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VOLUME 5 , ISSUE 1 FEBRUARY 2 0 1 3

NAMAS Quarterly Newsletter

National Alliance of Medical Accreditation Services 2 0 1 3 NAMAS News 2 0 1 2 Auditor Tool Kit Winner

Be the 2 0 1 3 Most Valuable Auditor (MVA)

NAMAS would like to announce the winner of our 2 0 1 2 Auditor’s Tool Kit. The winner is Barbara Toney!!

In 2013 our giveaway will be a bit differ ent by r ewar ding our MVA’s or our most valuable auditor s. We want to r eward mor e people for pur suing a higher level of lear ning. It is simple! No entr y is needed. The following is a list of how to become an MVA:

Special points of inter est: NAMAS Auditor ’s Tool Kit winner and new MVA announcement. Conducting an Effective Audit—Building Cr edibility and Ensur ing Success Stop ignor ing diagnosis coding when per for ming char t audits Tr ansitioning to ICD-10 NAMAS Confer ence Infor mation

She r eceived: 2013 AAPC Confer ence Registr ation 2013 NAMAS Confer ence Registr ation 2013 AAPC dues 2013 NAMAS dues 2013 Coding Books

NAMAS Announcements

Inside this issue:

Be active with NAMAS—attend our r oundtables, be active in the NAMAS for um and shar e you auditing tips and/or ar ticles. Our r oundtables ar e gr oup discussions and we need our member s to be involved, spar k some conver sation and add your knowledge on the topic. Our for um is for NAMAS member s and we need your input. New conver sation thr eads and Q&A help. We also want you to share your knowledge with other auditor s by contr ibuting ar ticles, auditing tips, or even chapter advocacy. Shar e your ar ticle or tip

with NAMAS and we will shar e with our member s and give you r ecognition as well. We even have an oppor tunity for AAP C chapter s to r eceive MVA awar ds as well . AAP C chapter s that host a NAMAS sponsor ed esession, live session, or NAMAS CP MA boot camp will be eligible for chapter MVA. Finally we will have an MVA of the year . This will be an auditor who does it all and does it well. NAMAS will spotlight you and tell your stor y. Our J anuar y 2014 ad space in the Cutting Edge and BC Advantage will be a spotlight on you and what makes you the MVA of the year. In addition the MVA of the year will ear n you AAPC & NAMAS dues r eimbur sement for 2014, r egistr ation to both the AAP C and NAMAS National confer ences, 2014 coding books and a $300 tr avel voucher towar d confer ence expenses. Make a new year decision to get involved and you may find your self a 2013 MVA!

Transitioning to the ICD-1 0 —What you need to know

NAMAS News

1

Tr ansitioning to the ICD-10

1

Conducting an Effective Audit

2

Stop ignor ing diagnosis coding

4

NAMAS Announces

6

Reminder s

6

NAMAS Confer ence Infor mation

6

The Healthcar e Community is pr epar ing for the lar gest diagnostic coding change in our pr ofessional lifetimes. The Inter national Classification of Diseases-10th edition, or ICD10, will be a r adical depar tur e fr om our cur r ent ICD-9 system. After much debate, confusion and frustr ation, the new pr ojected launch date is October 1, 2014. The United States is one of the few industr ialized countries that has not made the transition to the ICD-10, not only in the hospital setting, but also

for ser vices deliver ed in offices and clinics. Many theor ies and alleged r easons have been br ought for war d explaining the delay including: Over whelming financial bur dens P hysician r esistance Hospital systems’ new progr am management being over whelmed IT vendor s not fully pr epar ed to implement such a pr ofound IT wor kload P olitics and power str uggles at multiple levels nationwide P ush back fr om physician specialty or ganizations

A belief that the new system will NOT impr ove patient car e. The effects of implementing the ICD-10 are far -r eaching and r elated to mor e than coding functions. The transition to the ICD-10 and the inter nal medical r ecor ds and claims pr ocesses both upstream and downstr eam will be pr ofoundly impacted. Any pr ocess in the physician’s pr actice or the hospital setting that r elies on clinical documentation and diagnostic terminology will be impacted by the ICD -10. The following list in only a


