Discover the Wealth of Content Available in Online Coding Tools

Transcription

1 Discover the Wealth of Content Available in Online Coding Tools Whether it s CMS, the AMA, AHA, ASA or a number of any other coding organizations, finding coding content has never been easier. Ryan Devey, Physician esolutions Product Manager

2 Presentation disclaimer All of the information provided is believed to be accurate and reliable; however, Optum360 assumes no responsibility for any errors. Optum360 is providing this information for educational purposes only and not as a replacement for professional judgment and experience; therefore any use of this information is at your sole risk and Optum360 neither assumes nor is responsible for its use. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 2

3 Today s world of the technology Rotary dial phones instead of our iphones or Androids Encyclopedias/Libraries vs. internet (e.g., libraries today) Handwritten letters/documents vs. Computers in our jobs (can you imagine a life without them?) Medical coding Why is our industry different? Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 3

4 Discover the wealth of content available in online coding tools Let us show you how web-based coding information products replace volumes of print content and how it can provide this content in the same way as a book/newsletter, only with more current information and much more efficient lookup capabilities. The majority of users of these web-based products often wonder how they did their job before using these products you will too! In this presentation we will discuss: Why web-based medical coding information applications? A massive library of coding content: A focus on clinical documentation and exclusive AMA CPT content Why Optum360? Simple: the Optum360 proprietary content and exclusive content delivery permissions Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 4

5 Why web-based medical coding information applications? Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 5

6 Improve overall production Increase coding and billing accuracy Potentially decreased denials Efficient code selection through fast and simple lookup Search across all four code sets in real time for efficient claim preparation and fewer rejections Practices billing Medicare part B and private payers can reference procedure, service/supply and diagnosis codes and coverage information much faster Automatic monthly updates Volumes of historical content without additional physical space

7 A massive library of coding content: A focus on clinical documentation and exclusive AMA CPT content Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 7

8 Web-based medical coding information applications Optum360 offers real-time, web-based coding tools designed specifically for users to quickly and accurately access and assign codes. Search, research, validate and print: CPT HCPCS ICD-9-CM v1, v2, v3 ICD-10-CM and PCS Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 8 8

9 Content overview: And this is just the beginning Features include, but not limited to: CodeLogic Search Engine Color code edits (over 30 icon alerts per code type) Lay descriptions/annotations Deleted code crosswalk Real-time updates User notes and favorite lists Print code summary All code book resources (indexes, tables, appendixes, notes, guidelines) ICD-9-CM V1, V3, HCPCS and anesthesia crosswalks Medicare s Pub 100 Modifier crosswalks Future codes PQRS (MIPS) per code CMS HCC information Medicare CCI (Correct Coding Initiative) edits MPFS Fee Calculator (with reductions) LCD/NCD policy lookup tools A complete claims review tool (Compliance Editor Powered by Optum ClaimsManager) Merck Manual Content (NEW!) Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 9

10 Add-on capabilities Core coding combined with coding guideline information you need. The perfect coding resource: AMA CPT content Core Coding CPT, HCPCS, ICD10 AHA coding clinics ASA and dental crosswalks CDI Advanced claim review and sourcing Specialty articles Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 10

11 The AMA CPT Content Module The American Medical Association (AMA) Content Module Add-on includes 3 different publications IN THEIR ENTIRETY: The CPT Assistant Newsletter. Every article from every monthly edition for multiple years. The CPT Changes: An Insider s View. Every publication from 2006 to The AMA Knowledge Base: Access to thousands of answers to questions asked by AMA members and customers regarding CPT codes and their use. AMA/Optum360 EXCLUSIVE: Users have the ability to access any publication in its entirety. Users no longer are limited to just articles associated with codes. Users can now search by month, year, etc., and see full newsletters, with all articles available in each publication. AMA/Optum360 EXCLUSIVE: Users can gain unique insight into a CPT code by accessing questions asked by coders who use these CPT codes. If you have a question about the use of a CPT code, chances are, others had that same question, asked and the AMA provided an answer. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 11

12 The AMA CPT Content Module (cont.) Search by newsletter month/year, keyword, code, etc.: Whether you are using the Optum360 proprietary CodeLogic to find a code, or using our unique search functionality to find information specific to the AMA s content for a particular CPT code, you will be able to easily access the AMA content for any code, across all three AMA publications all at once, within many locations in EncoderPro.com. Access years of newsletters, publications and questions. There are literally hundreds of volumes of content, all easily searchable by code/keyword, and we add to the library each month with the latest newsletters and question/answers from the AMA. Users of this add-on always have access to the most current AMA information and to volumes of historical AMA content. No other online solution provides access to this valuable AMA content like Optum360. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 12

13 The AMA CPT Content Module Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 13

14 The AMA CPT Content Module Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 14

15 The Clinical Documentation Improvement Add-on The Clinical Documentation Improvement (CDI) add-on includes four different sources for CDI improvement content: Optum360: The ICD-10-CM Clinical Documentation Improvement Desk Reference Optum360: The Guide to Clinical Validation Documentation and Coding Reference Optum360: Physician Consulting ICD-10-CM CDI Improvement Training Content Optum360: Clinical Documentation Guidelines for Facilities Identify and clarify... any confusing, incomplete, conflicting or missing information in the physician-documentation portion of the health recorded that is related to diagnoses or procedures. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 15

16 The Clinical Documentation Improvement Add-on (cont.) Search clinical terms, codes, keywords, print and/or documentation that can be necessary for any clinician, coder or any other health care individual needing information for accurate code identification and a more robust and accurate depiction of patient severity. Foster and enhance... communication between members of the CDI team, coders, and medical staff. Provide ICD-10-CM education to medical staff members on the increased granularity inherent in ICD-10-CM and how it necessitates more detailed documentation in the medical record, as well as educating coding staff members clinical knowledge as it relates to the specificity in ICD-10. Provide continuity of care for the patient, between members of the health care team that rely on documentation in the health record for determining ongoing treatment decisions. Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 16

17 The Clinical Documentation Improvement Add-on Confidential property of Optum. Do not distribute or reproduce without express permission from Optum. 17

18 Thank you. Contact information: Tom Shiner Outbound Sales Manager