ICD-10 Tools, Tips and Tidbits: What Referring Offices Need To Know When Ordering Imaging Exams
Referring physicians and other providers licensed to order medical imaging exams, as well as their office staff involved anywhere in the process (e.g., nurses, office managers, staff, receptionists, coders, schedulers, and radiologic technologists.
Provide critical information about how ICD-10 impacts what referring offices need to communicate to the imaging provider when ordering imaging exams in order to ensure timely and uninterrupted access to medical imaging services for their patients.
Why is This Topic Important?
The US Department of Health and Human Services (HHS) has mandated the replacement of the ICD-9-CM code sets used by medical coders and billers to report health care diagnoses and procedures with ICD-10 codes, effective Oct. 1, 2014. ICD-10 implementation will radically change the way coding is currently done and will require a significant effort to implement.
Physician offices are diligently preparing for ICD-10. Anecdotal evidence suggests most preparation is for internal practice needs. Few practices are looking at how ICD-10 impacts the information they need to provide to the imaging facilities to which they refer their patients for important medical imaging exams. Failure to adequately consider this aspect risks scheduling delays and/or intrusive and frustrating post exam queries from the imaging provider for additional information.
- Identify the four primary data elements that impact code selection in ICD-10.
- Apply those elements to the most common scenarios for ordering imaging studies.
- Discuss the impact of ICD-10 on future reimbursement models.
Karna W. Morrow, CPC, RCC, CCS-P
Senior consultant at CSI Coding Strategies, Inc., Powder Springs, Georgia
Relevant to the content of this CME activity, Ms. Morrow indicated she is employed by Coding Strate-gies, Inc. and is a consultant for Gore Medical.
Continuing Education Credit
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS) through the joint providership of Des Moines University (DMU) and Genesis Imaging Centers. DMU is accredited by IMS to provide continuing medical education for physicians. DMU designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University is accredited by the American Osteopathic Association (AOA) and approves this live activity for a maximum of 1.5 AOA Category 2-A credit(s).
- Nurse: Des Moines University continuing education is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 1.8 continuing education contact hour(s). No partial credit awarded.
- Other: This live activity is designated for 1.5 AMA PRA Category 1 Credit(s)™.
Mike Bohl, CEO, FRBMA
Radiology Group, PC, SC
1970 E. 53rd St.
Davenport, Iowa 52807
- 1.50 AOA Category 2A
- 1.50 AMA PRA Category 1 Credits™
- 1.80 IBON
- 1.50 CE Contact Hour(s)