NAMAS QUARTERLY NEWSLETTER

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Conducting an Effective Audit: “Building Credibility and Ensuring Success” Auditing is an ar t; not an exact science because of the high r ate of subjectivity. Don’t believe me? Give any 3 auditor s the same medical documentation to r eview and I assur e you, you’r e going to get 3 differ ent answer s. When it comes to conducting audits ther e ar e so many tools and ways of per for ming them that it r eally comes down to what makes you comfor table and efficient. When pr epar ing to conduct an audit there ar e two differ ent types of that can be per for med. Fir st is a baseline r eview/audit, which is done the ver y fir st time to gain a statistical under standing for what a pr ovider is doing as well as to identify patter ns. The second is a follow-up, which is to tr ack impr ovement or r egr ession fr om one quar ter to the next after tr aining and education have been pr ovided. Below is a br eakdown in gr eater detail for you on the steps for conducting an audit. To per form an accur ate r eview of pr ovider documentation one must fir st possess all of the necessar y tools to ensure accur acy. It is imperative to under stand that LCDs, r egulations and statutes change often so it is necessar y to ensur e you have the latest r evisions handy. Suggested Tools for audits: CP T ICD-9CM HCP CS II RBRVS CCI Car r ier Local Cover age Deter minations Medicar e Car r ier Manual Suppor ting Ar ticles Regulations or Statutes Medical Dictionar y Bell Cur ve Coding Data (E/M and pr ocedur e by specialty)

Anatomy book Computer with Inter net access for r esear ch Coding look-up tool On-line subscr iption to CCH On-line access to Car r ier LCDs, CMS’ home page, Specialty society home pages, and non physician pr actitioner home pages. Once you have assembled all of the tools you need to perfor m the r eview the next step in the pr ocess is to develop or obtain an audit tool that will be beneficial to the type of r eview you ar e per for ming. This tool will r ecor d the date of ser vice, CP T codes billed, ICD-9CM codes billed, CPT codes documented, ICD-9CM codes documented, compliance categor ies, and an ar ea for r eviewer ’s comments. Whether you ar e auditing evaluation and management ser vices or pr ocedur es and then compiling all of your findings for a r epor t or pr esentation, this tool will play a vital role. A valid baseline statistical sample can be obtained from a sample of 10% of a pr ovider ’s annual patient univer se. If you ar e per for ming a follow-up audit/ r eview a good number is between 10-15 char ts. Char ts should always be pulled at random to ensur e you ar e not pulling a sample that will only yield beneficial r esults. We want to have an accur ate view for what the pr ovider actually documents and then selects as codes for billing pur poses. If you ar e utilizing an outside fir m to per for m the r eview for you, make sur e you have a Business Associate Agr eement signed between your or ganizations to ensur e pr ivacy pr otections for the patient and both entities. At this point you are getting closer to beginning the r eview/ audit. It is important to make sur e the r ecor ds ar e complete. This means you need to consider

all of the places where medical r ecor ds for the patients in the sample might be housed. For example, wher e else besides the patient chart might you find suppor tive information? Ar eas to be consider ed ar e: the EMR system, the hospital char t (if ther e is one), in the char t at an ASC (if ther e is one), ther apy center , diagnostic center , etc… We typically r ecommend when per for ming a r eview/audit for each of the char ts pulled, for your r eview at least one year s’ wor th of billing histor y. The r eason this is r ecommended is that this will pr ovide you with: the date of ser vice, what ser vice was billed (CP T/ICD codes), the medical necessity for the ser vice (ICD-9CM codes), and what, if any modifier (s) are used. An auditor ’s r ole is to ensure all ser vices billed ar e documented cor rectly and the medical necessity r epor ted for the ser vices per formed match the documentation in the r ecor d. It is also the r ole of the auditor to ensur e that not only ar e we ver ifying that all services billed ar e suppor ted but, that all ser vices per for med ar e actually captur ed and billed. It should be noted that to complete an accur ate r eview/ audit even for someone that has been doing this for year s, it takes on aver age one full day to pr oper ly audit each pr ovider in a baseline audit. Typically an auditor can comb thr ough between 45-60 evaluation and management ser vices in a day. P rocedures can and do typically take a significantly mor e amount of time. A beginner may find it takes a lot longer to get into a gr oove. Legibility tends to be the one ar ea where auditor s get bogged down and thus the r eview/audit gets thr own off tr ack. If the pr ovider s you are auditing do not use an EMR or tr anscr ibe

