ICD-10-CM Diagnosis Reporting for Hospice Providers
Hours: 1.25
Ongoing scrutiny by the Centers for Medicare & Medicaid Services (CMS) regarding the proper reporting of ICD-10 diagnoses and limitations on codes used as the principal diagnosis necessitates up-to-date, accurate training for hospice clinicians as well as billing and financial professionals. In this course, you will learn CMS coding requirements for hospices, the importance of accurate ICD-10 coding and its role in hospice, and how to select the specific ICD-10 codes that best describe the terminal illness and related comorbidities.
Ongoing scrutiny by the Centers for Medicare & Medicaid Services (CMS) regarding the proper reporting of ICD-10 diagnoses and limitations on codes used as the principal diagnosis necessitates up-to-date, accurate training for hospice clinicians as well as billing and financial professionals. In this course, you will learn CMS coding requirements for hospices, the importance of accurate ICD-10 coding and its role in hospice, and how to select the specific ICD-10 codes that best describe the terminal illness and related comorbidities.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.25 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.2000 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.0000 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.25 contact hours for participating in this course.
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling
Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling (CEBroker Provider #50-290)
This activity is approved for 1.25 contact hours.
Ohio Social Worker Board
Ohio Counselor, Social Worker and Marriage and Family Therapist Board (CEBroker Provider # 50-290)
This activity is approved for 1.25 contact hours.
Association of Social Work Boards
As a Jointly Accredited Organization, Relias LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Relias LLC maintains responsibility for this course. Social workers completing this course receive 1.25 General continuing education credits.
Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, post-tests. This module is Reading-Based Online.
New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit
Relias, LLC is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0009.
Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of licensed master social work and licensed clinical social work in New York. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice for an LMSW and LCSW. A licensee who practices beyond the authorized scope of practice could be charged with unprofessional conduct under the Education Law and Regents Rules.
As a provider of online, asynchronous education, some courses offered by Relias Learning are considered “self-study” under section 74.10(c)(2)(ii)(b)(4) of the Commissioner’s Regulations. The regulations limit self-study activities taken from a provider approved by the Education Department to no more than 12 hours in the 36-month registration period or one-third of the hours in a registration period other than 36 months.
Social workers will receive 1.25 continuing education hours for participating in this course. This activity is approved for 1.25 contact hours.
South Carolina Board of Social Work Examiners
South Carolina Board of Social Work Examiners (CEBroker Provider 50-290)
Texas Health and Human Services Commission
Texas HHSC has determined that Relias Learning’s submitted training meets or exceeds the minimum standards for HCSSA administrator training in the following categories: Hospice. Texas HHSC also recognizes Relias Learning provides continuing education for administrators and alternate administrators. This activity is approved for 1.2500 contact hours.
American Health Information Management Association
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Commission for Case Manager Certification
This program has been pre-approved by The Commission for Case Manager Certification to provide 1.0000 hours of continuing education credit to CCM® board certified case managers.
American Health Information Management Association
“This program has been approved for 1.0000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
Identify at least three characteristics of an ICD-10 code.
Identify the difference between coding conventions, general coding guidelines, and chapter-specific coding guidelines.
Define the principal diagnosis and at least two types of codes that are prohibited as the principal diagnosis.
Identify at least three ways in which documentation can support hospice coverage.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2 Introduction to ICD-10 Codes and Coding Guidelines
What is an ICD-10 Code?
Benefits of ICD-10 Codes
Composition of an ICD-10 Code
Dissecting an ICD-10 Code
Review
Summary
Section 3: ICD-10 Coding Conventions and Guidelines
Introduction
Coding Conventions
General Coding Guidelines
Chapter-Specific Guidelines
Establishing Reportable Diagnosis Codes
Review
Summary
Section 4: Hospice-Specific ICD-10 Coding Requirements
Overview
General Rules Related to the Principal Diagnosis
Debility and Adult Failure to Thrive
Mental, Behavioral, and Neurodevelopmental Disorders
Other Co-Morbidities and Diagnoses
Use of “Z” Codes as the Principal Diagnosis
Review
Summary
Section 5: Supporting Hospice Coverage
Hospice Eligibility
Documentation to Support Hospice Coverage
Documentation to Support Hospice Admission
Documentation to Support Hospice Services
Documentation to Support Higher Level of Care
Supporting Terminal (End-Stage) Prognosis
Terminal Status LCD
Disease-Specific Guidelines
Review
Summary
Section 6: Conclusion
Summary
Course Contributors
Resources
References
Instructor: Ron Orth RN, CHC, CMAC
Ron Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for Post-acute Care at Relias. Ron is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA.
Disclosure: Ron Orth RN, CHC, CMAC has no Relevant Financial or Non-Financial Relationship with ineligible companies to disclose.
The target audience for this course is: Coding Specialists; Intermediate level Social Workers; Nurses; in the following settings: Hospice.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
