Clintegrity 360 | ICD-10 Education Services

Increasing documentation accuracy for physicians

Ensure a successful transition to ICD-10

Clintegrity 360 | ICD-10 Education Services is a comprehensive education and management program to help ensure a successful transition to ICD-10. Ensuring role based education is provided for physicians, clinicians and coders based on specialty, and providing a disciplined approach to the consistent application of proven management methodology and techniques is the best way of ensuring that our client’s objectives are met. Preparing the organization for the ICD-10 knowledge transfer requires the development of a comprehensive Education & Management Plan that will help guide an organization through the ICD-10 education process. This includes timely delivery of quality products and services and requires daily management of the environment, scope, schedule, personnel, quality, and costs.


 

ICD-10 Education and Development Plan

The operational, clinical and financial viability of the health system will depend on the education and knowledge transfer of relevant, role based education to prepare the organization beyond the ICD-10 compliance date of October 1, 2015. The goal of providing role based education across the continuum of healthcare personnel is to mitigate the risks associated with the conversion and to minimize the impact on patient care and workflow.

Nuance believes the key to any large initiative is a comprehensive project plan to manage all of the detailed tasks, timelines, activities and project budgets. Preparing the organization for the ICD-10 knowledge transfer requires the development of a comprehensive Education & Management Plan that will help guide the organization through the ICD-10 education process. In order to ensure the challenges inherent in a transition of this magnitude are met, Nuance recommends healthcare organizations adopt a phased approach methodology. Regardless of the process being managed, the practice of good project management is a discipline. Even with the best work methodologies and tools, timely delivery of quality products and services requires daily management of the environment, scope, schedule, personnel, quality, and costs. Nuance recommends a two (2) phase approach to manage the educational needs of a healthcare organization:

Phase 1: educational development and management plan

A disciplined approach to the consistent application of proven management methodology and techniques is the best way of ensuring that our client’s objectives are met. This discipline encompasses a series of interacting activities and techniques to assure our clients that:

  • Attainable objectives and project completion criteria are clearly defined and success is measurable
  • Engagement population is defined, with sufficient details, to enable effective curriculum development and the management of role based education across the organization
  • Role based education is managed and delivered to minimize disruptions to operations and patient care
  • Requested education plan changes are fully vetted, documented, and effective as approved
  • Regular reporting to inform ICD-10 steering committee and key stakeholders of project status
  • Potential problems or scheduling conflicts are identified early and resolved
  • Project deliverables are produced in a timely, quality, and cost-effective manner
  • Projects are successful; on-time and on-budget projects
Phase 2: ICD-10 training and education services

Nuance Healthcare brings to the healthcare industry a unique blend of e-Learning solutions and onsite instruction for all levels of ICD-10 training combined with industry leading technology. Nuance’s ICD-10 Education Program features innovative e-learning courses built on an intuitive and easy-to-use platform that provides single-transcript tracking, allowing your administrators to view individual learning activity at the click of a button. All courses are SCORM compliant and can be hosted on our own LMS or be directly connected to the facilities own LMS. From a content perspective, Nuance Healthcare has educational resources to meet the training needs throughout the organization. Nuance understands the importance of role based education and customizing the education curriculum and delivery method based on type of profession and level of user, e.g. Physician, clinical documentation specialist, coders and all other staff (management, departmental, nursing, registration, support staff, etc.)


 

ICD-10 physician education

In the time it takes to attend a medical staff committee meeting, Nuance can give physicians enough information to document accurately and completely, what is needed to make the transition to ICD-10. Nuance is a leader in the industry with over 20 years of clinical documentation improvement expertise through J.A. Thomas, so we understand that training for practicing physicians should be physician-led. Physicians learn best from their peers, and need to be specialty-specific, due to time constraints. To meet these needs, Nuance uses a blended learning environment, in which J.A. Thomas delivers on-site and web-based educational offerings in a phased approach focused on sustainable knowledge retention.

