Essentials of ICD-10-CM Diagnosis Reporting for Hospice Providers

 

Ongoing changes by the Centers for Medicare & Medicaid Services (CMS) regarding the proper reporting of ICD-10 diagnosis and limitations on codes used as the principal diagnosis, paired with increased regulatory scrutiny for accurate diagnoses, 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 which best describes the terminal illness and related co-morbidities.



$20.00

Hours: 1.25
REL-HOS-0-EIDRHP

Certificates

Certificates provided by accrediting body (10 Match)

Association of Social Work Boards

1.25 HOURS


Relias, LLC, #1273, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. Relias, LLC maintains responsibility for the program. ASWB Approval Period: 2/10/2018-2/10/2021. Social workers should contact their regulatory board to determine course approval for continuing education credits.

Course Delivery Format: Asynchronous Distance Learning-interaction includes quizzes with questions and answers, posttests. This module is Reading-Based.

Social workers participating in this course will receive 1.25 Clinical continuing education clock hours.

New York State Education Department, Office of the Professions, Division of Professional Licensing Services, Social Work Unit

1.25 HOURS


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.

California Board of Registered Nursing

1.25 HOURS


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

1.2 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.20 contact hours for participating in this course.

Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling

1.25 HOURS


Provider #50-290 This activity is approved for 1.25 contact hours.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.25 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.25 contact hours for participating in this course.

Georgia Board of Nursing

1.25 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.25 contact hours for participating in this course.

South Carolina Board of Nursing

1.25 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

West Virginia Board of Registered Nursing

1.25 HOURS


Course Details

Course Code: REL-HOS-0-EIDRHP
Hours: 1.25
Type: Online Course
Content Expiration Date: 3/31/2021
Learning Objectives:
Identify at least 3 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 how it relates to hospice providers.
Identify at least 2 types of diagnosis codes that are prohibited on hospice claims as the principal diagnosis.
Identify at least 3 ways in which documentation can support hospice coverage.

Outline:

Section 1: Introduction



A.    About This Course



B.    Learning Objectives



Section 2 Introduction to ICD-10 Codes and Coding Guidelines



A.    What is an ICD-10 Code?



B.    Benefits of ICD-10 Codes



C.    Composition of an ICD-10 Code



D.    Dissecting an ICD-10 Code



E.    Review



F.    Summary



Section 3: ICD-10 Coding Conventions and Guidelines



A.    Introduction



B.    Coding Conventions



C.    General Coding Guidelines



D.    Chapter-Specific Guidelines



E.    Establishing Reportable Diagnosis Codes



F.    Review



G.   Summary



Section 4: Hospice-Specific ICD-10 Coding Requirements



A.    Overview



B.    General Rules Related to the Principal Diagnosis



C.    Debility and Adult Failure to Thrive



D.    Mental, Behavioral, and Neurodevelopmental Disorders



E.    Other Co-Morbidities and Diagnoses



F.    Use of “Z” Codes as the Principal Diagnosis



G.   CMS Analysis of Diagnosis Reporting



H.    Review



I.      Summary



Section 5: Supporting Hospice Coverage



A.    Hospice Eligibility



B.    Documentation to Support Hospice Coverage



C.    Documentation to Support Hospice Admission



D.    Documentation to Support Hospice Services



E.    Documentation to Support Higher Level of Care



F.    Supporting Terminal (End-Stage) Prognosis



G.   Terminal Status LCD



H.    Disease-Specific Guidelines



I.      Review



J.     Summary



Section 6: Conclusion



A.    Summary



B.    Course Contributors



C.    Resources



D.    References



E.    Congratulations!



F.     Exam


Staff Writer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Ambassador/Trainer
Ronald Orth, RN, CMAC, CHC  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 Post Acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Ambassador/Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Tammy Furr, MSN, RN, CHPN
Tammy Furr, MSN, RN, CHPN is a registered nurse with 25 years of experience with the last 20 years working in the field of hospice and palliative care. She has continued her education by receiving a Master’s degree in Nursing as well as Certification in Hospice & Palliative Care. Her passion for hospice is grounded in the regulatory requirements for hospice and how this translates to facilitate not just quality but excellent patient care at the end of life. Disclosure: Tammy Furr, MSN, RN, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: advanced level Nurses; intermediate level Social Workers; in the following settings: Hospice.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
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.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.