ICD-10 IN PRIMARY CARE - AAPC
ICD-10 IN PRIMARY CARE An Approach to Clinical
Documentation Improvement
LYNN M. MYERS MD, CPC, CHC
Agenda
? The Challenge of ICD-10 ? The Assessment of our Providers ? Actions Taken ? The Result
The Challenge
Train providers on ICD-1?
? Coding guidelines ? Documentation ? EMR upgrades ? Paper vs. electronic ? Hospital and ambulatory
9/13/2013 1
Defining the Scope
? Identify the high impact codes
? Unspecified code analysis
? Audit Charts for 5 specialties
? Cardiology ? Orthopedics ? Obstetrics ? Family Practice ? Internal Medicine
Code 401.9 244.9 268.9 477.9 285.9 461.9 465.9 724.5 789.00 493.9 584.9 486 174.9 280.9 715.90 733.90 682.9 692.9 473.9 382.9 443.9 716.90 402.9 274.9 585.9 162.9
Description HYPERTENSION NOS HYPOTHYROIDISM NOS VITAMIN D DEFICIENCY NOS ALLERGIC RHINITIS NOS ANEMIA NOS ACUTE SINUSITIS NOS ACUTE URI NOS BACKACHE NOS ABDOM PAIN NOS SITE ASTHMA, UNSPECIFIED ACUTE RENAL FAILURE NOS PNEUMONIA, ORGANISM NOS MALIGN NEOPL BREAST NOS IRON DEFIC ANEMIA NOS OSTEOARTHROS NOS-UNSPEC BONE & CARTILAGE DIS NOS CELLULITIS NOS DERMATITIS NOS CHRONIC SINUSITIS NOS OTITIS MEDIA NOS PERIPH VASCULAR DIS NOS ARTHROPATHY NOS-UNSPEC HYPERTENSIVE HRT DIS NOS GOUT NOS CHRONIC KIDNEY DISEASE NOS MAL NEO BRONCH/LUNG NOS
Count 72652 68916 47850 30912 29669 22670 20344 14365 12788 12965 10363 10102 9596 9096 7734 7051 6765 6859 5774 5921 5841 4621 4526 4339 4263 4438
% Total
13.85% 11.61% 10.59%
7.65% 7.95% 6.60% 6.34% 4.78% 4.47% 4.75% 3.98% 4.04% 4.00% 3.95% 3.50% 3.30% 3.28% 3.44% 3.00% 3.17% 3.23% 2.64% 2.65% 2.61% 2.64% 2.82%
Audit Report
.
9/13/2013 2
9/13/2013
ICD-9-10 Diagnosis Accuracy
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Orthopedics Obstetrics Internal Med
Family Practice
Cardiology
9/13/2013
ICD10 ICD9
8
ICD9 vs. ICD10 Cardiology
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0%
Provider 1 Provider 2 Provider 3 Provider 4 Provider 5
9/13/2013
ICD10 ICD9
9
3
77% 76% 75% 74% 73% 72% 71% 70%
9/13/2013
Summary Cardiology
Cardiology
ICD10 ICD9
10
ICD9 vs. ICD10 Family Practice
90% 80% 70% 60% 50% 40% 30% 20% 10%
0% Provider 1 Provider 2 Provider 3 Provider 4 Provider 5
9/13/2013
ICD10 ICD9
11
Summary Family Practice
80% 70% 60% 50% 40% 30% 20% 10%
0%
9/13/2013
Family Practice
ICD10 ICD9
12
9/13/2013 4
ICD9 vs. ICD10 Internal Medicine (not including hospitalists or LTAC)
90% 80% 70% 60% 50% 40% 30% 20% 10%
0% Provider 1 Provider 2 Provider 3 Provider 4 Provider 5
ICD10 ICD9
9/13/2013
13
Internal Medicine Summary
74% 72% 70% 68% 66% 64% 62% 60% 58% 56% 54%
9/13/2013
Internal Med
ICD10 ICD9
14
ICD9 vs. ICD10 Obstetrics/Gyn
120% 100%
80% 60% 40% 20%
0% Provider 1 Provider 2 Provider 3 Provider 4 Provider 5
9/13/2013
ICD10 ICD9
15
9/13/2013 5
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- superbill master demo practice cardiology
- icd 10 common codes sonora quest
- into a play date with pediatric outpatient cdi
- where are you on the icd 10 cm radar screen
- icd 10 in primary care aapc
- patient name last first middle initial patient
- aap sample superbill with icd 10 codes
- rhinitis codes icd10 aaaai
- top 200 icd 10 codes sorted by code laboratory alliance
- peripheral artery disease pad cigna
Related searches
- icd 10 code for primary hypothyroidism
- icd 10 in excel format
- icd 10 code for primary care
- essential primary hypertension icd 10 i10
- icd 10 unable to care for self
- primary icd 10 for hyperthyroidism
- low testosterone icd 10 in women
- icd 10 primary cesarean section
- icd 10 primary care pdf
- icd 10 code for primary hypertension
- icd 10 codes primary hypothyroidism
- aapc icd 10 book