(Tools for Getting from ICD-9-CM to ICD-10-CM continued) time to gain proficiency and accuracy. We have all heard the expression “It got lost in translation.” For those who may rely on automated coding assist software or an eHR, it is important to remember that artificially intelligent systems need to learn the magic words to correctly assign codes. as physicians modify how they report services to support ICD-10-Cm, initial coding errors are likely to occur. For instance, an obstetrician’s note regarding “cervical” could be assigned a code for the cervical spine! establish a procedure to audit and monitor codes until you are sure the codes assigned accurately represent the correct descriptions. In summary, if we keep a few key points in mind, the tools to assist in moving from ICD-9-Cm to ICD-10-Cm can be of great help to both billing companies and their clients. 1. all coding is based on medical record documentation. Do not rely on any methodology that assigns a code in any other way. 2. Plan on payor requirements for increased specificity. Build or choose tools accordingly. 3. educate clients on how to better document services. stress the benefits for their practice. 4. Collaborate with clients to establish a coding methodology that will work for them in their practice. 5. Do not rely on practice management vendors, clearinghouses, or any one tool to be the total coding solution. Holly J. Louie, RN, PCS, CHBME, is the corporate compliance officer at Practice Management Inc. and chair of the ICD-10 Committee for HBMA. She is also a member of the HBMA Board of Directors and codeveloper of the HBMA Operational Compliance Course. Melody W. Mulaik, MSHS, CRA, FAHRA, RCC, CPC, CPC-H, is the president and co-founder of Coding Strategies, Inc. and Coding Metrix, Inc. located in Atlanta, Georgia. She is a frequent speaker and author for CSI, HBMA, and other nationally recognized professional organizations and publications. Resources 1 https://oig.hhs.gov/fraud/docs/complianceguidance/thirdparty.pdf 20 HBma BIllIng • maRCH.aPRIl.2014 HBma has re-designed the certification program to encourage excellence through education and awareness of the billing industry. attaining this distinction requires attendance and participation in HBma sponsored programs. Initial CHBme certification requires 60 hours of credits, including attendance at three national conferences. maintaining CHBme certification requires 60 credits over a three year period and attendance at two national conferences. The 2014 spring educational executive symposium offers you the opportunity to acquire 14.0 hours of credit toward your CHBme designation. The two pre-conference programs afford 4.0 additional credit hours each. Elevate your professional stature and gain a competitive edge by pursuing certification as a CHBME! The certification program designed to encourage excellence within the HBma membership through education and awareness of our industry.
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