It's risky to rely on EMR code selection, and failure to code to the highest degree of specificity negatively affects reimbursement and utilization statistics. Advance preparation will ensure your coding staff and providers are informed of the new ICD-10-CM codes and requirements. Learn how these changes may impact your claims for patient encounters occurring on or after October 1, 2023 through September 30, 2024.
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Jan Hailey
MHL, CMC, CMCO, CMIS, CMOM, CMCA E/M
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Jan Hailey has more than 30 years of experience in healthcare. She is proficient in administration, coding, and billing roles, and teaches medical office professionals around the country how to excel in their careers. Jan has also been instrumental in the development of PMI's Workforce Initiatives program.
Jan's affinity for teaching has helped countless healthcare providers and medical office professionals over the years. During her expansive career, she has served as Director of Quality for Saint Joseph Physician Network located in Mishawaka, IN, and Director of Care Management with Select Health Network, an entity of Saint Joseph Health System. As Care Management Director, Jan led the physician network and comprehensive interdisciplinary team across the health system working closely with providers, management, staff, community, and payers to develop strategies for process improvement, gap closures, and patient experience. She developed a documentation improvement program and a Hierarchical Condition Category (HCC) coding education program to predict future healthcare utilization by accurately reporting patient complexity.
Prior to joining Saint Joseph, Jan was the Director of Quality, Coding, and Compliance for one of the largest health systems in Northern Indiana. She has a Master of Health Leadership and four professional certifications in office management, coding, insurance processing, and compliance. She is a member of WPS Government Health Administrators (Medicare) Provider Outreach and Advisory Group.
Participants will learn the latest changes to ICD-10-CM code set. This session will help you identify templates or other documents that may need to be updated and/or replaced and prepare you to collaborate with your practice management system and EHR vendors to update coding and billing software.
Content assumes prior knowledge of diagnostic coding. An ICD-10-CM code set manual may be helpful to reference for the context of the changes but is not required.
Highlights
- New codes for osteoporosis with fractures, retinopathy and muscle entrapment in the eye, and diseases of the nervous system including for Parkinson's disease.
- Expanded lists of "code first" codes for Strepococcal sepsis and Other sepsis
- Inclusion terms added under codes for opioid dependence / use and gender identity disorders
- Changes under diseases of the digestive system will shift specific codes from Excludes 1 to Excludes 2 status
- New codes and instructions for coding diseases of the musculoskeletal system and connective tissue
- 15 new codes in Chapter 14 - Diseases of the genitourinary system
- 100+ new external cause codes
- New and revised codes for congenital malformations, deformations and chromosomal abnormalities
- Enhancements to the Social Determinants of Health (SDoH) section
- 100+ new external cause codes
Comments from past participants:
"Very thorough and informative."
"Good information and resource materials."
"Excellent! It really helps when the instructor gives an example of using a code and explains what situation that code should be used in."
Prod ID: 444