HCC Blog by Caridad

News Updates | August 7, 2015 CMS ICD-10 Coding Resources List of Valid ICD-10-CM Codes CMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles in the 2016 Code Descriptions in Tabular Order ZIP file on the 2016 ICD-10-CM and GEMs web page. See the file named “icd10cm_codes_2016.txt” in the ZIP file for the list. This file will be useful for physician offices and other providers who want to check to make sure that they are reporting all characters in a valid ICD-10-CM code. The codes are listed in tabular order (the order found in the ICD-10-CM code book). This list should assist providers who are unsure if additional characters are needed, such as the addition of a 7th character in order to arrive at a valid code. A similar list of the 2016 ICD-10-PCS valid codes and code titles is available in the 2016 PCS Long and Abbreviated Titles ZIP file on the 2016 ICD-10 PCS and GEMs web page. See the file named “icd10pcs_codes_2016.txt” in ...

The following is a link to the Risk Adjustment For RAPS & EDPS Newsletter from Centers for Medicare and Medicaid (CMS) http://www.csscoperations.com/internet/cssc3.nsf/files/Sept2015_RA_Newsletter_PDF_5CR_091015.pdf/$FIle/Sept2015_RA_Newsletter_PDF_5CR_091015.pdf It's contents include: 　 ICD-10 Transition EDS Becomes Part of Risk ScoreCalculations HPMS Guidance EDS Enhancements (EDFES and EDPS) Commonly Asked Questions Resources      

Our department dressed up as Code Slayers!  We will tame that ICD-10 dragon! Happy Halloween!

The link below takes you to a Centers For Medicare & Medicaid Service (CMS) Job Aid entitled "Diagnosis Coding: Using the ICD-10-CM WBT"   published in October 2014. It is found in their Medicare Learning Network training. Sections include: Selecting the Correct Code Alphabetic Index Tabular List ICD-10-CM Coding Conventions Coding Examples 1 - 3 This 12 page guide provides some great tips on how to look up ICD-10-CM codes. https://cms.meridianksi.com/kc/content/ilc/courses/B540660ADF254026A78F7352C5D67E39/html/files/pdf/ICD-10_job_aid.pdf #HCC #ICD10 #CMS #RiskAdjustment #ICD10questions #MedicalCoding  #Coding       Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy mater...

New Cardiology Clinical Concepts Guide To help physicians and other providers get quickly up to speed, CMS is launching the ICD-10 Clinical Concepts Series for specialties. Posted on the CMS ICD-10 website , each guide in the series compiles key information from the Road to 10 online tool in a PDF format that can be readily shared, emailed, posted to websites, and printed. Each guide includes: Common ICD-10 codes and corresponding ICD-9 codes Clinical documentation tips Clinical scenarios Links to interactive cases studies, in-depth webinars, and other Road to 10 features Clinical Concepts for Cardiology, highlights ICD-10 concepts for conditions like heart failure, hypertension, heart valve disease, and more. This one is for Cardiology and is found at: https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10ClinicalConceptsCardiology1.pdf     Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-...

New Orthopedics Clinical Concepts Guide To help physicians and other providers get quickly up to speed, CMS is launching the ICD-10 Clinical Concepts Series for specialties. Posted on the CMS ICD-10 website , each guide in the series compiles key information from the Road to 10 online tool in a PDF format that can be readily shared, emailed, posted to websites, and printed. Each guide includes: Common ICD-10 codes and corresponding ICD-9 codes Clinical documentation tips Clinical scenarios Links to interactive cases studies, in-depth webinars, and other Road to 10 features Clinical Concepts for Orthopedics , highlights ICD-10 concepts for conditions like fractures, arthritis, shoulder pain, and more.   This one is for Orthopedics and is found at: https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10ClinicalConceptsOrthopedics1.pdf Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books an...

