discover the wealth of content available in online coding ...€¦ · the clinical documentation...

Whether it’s CMS, the AMA, AHA, ASA or a number of any other coding organizations, finding coding content has never been easier.

Ryan Devey, Physician eSolutions Product Manager

Discover the Wealth of Content Available in Online Coding Tools

Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

Presentation disclaimer

All of the information provided is believed to be accurate and reliable; however, Optum360® assumes no responsibility for any errors. Optum360 is providing this information for educational purposes only and not as a replacement for professional judgment and experience; therefore any use of this information is at your sole risk and Optum360 neither assumes nor is responsible for its use.

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Today’s world of the technology

Rotary dial phones instead of our iPhones or Androids

Encyclopedias/Libraries vs. internet (e.g., libraries today)

Handwritten letters/documents vs. email

Computers in our jobs (can you imagine a life without them?)

Medical coding … Why is our industry different?

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Discover the wealth of content available in online coding tools

Let us show you how web-based coding information products replace volumes of print content — and how it can provide this content in the same way as a book/newsletter, only with more current information and much more efficient lookup capabilities. The majority of users of these web-based products often wonder how they did their job before using these products … you will too!

In this presentation we will discuss: • Why web-based medical coding information applications? • A massive library of coding content: A focus on clinical documentation and exclusive

AMA CPT® content • Why Optum360? Simple: the Optum360 proprietary content and exclusive content

delivery permissions

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| 5 Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

Why web-based medical coding information applications?

• Improve overall production • Increase coding and billing accuracy • Potentially decreased denials • Efficient code selection through fast and simple

lookup • Search across all four code sets in real time for

efficient claim preparation and fewer rejections • Practices billing Medicare part B and private

payers can reference procedure, service/supply and diagnosis codes and coverage information much faster

• Automatic monthly updates • Volumes of historical content without additional

“physical” space

| 7 Confidential property of Optum. Do not distribute or reproduce without express permission from Optum.

A massive library of coding content: A focus on clinical documentation and exclusive AMA CPT® content


Web-based medical coding information applications

Optum360 offers real-time, web-based coding tools designed specifically for users to quickly and accurately access and assign codes. • Search, research, validate and print:

– CPT – HCPCS – ICD-9-CM v1, v2, v3 – ICD-10-CM and PCS

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Content overview: And this is just the beginning …

• CodeLogic™ Search Engine • Color code edits (over 30 icon alerts per

code type) • Lay descriptions/annotations • Deleted code crosswalk • Real-time updates • User notes and favorite lists • Print code summary • All code book resources (indexes, tables,

appendixes, notes, guidelines) • ICD-9-CM V1, V3, HCPCS and anesthesia

crosswalks

• Medicare’s Pub 100 • Modifier crosswalks • Future codes • PQRS (MIPS) per code • CMS HCC information • Medicare CCI (Correct Coding Initiative) edits • MPFS Fee Calculator (with reductions) • LCD/NCD policy lookup tools • A complete claims review tool (Compliance Editor

— Powered by Optum ClaimsManager) • Merck Manual Content (NEW!)

Features include, but not limited to:

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Core coding combined with coding guideline information you need. The perfect coding resource:

Add-on capabilities

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Core Coding CPT®,

HCPCS, ICD10

AHA coding clinics

AMA CPT® content

ASA and dental cross-

walks

Advanced claim review and sourcing

CDI

Specialty articles


The AMA CPT® Content Module

The American Medical Association (AMA) Content Module Add-on includes 3 different publications IN THEIR ENTIRETY: • The CPT Assistant Newsletter. Every article from every monthly edition for multiple years. • The CPT Changes: An Insider’s View. Every publication from 2006 to 2015. • The AMA Knowledge Base: Access to thousands of answers to questions asked by AMA members and

customers regarding CPT codes and their use.

AMA/Optum360 EXCLUSIVE: Users have the ability to access any publication in its entirety. Users no longer are limited to just articles associated with codes. Users can now search by month, year, etc., and see full newsletters, with all articles available in each publication.

AMA/Optum360 EXCLUSIVE: Users can gain unique insight into a CPT code by accessing questions asked by coders who use these CPT codes. If you have a question about the use of a CPT code, chances are, others had that same question, asked and the AMA provided an answer.

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The AMA CPT® Content Module (cont.)

Search by newsletter month/year, keyword, code, etc.: Whether you are using the Optum360 proprietary CodeLogic to find a code, or using our unique search functionality to find information specific to the AMA’s content for a particular CPT code, you will be able to easily access the AMA content for any code, across all three AMA publications all at once, within many locations in EncoderPro.com.

Access years of newsletters, publications and questions. There are literally hundreds of volumes of content, all easily searchable by code/keyword, and we add to the library each month with the latest newsletters and question/answers from the AMA. Users of this add-on always have access to the most current AMA information — and to volumes of historical AMA content. No other online solution provides access to this valuable AMA content like Optum360.

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The Clinical Documentation Improvement Add-on

The Clinical Documentation Improvement (CDI) add-on includes four different sources for CDI improvement content:

• Optum360: The ICD-10-CM Clinical Documentation Improvement Desk Reference • Optum360: The Guide to Clinical Validation Documentation and Coding Reference • Optum360: Physician Consulting ICD-10-CM CDI Improvement Training Content • Optum360: Clinical Documentation Guidelines for Facilities

Identify and clarify ... any confusing, incomplete, conflicting or missing information in the physician-documentation portion of the health recorded that is related to diagnoses or procedures.

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The Clinical Documentation Improvement Add-on (cont.)

Search clinical terms, codes, keywords, print and/or email … documentation that can be necessary for any clinician, coder or any other health care individual needing information for accurate code identification and a more robust and accurate depiction of patient severity.

Foster and enhance ... communication between members of the CDI team, coders, and medical staff.

Provide ICD-10-CM education … to medical staff members on the increased granularity inherent in ICD-10-CM and how it necessitates more detailed documentation in the medical record, as well as educating coding staff members clinical knowledge as it relates to the specificity in ICD-10.

Provide continuity of care … for the patient, between members of the health care team that rely on documentation in the health record for determining ongoing treatment decisions.

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The Clinical Documentation Improvement Add-on

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Contact information:

Thank you.

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Tom Shiner Outbound Sales Manager

1-801-982-4604 [email protected]

mailto:[email protected]

discover the wealth of content available in online coding ...€¦ · the clinical documentation...

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