General Equivalence Mappings Report

Decent Essays
• General Equivalence Mappings (GEMs) training o Kellina informed that GEMs refresher training will be offered to DHCS in 2 sessions due to the limited seats in the computer training room o Denys suggested that the 1st GEMs training session should be offered to the Hospital Care Team since ICD-10 codes will be received from the EHR o Clarice informed SRA will dual code last quarter of 2015 N(H)AMCS data in ICD-9-CM and ICD-10-CM/PCS o Clarice commented that GEMs training is not necessary for the Census FRs o Farida informed that Kellina created an ICD-10-Overview presentation for the FRs o Kellina commented that Amy Blum did an ICD-10 Overview training at DHCS division meeting and wondered if she is available to help with GEMs and ICD-10 …show more content…
Marni compared the recode list with the AHRQ clinical classification list. The benefit of using the AHRQ list for comparison is that the CCS list has been converted to ICD-10-CM. The Hospital Care Survey 2014 data which consist of ambulatory data will be compared CCS list and the combined recode list.
• Project timeline o Kellina reported that she is still looking for crosswalk between ICD-9 and CPT codes o Carol commented that AHRQ is reporting CPT codes, but not sure if there is CPT user agreement o Kellina reported that the comparability study is currently in progress. Hsiang Kung will provide updates at the next meeting
• CDC ICD-10 update o Cheryl reported that we have received many positive feedbacks about ICD-10 implementation o Clarice inquired if CMS is a little forgiving about coding due the learning curve and the use of the new coding system. Clarice commented that the learning curve and the use of ICD-10 coding system will impact DHCS surveys from 1st to 4th quarter, in a number of codes, level of details and specificity. Therefore, measure the impact and tracking changes would be valuable. o Cheryl responded certainly there will be a learning curve, and she hasn’t heard that CMS will forgive bad coding especially for reimbursement.

Related Documents

  • Great Essays

    Based on all of these findings, the guidelines recommend on…

    • 1393 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Icd10 Unit 1 Assignment

    • 132 Words
    • 1 Pages

    but I thought this way it will waste my time. So I used a website which is http://www.icd10data.com/ . This website helped working faster and more accurate. What I did is inserting the ICD-9-CM code and in one click I got the ICD-10-CM code. Then I read the description just to make sure that I am converting the right code.…

    • 132 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    ICD-10 (Icd-9)

    • 715 Words
    • 3 Pages

    There are options for both in-person and online training. There are also plenty of training books out there to get everyone up to speed. Identify the General Equivalency Mappings for the practice. Medicare published a guide that indicated how to translate ICD-9 codes into their ICD-10 equivalents. These mappings are known as the General Equivalency Mappings (GEMs).…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    CRS Case Study: Effective or Ineffective The use of health care management systems (HMIS) have exploded over the years, which new systems have been created to work with each other. The purpose of these systems has been generated to increase productivity as well as improve on patient care. There are specific components and to each system, which all have their own purpose and goal for improved production. The purpose for research and case studies are to show which systems are more effective than others as well as what improvements can be made for future use.…

    • 676 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Id9 Vs Icd10 Essay

    • 476 Words
    • 2 Pages

    What are the differences between ICD9 and ICD10? What were benefits to switching from ICD9 to ICD10? Do you feel that the coding process is similar? How does it differ?…

    • 476 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Hrm 531 Unit 5

    • 564 Words
    • 3 Pages

    In other words, this activity is the educational program itself, which will take place August 1st 2017 and run until September 30th, 2017. During this time, the weekly meeting will begin as well as introducing the several topics in relation to MIPS, which will include the PowerPoints, worksheets, and discussions. The activity is intended to educate the employees and physicians on the new mandatory reporting requirements initiated by the Centers for Medicare and Medicaid. The second piece to the feedback activity is incorporating a check in/ evaluation tool to ensure the physicians and staff members are retaining the information about MIPS. In fact, starting in August after each weekly education meeting, the practice manager will incorporate a "five-minute paper" evaluation tool.…

    • 564 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Icd-9 Vs Icd-10

    • 679 Words
    • 3 Pages

    The World Health Organization (WHO) maintains the International Classification of Disease (ICD). This system design is a healthcare classification system that provides diagnostic codes for classifying disease, sign and symptoms, abnormal finds, etc. The ICD-9 system has been in use for over 30 years now is replaced by ICD-10. The change from ICD-9 to ICD-10 has received much opposition from the United States as well as the medical industry. The benefits of using the ICD-10 are the in depth details of the new codes, a more accurate payment system for new procedures, fewer miscodes, and rejected improper reimbursement claims.…