their documentation you may find your self going to them often to ask, “What does this say?” If this is the case, explain to your pr ovider that Medicare has a r ule of “3” which means if thr ee individuals at the car r ier cannot r ead the pr ovider handwr iting it becomes an over payment and a r equest for r efund is issued. In these situations, your best ally is the nur se. Most nur ses have become exper ts at r eading hard to inter pr et wr iting, symbols, and shorthand. You will also need a nur se to identify the doctor ’s signatur e so that you can pick out which note is your physicians’ when r eviewing hospital and nursing home notes. Now that you ar e fully engaged in the actual r eview/audit it is cr itical that you do not cut any cor ner s and take the time to fill in ever y blank that is relevant to your r eview/audit on the audit tool. In the end, you will appr eciate the har d wor k you devoted to per for ming this pr ocess and the audit tool will have ser ved its purpose. Remember , the audit sheets tell a stor y about each and every encounter and you will need this infor mation to build r epor ts that ar e meaningful and educational. Visuals are also gr eat teaching tools so make sure when you come across deficient char t notes or those that do a gr eat job in captur ing what tr anspir ed dur ing an encounter r emember to flag or copy pr ogr ess notes that stand out. Real life examples go much fur ther than simply tr ying to tell someone something or using theor etical infor mation to educate. It is now time to compile your findings and per for m an extr apolation in a manner consistent to what Medicar e or another carr ier might do when dealing with a post payment audit. Trying to tell a pr ovider


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Conducting an Effective Audit cont. they ar e committing “Fr aud” and that they may be facing stiff penalties including huge fines or even jail time is not advised. The best way to get a pr ovider ’s attention is to talk about money. As an example I typically say something to the affect of due to a lack of under standing of the guidelines on coding it has r esulted in a loss of $XXXXX for your practice. This type of infor mation is what will get you their full attention and show them you’r e not trying to scar e them with the “F” wor d. Now that you have done all of your number cr unching to figur e out pr ojected over payments and under payments and copied all of the documents necessar y to suppor t your findings, its time to make your pr esentation of findings to the pr ovider s and suppor t staff. You should have two main goals. The fir st is to hold their attention and second is to educate. If you can’t keep people inter ested in your presentation, they will not lear n anything. Be car eful not to ignite an alr eady volatile situation. Why is it volatile; because you ar e now about to point out deficiencies and flaws in a highly educated pr ofessional, which automatically puts them on the defensive! Choose your wor ds car efully her e and stick to the facts. Avoid giving your opinion. If you ar e asked a question to which you do not have an answer , it is okay to say, “I don’t know the answer to that but give me some time to r esear ch it and I will get you what you need to feel comfor table.” No one likes a know it all. Even if you have all of the answer s, which you don’t, take your time and pick your moments of glor y carefully. This will foster r espect and tr ust between your provider s and you.

When per forming the education piece make sur e you have made your packets of information for each of the attendees that will be in your pr esentation of findings. Also, make sur e you have a log so you can captur e all of the individuals who ar e present for the tr aining session. This is a key par t of your compliance pr ogr am. You should also have a flip char t because the major ity of pr ovider s ar e visual creatur es. The packets of information need to contain all photocopied progr ess notes, r ules and r egulations r egar ding any findings which ar e against the r ules, and educational tools such as E&M documentation guidelines that will be used to help cor rect any bad habits, audit sheets, Local Cover age Deter mination, Official ICD-9CM Coding Guidelines, copies of the CP T manual, etc... Begin the session by explaining the methodology employed to per for m the r eview/audit. Don’t get too detailed here because you will loose your audience. Use the KISS pr incipal and you will be just fine. Use the flip char t to show how many total r ecor ds wer e r eviewed, how many total encounter s wer e r eviewed, and how long the billing per iod was that you used, how many services wer e not documented, and then how many were not billed, etc…This builds cr edibility and pr ovides the visualization needed for the pr ovider s. Remember what was stated befor e; talk dollar s!!! This is what P hysicians and administr ator s pay attention to mor e than anything. Fir st, add up for the gr oup how much money they actually lost thr ough under coding, selecting the wrong CP T or ICD-9CM code(s), and for not captur ing all of what was per for med but not billed. Second, add up the total amount that would have to be paid back to Medicar e if you had been wor king on a Medicare specific audit.