With Nuance’s ICD-10 education, physicians can…

  • Eliminate as much as 20 minutes of chart review daily
  • Improve accuracy and accelerate access to treatment information by using Clinical Language Understanding (CLU) NLP for real-time clinical documentation
  • Reduce re-work by documenting the correct code – up front – for up to 99% of diagnosess

 

Clinical Documentation Improvement specialist education

In transitioning to ICD-10, you don’t need to learn coding; you need to understand how physicians need to document in order to ensure their documentation reflects the care that was given to the patient. Nuance’s Clinical Documentation Improvement Specialist ICD-10 education, drills down on understanding what physicians really need to know, helping CDI specialists monitor and manage physician education more effectively, and strengthening the CDI-specialist/physician relationship. Nuance’s on-site and web-based blended learning environment provides education and training to healthcare organizations, efficiently and effectively.

Nuance’s ICD-10 CDI education gives CDI specialists…

  • A full range of major diagnostic category (MDC) education to ensure ICD-10 transition success
  • Both diagnostic and procedural training for better document management
  • CDI expertise stemming from J.A Thomas’ two decades of industry leadership

 

Foundational Coder education

In approaching the industry need for ICD-10 coding education, Nuance has partnered with Elsevier, the world’s leading health sciences publisher to bring a wealth of technology and content expertise to today’s healthcare organizations. Elsevier /MC Strategies’ courses cover the full spectrum of healthcare, from acute care nursing and technologist education to hospital leadership, medical coding, and finance and information technology. They have developed more than 14,000 custom lessons for clients and regularly partner with professional organizations to develop and/or deliver exclusive, specialty-specific courses and content.

Elsevier also delivers on-line, interactive 3-D anatomy modules which go far beyond the basics. Advanced coders are able to view anatomical systems – musculoskeletal, circulatory, nervous system and many more in complete detail and multiple perspectives. The learner interacts with the 3-D images to allow detailed and complex learning at a systems, organ or cellular level. One-of-a-kind Functionality. Navigate with free rotate, zoom, pan, and other manipulations. Dissect through peel, stick, explode, hide, and transparent tools. Use the quiz feature to test your knowledge of structures and landmarks on the anatomy you've selected. All tools are designed to help you learn and understand anatomy in an interactive and fun way.

If you are interested in learning more about the Interactive 3D Anatomy click here.

Elsevier provides organizational development, online learning and clinical reference solutions to the healthcare industry. Since 1986, Elsevier has had one objective – to advance healthcare by bringing the highest quality professional education, clinical information and organizational development tools to healthcare.

For morning information on this comprehensive ICD-10 training program click here.


 

ICD-10 Advanced Coder Skill Building Education

Nuance’s ICD-10 Coder Training program is designed for the advanced and specialty coder who requires beyond-the-basics information regarding diagnoses and procedures related to ICD-10. Nuance has combined advanced clinical learning with state of the art technology. Nuance’s Advanced Coder Training provides enhanced education for detailed medical concepts – far more than the basics of medical terminology, anatomy and physiology required by the average coder. This education track has been developed with a strong clinical focus in keeping with our business philosophy of a clinically based approach to documentation and coding management.

We have developed an advanced curriculum designed for the advanced coders that include the following combined of advanced clinical learning with state of the art technology:

  • Biomedical Assessment including Anatomy, Physiology and Medical Terminology
  • Advanced Coding Workshop where our AHIMA-approved trainers & clinical experts will provide intensive education on the application of coding conventions and guidelines for ICD-10-CM/PCS.
  • Coding Simulator and Advanced 3D Interactive Anatomy rather than targeting instruction to one learning style, we believe in engaging the adult learners in a mixed modality presentations, combining Kinesthetic, auditory and visual techniques for all learners. This includes utilizing technology such as the state of the art advanced 3D Interactive Anatomy and a coding simulation tool.
Features
Coding Simulator:

Your coding professionals will be able to practice their newly-learned skills on the ICD-10 Coding Simulator, which provides a guided tour of coding in ICD-10 as a way to navigate the system. The Simulator provides access to the Countdown to ICD-10 tutorial, which uses Clintegrity 360 for coding. The avatar instructor will present a case and a discharge summary and then walk coding professionals step-by-step through the different resources needed in Clintegrity 360, such as the ICD-10 CM and PCS books, in order to build the correct code. This important exercise will further prepare your coding professionals to apply the skills they have learned.