    • 679 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    SUBJECT: MILPER 12-309 Removal Of Ineligible Promotable Soldiers (SPC/CPL/SGT) From The Promotion Standing List 1. Purpose: To clarify the removal of ineligible, promotable Soldiers (SPC/CPL/SGT) from the promotion standing list. 2. Facts: a. Thousands of Soldiers in the ranks of SPC, CPL, and SGT have been erroneously placed on the promotion standing list. Immediate reenlistment prohibition codes such as APFT failures, overweight Soldiers, and bars to reenlistment are just some of the reasons these Soldiers have been erroneously placed on the list.…

    • 225 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Moving Beyond Data Access to QI Action 1. Given the situation, what are the apparent barriers to using incident reporting systems for QI? One of the biggest challenges or barriers faced when using incident reporting systems for QI purposes is the resistance among physicians and nurses to the changes being implemented, because they can perceive the new protocols as robotic and not personal, customized medicine, and argue that adhering too strictly to quality guidelines will take away their ability to use their judgment and experience. Nurses can also complain about additional paperwork and bureaucracy related to new protocols.…

    • 421 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Cccc Core Competencies

    • 746 Words
    • 3 Pages

    I am currently employed as the Administration Team Leader in the Central Coast Cancer Centre (CCCC). This role encompasses direct staff management as well as managing the daily operations of the CCCC clinics to ensure financial, human resources and administrative requirements are met in accordance with organisational needs. I am regularly required to make decisions on approaches to problems and sensitive issues, identify options and implement effective solutions while taking a leading role in negotiations with all levels of CCCC staff to improve services delivered at the Centre. As Team Leader I manage the daily work activities of the CCCC team and ensure the necessary skills and experience are available to meet the challenges of a demanding…

    • 746 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    The HNS Convention

    • 180 Words
    • 1 Pages

    The Code contains advice on terminology, packaging, labelling, placarding, markings, stowage, segregation, handling, and emergency response. The HNS Convention covers hazardous and noxious substances that are included in the IMDG code. The Code lays down basic principles; detailed recommendations for individual substances, materials and articles, and a number of recommendations for good operational practice including advice on terminology, packing, labelling, stowage, segregation and handling, and emergency response action. 
The two-volume Code is divided into seven parts: • Volume 1 contains: o general provisions, definitions,…

    • 180 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Family Theory Analysis

    • 715 Words
    • 3 Pages

    The CPT or Current Procedural Terminology reference book includes a set of codes, descriptions, and guidelines determined by the American Medical Association, used to describe procedures performed by health care providers for billing purposes (Smiley, 2015). The tenth edition of the International Classification of Diseases (ICD-10) reference book provides a system of codes that classifies every disease and health finding identified by the provider, providing more than 68,000 different diagnosis codes (Smiley, 2015). The Healthcare Common Procedure Coding System (HCPCS), is a two-level coding system that identifies health care procedures, equipment, supplies, and to identify various items or services not included in the CPT medical code set (Center for Medicare & Medicaid Services, 2013). For example, if a patient come to the clinic only to receive a vaccine administered by a nurse, the vaccine administration would be the only reportable service (Smiley, 2015). For procedures such as vaccinations, an HCPCS code must be utilized for billing while an evaluation and management code would not be necessary (Smiley,…

    • 715 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    ICD-9: A Case Study

    • 714 Words
    • 3 Pages

    I called several different facilities to gain an insight on the process that one has to go through to get a bill paid from services rendered. After deep consideration I decided to speak with a coder by the name of Naomi at Sacred Heart Hospital her first inclination to me was the importance of their job and the steps and processes that they have to go through from start to finish making sure that the hospital and doctors get paid in a timely manner and about the changes that have occurred in regards to how the codes are set up. They no longer use the ICD-9 for CPT they have went to ICD-10 because it is a much easier process that catches errors more accurately. This is done electronically and goes directly to the provider so that their portion…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    The Community Health Worker (CHW) Syllabus this course will prepare students to serve as a community health worker, striving to meet the goals of healthcare’s “Triple Aim.” Many of the members agreed that CHW is the advocate for the patient and navigating through the system to remove social determinate of health barriers. The CHW is key to developing trust to patients. 1.…

    • 1087 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Another positive opportunity is approximately 70% of the patients seen at MCWHLB for DM have California Children’s Services (CCS) insurance, which is willing to pay for the DEC visits once a Service Authorization Request is obtained. Two Threats Threats are the external conditions that can impend the accomplishment of the organizations’ objectives (Marquis and Huston, 2015). Two significant threats have the potential to reduce the outcomes of the strategic plan. First of all, non-compliance of DM patients at home, school, and community can cause an increase in readmission rates, A1C, and require an increase number of visits to the education center.…

    • 1116 Words
    • 5 Pages
    Improved Essays