clinical documentation improvement icd-10 transition from icd-9
Post on 31-Dec-2015
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Karen Brown RHIT, CCSKaren Brown RHIT, CCS
Clinical Documentation SpecialistClinical Documentation Specialist
Date: October 3, 2014Date: October 3, 2014
1. Team lead training2. Coder education3. Time study- 33 minutes per chart (average per
chart 18 mins.)4. Test claim submission- (Variance in payment)
ICD-10 Past
1. ICD-10 training 2. Physician education 3. Query revision 4. Surgery review
Clinical DocumentationPast/Present
Respiratory Failure
Acuity Associated symptom/s(hypoxia, hypercapnia)
Acute respiratory failure with hypoxia – J9601 Acute respiratory failure with hypercapnia –
J9602
Clinical DocumentationDiseases of the Respiratory Systems
Asthma
Severity (mild, mild intermittent, moderate, severe)
Relationship to other diseases (copd)
Diseases of the Respiratory System
Myocardial Infarction
Type (nstemi, stemi, transmural) Site Encounter (initial, subsequent)
Diseases of the Circulatory System
Fractures
Type (comminuted, transverse) Cause (traumatic, non traumatic) Laterality Alignment (displaced, non displaced) Encounter( initial, subsequent, sequela)
Injury and Poisoning
Wounds
Type (postoperative, ulcer, laceration) Cause (diabetes, venous stasis ulcer)
Injury and Poisoning
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