Advanced 3D Interactive Anatomy:

Nuance, partnered with Elsevier delivers on-line, interactive 3-D anatomy modules which go far beyond the basics. Advanced coders are able to view anatomical systems – musculoskeletal, circulatory, nervous system and many more in complete detail and multiple perspectives. The learner interacts with the 3-D images to allow detailed and complex learning at a systems, organ or cellular level. One-of-a-kind Functionality. Navigate with free rotate, zoom, pan, and other manipulations. Dissect through peel, stick, explode, hide, and transparent tools. Use the quiz feature to test your knowledge of structures and landmarks on the anatomy you've selected. All tools are designed to help you learn and understand anatomy in an interactive and fun way.

http://www.interactelsevier.com/


 

ICD-10 Data Analytics

A critical aspect of preparing for the ICD-10 transition is identifying the areas where your health system may be most vulnerable as a result of ICD-10. The transition to ICD-10 comes with challenges to health care providers pertaining to coding productivity and clinical documentation accuracy. As such, it can lead to potential revenue loss, despite the fact that ICD-10 is intended to be a revenue neutral transition for the Centers for Medicare and Medicaid (CMS). Our ICD-10 Data Analytics service will help you identify your potential risk areas, decrease productivity losses, mitigate potential revenue losses, and successfully plan for the transition.

This comprehensive service provides summary and detail reports and a wide range of expert analysis. The analysis will be based on your health system’s last year’s reported claims and identify specific Major Diagnostic Categories (MDC)/ Medicare Severity Diagnosis-Related Groups (MS-DRGs) that present the greatest potential for revenue loss. Based on the General Equivalency Maps (GEM) translations for each claim paid under ICD-9 Inpatient Prospective Payment System (IPPS), your potential minimum and maximum payments under ICD-10 IPPS will be determined. Additionally, your most frequently reported diagnoses by principal or secondary diagnosis will be highlighted and we will identify how each of those translates to ICD-10.

Features
  • Mitigates the Effects of ICD-10: Take this first step to identify your financial, clinical, and documentation risks
  • Improves Documentation: If you don’t already have a documentation improvement program in place, receive an immediate return on investment by implementing a documentation improvement plan to address the deficiencies identified through documentation validation
  • Reduces Productivity Loss: Prepare for the transition with distinct data that you can use to educate coding professionals and streamline system or process changes using what you learned from the Data Analytics
  • Improves Contract Negotiations: Don’t let payers get the upper hand – use the Data Analytics results to negotiate what’s right for your health system

 

ICD-10 Documentation & Coding Quality Proficiency Assessment

The magnitude of providing ICD-10 education across the continuum from physician to coding has been a significant effort in preparation for the conversion to ICD-10. To ensure the education provided is being appropriately applied to practice, Nuance recommends an ICD-10 clinical documentation and coding quality proficiency assessment be conducted to determine any gaps in applying the ICD-10 knowledge provided. As with any education provided, knowledge retention varies amongst individual learners and mitigating these knowledge gaps prior to the go-live date is critical for accurate reimbursement and compliance.

The ICD-10 Documentation & Coding Quality Proficiency assessment is designed to evaluate the hospital personnel’s application of ICD-10 clinical documentation specificity and coding quality accuracy prior to the go-live date of October 1, 2015. Nuance’s clinical documentation and coding quality proficiency assessment will focus on answering three important questions:

Features
  • Does the existing ICD-10 documentation specificity support the assignment of the ICD-10 diagnoses and/or procedure codes?
  • Do the ICD-10 diagnoses and procedural code assignments comply with the ICD-10 coding guidelines and conventions?
  • Has any of the medical records been assigned to a sub-optimal MS-DRG or been assigned a MS-DRG that is not supported in the documentation according to ICD-10.
 

Contact us today

Clintegrity 360 will help your organization quickly generate substantial revenue and operating savings by ensuring your clinical documentation chain is accurate, sound and fully adopted by physicians.

Engage us

Call 1-877-805-5902 to speak to a clinical documentation specialist today.
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