Add the overpayments and potential fines together and wr ite it on a sheet on the flip char t by itself. Thir d, add all of the under and over payments together and pr ovide them with a gr and total. This is what will keep their attention. Keep in mind if the number s ar e too big even though they ar e accur ate, you may lose them because they will automatically think you ar e inflating number s to scar e them. Wr apping it all up now is the easy par t because you have their attention. Now is when you should point out the specific findings and r ecommend how to r emedy them through cor r ective action. Teach by example, use pr ogr ess notes you copied and all of the author itative infor mation you put together in the packets. If pr ovider s have been under documenting E&M ser vices, then use a copy of their own pr ogr ess notes to show exactly how to fulfill the documentation r equir ements and choose mor e accur ate levels of ser vice. If this is a group session with multiple providers, use more than one example and make sure to remove patient names and provider names so you do not embarrass any one. This would become counter pr oductive to what you ar e tr ying to accomplish. You should also show examples of things that wer e done well. If you use this outline, you should be effective, impr essive, and ear n the r espect and tr ust of the pr oviders and administr ator s within the gr oup.

NAMAS is coming to a location near you…..see what exciting places NAMAS will be visiting next!

2013 Schedule 3/4 - 3/5

P hoenix

AZ

3/7 - 3/8

San Diego

CA

3/20- 3/21

Memphis

TN

3/27 - 3/28 New Yor k

NY

4/4 - 4/5

Biloxi

MS

4/9 - 4/10

Denver

CO

4/11 - 4/12 Or lando

FL

4/16 - 4/17 Bur lington

VT

4/18 - 4/19 Char lotte

NC

5/1 - 5/2

Montgomer y

AL

5/8 - 5/9

Madison

WI

5/15 - 5/16 Char leston

SC

5/15 - 5/16 P hiladelphia

PA

5/21 - 5/22 Santa Barbar a CA 5/27 - 5/28 New Or leans

LA

6/3 - 6/4

Anchor age

AK

6/6 - 6/7

Spokane

WA

6/11 - 6/12 Dallas

TX

6/11 - 6/12 Oklahoma City OK 6/19 - 6/20 Wilmington

NC

Upcoming Roundtable Sessions: Sean M. Weiss Vice President Chief Compliance Officer DoctorsManagement, LLC

Febr uar y 21, 2013 - Or thopedics Mar ch 7, 2013—Ophthalmology Mar ch 21, 2013—Incident-to Apr il 4, 2013—Chemother apy Apr il 25, 2013—P sychology May 9, 2013—E & M


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NAMAS QUARTERLY NEWSLETTER

Stop ignoring diagnosis coding when performing chart audits A cr itical por tion of the medical r ecor d is often over looked when auditor s ar e r eviewing r ecor ds: the diagnosis code(s) selected for the encounter . The Center of Medicare and Medicaid Ser vices (CMS) states that diagnosis codes (ICD-9-CM) ar e designed for the classification of mor bidity and mor tality infor mation for statistical pur poses and for the indexing of hospital r ecor ds by disease and oper ations, for data stor age and r etr ieval. Adherence to these guidelines when assigning ICD-9CM diagnosis and pr ocedur e codes is requir ed under the Health Insur ance P or tability and Accountability Act (HIP AA). Insur ance companies and Medicar e/Medicaid use the ICD-9 codes to help deter mine medical necessity. Specific diagnosis codes will be deemed ‘medically necessar y’ for cer tain pr ocedur es and tests, and documenting and r epor ting these accur ately is essential to passing any payer r eview. The diagnosis code(s) used will help paint the pictur e of why something was done. CP T= what was done (office visit, pr ocedur e, test) ICD-9 = why was it done (sign, symptom, disease) Using the cor r ect ICD-9 code is essential for accur ately r eporting why the ser vice was r ender ed. Using incor r ect ICD-9 codes can r esult in payment for non-covered services or the denial of a ser vice that should be cover ed. Each year the guidelines for ICD -9 ar e updated, and ever y coder and auditor should know these r ules in details. Medical staff (including physicians) can often get stuck in the ruts of the main codes we typically see. Review of these guidelines can help the

