICD-9-CM and Claims
  ·  ICD-9-CM Today
  ·  ICD-10 Changes
  ·  ICD-10-CM

  ·  ICD-10-CM: When?
  ·  Opponents and Proponents of ICD-10-CM and PCS America

  ·  Unit II

  ·  ICD-10-CM (Clinical Modification)
  ·  Comparison Chart ICD-9 to ICD-10
  ·  Code Structure Changes

  ·  Unit III

  ·  ICD-10-PCS (Procedure Coding System)
  ·  CMS Table Files for ICD-10-PCS
  ·  Code Structure Changes

  ·  Unit IV - Implementation Considerations ICD-10-CM

  ·  Training and Personnel
  ·  Administrative and Management Personnel
  ·  Clinical Personnel
  ·  Physicians
  ·  Human Resource Managers
  ·  Accounting Managers
  ·  Financial Plan
  ·  Information Systems
  ·  IS Planning
  ·  For Consideration
  ·  Actions to Take Now
  ·  Documentation