New Internal Medicine Clinical Concepts Guide To help physicians and other providers get quickly up to speed, CMS is launching the ICD-10 Clinical Concepts Series for specialties. Posted on the CMS ICD-10 website , are guides in a series that compiles key information from the Road to 10 online tool in a PDF format that can be readily shared, emailed, posted to websites, and printed. Each guide includes: Common ICD-10 codes and corresponding ICD-9 codes Clinical documentation tips Clinical scenarios Links to interactive cases studies, in-depth webinars, and other Road to 10 features   This one is for Internal Medicine and is found at: https://www.cms.gov/Medicare/Coding/ICD10/Downloads/ICD10ClinicalConceptsInternalMedicine1.pdf Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete cod...

From the Palmetto GBA web site for Risk AdjustmentProcessing System page, the following is the Deadline for Submitting RAPS Data for Use in Risk Score Calculation Runs for Payment Years 2014, 2015, and 2016 Encounter Data Submission Timetable— The timetable below shows the new submission requirements for Health Plans to CMS. It also includes the risk score run dates. Risk Score Run Dates of Service Deadline for RAPS Submission* 2015 Initial 07/01/13--06/30/14 09/12/2014 2014 Final 01/01/13--12/31/13 01/31/2015 2015 Mid-Year 01/01/14--12/31/14 03/06/2015 2016 Initial 07/01/14--06/30/15 09/11/2015 2015 Final 01/01/14—12/31/14 01/31/2016   Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative reference...

  I like to make a list of blogs and sites I find useful. Today, I am sharing one of them with you!  It is: ICD10Watch.com This website offers registration to receive their email updates, a blog and resource  tabs.  They are also on Twitter @ ICD10watch.  Check them out! Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.   The information presented herein is for general informational purposes only and is accurate as of the date of publication.

I noticed that CMS has upgraded their Medicare Learning Network web based training site. This site has free Medicare education and is an information resource. It is now found at https://learner.mlnlms.com/Default.aspx   “The Medicare Learning Network® (MLN) is the home for education, information, and resources for the health care professional community.  The MLN provides access to CMS Program information you need, when you need it, so you can focus more on providing care to your patients.”     The catalog is available at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MLNCatalog.pdf     If you already had an account with them, the information was transferred to the new site. If not you can register for a free account.  Directions for both can be found at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/LMS-Upgrade.pdf     ...

The link below take you to the Preliminary ICD-10-CM Codes, CMS-HCC and RxHCC Models, Includes FY2014 preliminary list of  ICD-10 codes HCC Mappings from CMS. Last modified 9/30/2014.   Preliminary ICD-10-CM Mappings Diagnosis Code Description CMS-HCC PACE/ESRD Model Category V21 CMS-HCC Model Category V22 (clinically revised model implemented in 2014) RxHCC Model Category V04 CMS-HCC PACE/ESRD Model for 2015 Payment Year CMS-HCC Model for 2015 Payment Year RxHCC Model for 2015 Payment Year   #HCC  #ICD10  #CMS  #ICD9  #RiskAdjustment  #MedicalCoding #Mappings     Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to s...

      AAPC SAN DIEGO CHAPTER PRESENTS   AAPC ICD-10-CM BOOTCAMP     Saturday, October 10 - Sunday, October 11, 2015   8:00 am -  5:30 pm each day   Breakfast and Lunch included   Space is limited       Bootcamp includes : 2015 ICD-10-CM book a Workbook and 16 CEU's     More information, contact: Stephanie Cass, San Diego AAPC Treasurer stephanierules@gmail.com         Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.   The information presented herein is for general informational pur...

document available at: Acceptable Physician Specialty Types for Risk Adjustment Data Submission #HCC #CMS #ICD9 #RiskAdjustment Disclaimer : This guidance is to be used for an easy reference; the ICD-9-CM and ICD-10-CM code books and the Official Guidelines for Coding and Reporting are the authoritative references for accurate and complete coding. This blog may contain references or links to statutes, regulations, or other policy materials. It is not intended to take the place of either the written law or regulations.   The information presented herein is for general informational purposes only and is accurate as of the date of publication.