auditor open their view of the cor r ect pr ocedur e for assigning codes, and help educate their pr ovider s for using codes that specifically list the patient’s condition, not just what codes ar e pr eloaded into the EHR or encounter for m / super bill. Dur ing an audit, we commonly see unspecified codes r epor ted when a specific diagnosis does exist. For example code 401.9 for essential hyper tension, unspecified but the medical r ecord shows the condition is benign, and should be r epor ted with 401.1. Why does specific coding matter ? Medical necessity is used by insur ance car r ier s and other payer s to help deter mine cover age. Using the most specific diagnosis code helps ensur e that cover age is appropr iately applied. Getting use to coding as specific as possible will also help the tr ansition to ICD-10. Dur ing a recent audit I was r eviewing denials by a commer cial payer for multiple patients’ catar act sur gery. When these wer e r eviewed we discover ed that the claims wer e submitted with diagnosis code 366.9 unspecified catar act. Documentation showed they patient’s actually had nuclear scler osis catar act, which is r epor ted with code 366.16. Review of the payer s medical policy for catar act sur ger y showed that code 366.16 was on their cover ed list, while 366.9 was not. Repor ting the incor r ect diagnosis in these cases r esulted in hundr eds of sur ger ies being denied. It is also impor tant to r epor t ICD-9 codes that ar e fully suppor ted. Audits have r evealed many common err or s, resulting in an inaccur ate diagnosis being

r epor ted. In some cases, being labeled with some diseases (diabetes, cancer ) will impact your cover age and ability for futur e cover age with insur ance companies. P atient has high blood sugar dur ing the encounter , r epor ted with a code for diabetes (categor y 250) instead of the corr ect code for 790.29, other abnormal glucose. P atient has high blood pr essur e dur ing the counter , is r eported with a code for hyper tension (category 401) instead of code 796.2 Elevated blood pr essur e r eading without diagnosis of hypertension. P atient has an abnor mal r esult on a P ap smear , encounter r eported with 622.11 for cer vical intraepithelial neoplasia (CIN I) when no definitive diagnosis has been made. Report instead with 795.00-795.09 for abnormal findings on a P ap smear. P atient has a suspicious lesion on their back, and a biopsy is taken. The physician suspects squamous cell car cinoma based on the lesion featur es, but awaits pathology for final r esult. Biopsy should be coded with an unspecified diagnosis code (239.2) and not the code for squamous cell car cinoma (173.52) until the pathology r epor t is r etur ned and the specific code can be deter mined. (NOTE: many payer s r equir e that char ges ar e held for items pending pathology so that the appr opr iate code can be used, not the unspecified code – check your policies) Results of these audits and r eviews will be a per fect educational session for your provider s. These findings can result in needed updates to your EHR/ EMR diagnosis systems, paper

When r eviewing, having the char t note along with all billing items (super bill, claim for m) will help identify if pr oblems within the coding chain exist. Audits have discover ed that char t note documentation and selection on the super bill ar e cor r ect by the pr ovider, but dur ing the billing pr ocess the code has changed and goes out alter ed on the claim form. Typically this happens when specific diagnosis codes are r equir ed for payment, but if documentation does not suppor t the code, it cannot be r epor ted. With ICD-10 ar ound the cor ner , auditing your cur rent documentation for ICD-10 coding accuracy is also an impor tant step to take. This can help your clinic assess what documentation deficiencies ar e found within the assessment section of the char t note that limits your ability to find the cor r ect ICD-10 code. The importance of accur ate code selection is just as impor tant for ICD-9-CM codes as your CP T selection. Expanded your cur rent audit pr ocesses to r eview both CP T and ICD-9 codes and have a system in place to tr ack ICD-9 issues discover ed, and pr ovide feedback to the par ties involved (biller , coder , pr ovider).

R egan T yler, CPC, CPC-H, CPMA, CEMC, ACS-EM NAMAS Instructor


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Transitioning to ICD-1 0 Cont. The following list in only a par tial r ealization of some of the impacted changes: Physician and clinical documentation: Both need mor e specificity and will be affected by the need to include infor mation about a patient’s significant co-mor bid conditions. Computer systems and interfaces: Health infor mation management (HIM) staff should r eview with stakeholder s the ar eas wher e the ICD-9 codes will r equir e r eplacement to help ensure an accur ate, seamless flow of codes. IT Personnel: They must be included in the ICD-10 education to assur e IT handshakes between systems still occur and continue to suppor t cur r ent pr ocesses. Finance departments: They need to under stand the impact the ICD-10 has on revenue, whether positive or negative, and develop a mitigation plan. Differ ences between the ICD-9 and the ICD-10 will dr ive DRG and reimbur sement changes. For example, cholecystectomy pr ocedur es can be r eimbur sed in dr amatically differ ent ways depending on the coded surgical option – open, closed, r obotic, laser , etc. This specificity wasn’t available in the ICD -9. Many diagnoses and pr ocedur es will be impacted fr om a r evenue per spective. Health information management (HIM): The entire HIM depar tment – not just coder s – in hospitals, offices and clinics will be impacted. Executive leadership: The executive leadership team will have additional oppor tunities to analyze data based on an entir e argosy of new, specific infor mation that can be used for impr oving patient outcomes, financial fitness and anything else that r elates to patient car e and cr eating a foundation for healthcare impr ovement.

Regar ding physician and pr ovider r esistance, the present ICD9 system has cr eated mor e specific diagnostic codes over the last sever al year s. Some advantages of mor e specific diagnostic coding include: Impr oved measurement of patient outcomes The decr eased use of “unspecified or not elsewher e classified” diagnoses, which has been shown to help physicians and pr ovider s tar get much impr oved clinical decision making. Impr oved medical decisionmaking documentation, accur acy, and improved lower ed insurance denial r ates, which can allow pr oviders to focus on impr oved patient car e. P r oposed inr oads for impr oving patient car e through the use of ICD-10 coding, which include some of the following disease states wher e the specificity of codes could be used to the patient’s advantage. Diabetes Mellitus and insipidus Acute myocar dial infar ction tr eatment Injur y pr evention Fur ther mor e, while ICD-10 implementations can cause headaches for physicians, P As and all pr ovider s, ther e is a wealth of infor mation that comes fr om the mor e specific code set that will ultimately benefit patients’ healthcare outcomes. It will cer tainly take time and ener gy for physician and P A gr oups to make the change, and it’s clear that the ICD-10 will not be a quick fix. However , if physicians and P As ar e tr uly motivated to impr ove healthcare, the ICD-10 will be a valuable and pr oven tool. Some benefits of the ICD-10 for physician gr oups include:

The addition of later ality to the code set can smooth the r eimbur sement pr ocess. For example, the patient injur es their r ight hand one week and their left hand the following week. Without later ality, payer s may think a pr ovider is submitting two consecutive claims for tr eatment of the same patient injur y. But the ICD-10 codes pr ovide enough specificity in later ality (r ight hand and left hand) for payer s to under stand what has actually occur r ed. This will r esult in fewer denials, quer ies and lost r evenue. The code set can be used to deter mine the efficacy of cer tain standar d pr ocedur es. For example, it can be used to study whether open sur ger y is better than laser, r obotic or lapar oscopy. The ICD-10 can pr ovide specific infor mation on these types of sur ger y, as well as on adver se effects fr om medication err or s, sur gical er r or s, falls, etc. This infor mation can be used by physicians to impr ove quality of car e and future patient outcomes. The ability to tr ack socioeconomic conditions such as homelessness, dr ug use and mor bid obesity is another benefit of the ICD -10 code set. These factor s gr eatly affect patient outcomes and tr eatment costs in gr oup settings when the infor mation is analyzed and used. Ther e is no magic pill that will make the change to the ICD-10 pain fr ee. But ther e is not cur r ently another code set that is easier or better to use at this time. As shown in many civilized medical countr ies like Canada, Austr alia, Hong Kong, Great Br itain and most of Wester n Eur ope, the ICD-10

alr eady pr ovides a pathway to impr oved patient car e. The good news is that everyone involved in clinical car e of patients will have to be tr ained in the new ICD-10 code sets. Whether you ar e a P A, physician, coder , biller , administr ator , or insur ance car r ier , all need the same type of str uctur ed tr aining. For now, your employer should be star ting the implementation pr ocess, discussing with your EHR vendor s their plans for the tr ansition, how they plan to teach all pr ovider s and how this will impact patient flow and continuity of care. P r oposed timing for tr aining should coincide with the standar d implementation and cour se process so eloquently laid out by Rhonda Buckholtz, vice pr esident of ICD -10 education and tr aining for the Amer ican Academy of P r ofessional Coder s. Her e ar e some excellent r esour ces for more information on ICD-10: “ICD-10-CM/P CS Myths & Facts”, U.S. Health and Human Ser vices Depar tment, http://bit.ly/XtTL9b “ICD-10 Pr ovider Office Changes”, AAP C, http:// bit.ly/TMYP Nu “ICD-10 FAQ”, AAP A, http://bit.ly/10hw3dX As first presented in the PA Journal December 2012 issue

John F. Bishop, PA, CPC, CGSC, CPRC, NAMAS Instructor


NAMAS Announces:

Next NAMAS Webinars: Disease Disorders & T heir Drugs— February 20,2013 at 2pm EST E&M Auditing— April 24, 2013

NAMAS is pr oud to announce that ALL member s of NAMAS will r eceive a complimentar y subscr iption to BC Advantage magazine. Thanks to the Stor m Kulhan, the CEO of BC Advantage, NAMAS has been able to make this subscr iption and added member ship bonus. NAMAS’s own Sean Weiss is on the cover of BC Advantage this month as he was for tunate to have a per sonal inter view with Newt Gingr ich. Click her e to view the cur r ent issue of BC Advantage: http://www.billing-coding.com/cur r entissue.cfm

NAMAS Conference 2 0 1 3 !

For example: If you set up payment star ting in Febr uar y they would cost you $149.38 per month to attend the confer ence and pr econfer ence. The NAMAS 5th Annual Auditing Confer ence will be held in Atlanta, GA on December 9-10, 2013, with pr econfer ence on December 8, 2013 at the Cobb Galler ia Center . You can register for the confer ence with the r egistr ation for m listed on our website at: namasinfo.com/events.html If you find your self having tr ouble paying for the confer ence in full, we do have payment plans available.

Full Agenda is listed on our website, but some topic highlights include: Medical Necessity Infusion Or tho/P T and Spine P sychology Cr itical Car e/Trauma Car diology Gener al E&M—Hands on Session

Featured Product:

This year we will even have a P r actice Management tr ack that you can attend which will include topics such as: Managed Car e ERISA Effective use of P r oductions r epor ts and Bell Cur ve data Much more information to come so register now and don’t miss out on this gr eat confer ence!

We will also have P anel discussions each day so you can addr ess your questions dir ectly to our speaker s.

Early bird specials are going on now! Register between now and March 3 0 , 2 0 1 3 and you will receive tickets to our dinner event at the Georgia Aquarium on Monday December 9 , 2 0 1 3 .

NAMAS t ook t h e b est of mu lt ip le var iat ion s of au d it gr id s an d in cor p or at ed t h em in t o on e au d it t ool. Th is gr id in cor p or at es 1995 an d 1997 gu id elin es an d in clu d es p h ysicia n office, h osp it al, an d E R ser vices. Ut ilizin g t h e d r y er ase mar k er allows t h e gr id t o b e r e-u sed . Visit t h e NAMAS Sh op p in g Car t t o or d er you r s t od a y!


NAMAS Newsletter February 2013