[Coding] ACOG Coding and Practice Management Update

Anne Diamond ADiamond at acog.org
Fri Jul 29 17:36:08 EDT 2011


              Practice Management and Coding Update 
American Congress of Obstetricians and Gynecologists (ACOG)
              August 2011/Vol. 11, Issue 8
 
Welcome to ACOG's Practice Management and Coding Update.  The Update
provides timely information on coding, reimbursement and practice
management issues. Information on a variety of coding and practice
management issues is available on ACOG's web site under the Practice
Management heading at http://www.acog.org/.
 
In this issue of the Update:
1) Coding Tip:  CCI EDITS
2) ACOG ICD-10 TRAINING
3) COLLEGE RESPONSE TO FDA MESH NOTIFICATION
4) OB/GYN HOSPITALISTS IN 136 HOSPITALS
5) ACOG WEBCAST ARCHIVES (
https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=490885&title=Home
)
6) AMA WHITE PAPERS
7) ACOG WEBCASTS ( http://www.acog.org/postgrad/index.cfm?webcast ):
August 9, 2011: ICD-9 to ICD-10: What to Expect
September 13, 2011: Communication and Cultural Sensitivity
 
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1) Coding Tip:  CCI EDITS
Correct Coding Initiative (CCI) edits effective July 1, 2011 (Version
17.3) are available on the ACOG Coding webpage for members. The CCI
lists pairs of CPT codes or “edits” that Medicare considers bundled.
These edits are updated quarterly.  ACOG members may access the changes
and the CCI list for ob-gyns from:
http://www.acog.org/departments/dept_notice.cfm?recno=6&bulletin=5394
 
2) ACOG ICD-10 TRAINING
 
ACOG will be presenting an introductory ICD-10 webcast on August 9,
2011.  The webcast will be held from 1-2:30.  You may view more
information and register for this and other ACOG training courses on the
ACOG website at: http://www.acog.org/postgrad/index.cfm
 
We also plan to offer multiple ICD-10 training opportunities starting
with several webcasts in 2012, as well as articles and links to helpful
sites from the Coding and Nomenclature page of the ACOG website.  The
coding workshops in 2012 will contain an enhanced ICD-10 discussion as
well.  
 
Coding Workshop focus in 2012 will be on improving diagnostic coding
and documentation since this will be one of the critical issues with
ICD-10 implementation.  The 2012 Coding Workshop schedule will be
available in October.  We will post all ICD-10 training schedules and
activities on our Coding web page (
http://www.acog.org/departments/dept_web.cfm?recno=6 )
 as we roll out this training.  
 
Based on recommendations from CMS and others, ACOG will not be
providing formal ICD-10 training using only ICD-10 codes at our Coding
workshops until 2013.  To do so before that date, per most experts, will
result in having to retrain attendees since the new codes cannot be used
until October of 2013.  
 
3) COLLEGE RESPONSE TO FDA MESH NOTIFICATION
The FDA issued a Safety Communication, "Update on Serious Complications
Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organ
Prolapse (
http://www.acog.org/cgi-shl/leaving.pl?http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm262435.htm
)" on July 13, 2011.  For more information and to access the College's
response and guidance for Fellows click here (
http://www.acog.org/from_home/Misc/20110713MeshResponse.cfm ).
 
4) OB/GYN HOSPITALISTS IN 136 HOSPITALS
Ob/gynhospitalist.com ( http://obgynhospitalist.com/ ) has identified
136 hospitals that have ob/gyn hospitalists programs. Also, the newly
forming Society of Ob/Gyn Hospitalists (SOGH) will hold their first
annual meeting in Denver on September 24. Get more information on the
meeting and the map of ob/gyn hospitalist programs at
www.obgynhospitalist.com.
 
5) ACOG WEBCAST ARCHIVES (
https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=490885&title=Home
):
The following webcast archives are available on the On Demand side of
the ACOG Webinar Registration page:
·         Robotic Surgery in Gynecology: The Promise and the Peril
·         Vaginal Birth after Cesarean Section: What's New and What's
Not
·         Coding for Office Based Ob/Gyn Procedures
·         Coding for Consultation Services
·         Coding for Wound Repair
·         ACOG VRQC Program: Using Standardized Worksheets for Peer
Review
First time users must register and set up a password.
Click here to access ACOG's OnDemand presentations (
https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=490885&title=Home
).
 
6) AMA WHITEPAPERS
The AMA has published two whitepapers:
 
Standardization of a code-editing system 
Billions of dollars in cost savings for physicians, payers and the
health care industry as a whole can be realized by adopting 1) a
standard code-edit set, and 2) a standardized computer program that
enables the move to real-time adjudication of claims, as well as the
elimination of “unclean” claims and unnecessary appeals. Therefore, the
AMA calls on all stakeholders to stand behind the development of a
standard code-editing system.
 
Standardization of prior authorization process for medical services
white paper
Since 2009, the AMA — along with the AMA Practice Management Federation
Staff Advisory Steering Committee and the Prior Authorization (Prior
Notification) Medical Services Workgroup — has been working to identify
areas related to the prior authorization process for medical services
that can be streamlined. The AMA took another step toward reaching that
goal through the development of a white paper, which outlines the costs
and workflow inefficiencies of the current process required of
physicians obtaining prior authorizations from payers, as well as
efforts to streamline the process. Standardization and streamlining will
decrease manual processes for securing prior authorizations, reduce the
associated costs for both payers and physicians, and improve patients’
overall experience.
Both papers can be accessed through the AMA's Private Sector Advocacy (
http://www.ama-assn.org/ama/pub/advocacy/current-topics-advocacy/private-sector-advocacy/administrative-simplification.page
) page.
 
7) ACOG LIVE WEBCASTS ( http://www.acog.org/postgrad/index.cfm?webcast
):
 
August 9, 2011: 
Time: 1:00 – 2:30 PM ET
Presenter: Emily Hill, PA
Cost: $99 ACOG Members and AAPC members; $115 Non-members
Registration: http://www.acog.org/postgrad/pgpage.cfm?recno=561
 
This webcast will discuss the importance of ICD coding to a physician’s
practice including its role in quality measures. The primary
distinctions between ICD-9 and ICD-10 will be reviewed with examples
offered for OB/Gyn practices. The basic principles of ICD coding will be
addressed and their applicability to ICD-10 explored. Finally, the
discussion will identify key challenges and opportunities posed by the
transition to ICD-10 along with possible strategies to address these
issues. 
 
Upon completion of the presentation, the participants will:
·         Recognize the importance of ICD coding to a physician
practice 
·         Comprehend the key distinctions between ICD-9-CM and
ICD-10-CM 
·         Understand the principles of ICD coding and how to apply them
to clinical practice
·         Recognize the challenges and opportunities presented by the
transition to ICD-10-CM 
 
September 13, 2011: Communication and Cultural Sensitivity
Time: 1:00 – 2:30 PM ET
Presenter: Kenneth E. Brown, MD, FACOG
Cost: $99 ACOG Members; $115 Non-members
Registration: http://www.acog.org/postgrad/pgpage.cfm?recno=568
 
 
This webcast will address the emotional impact of medical errors on
obstetrician-gynecologists and suggest methods for coping. After
participating in this webcast, participants should be able to:
 
·         Discuss the impact of medical errors on the physical and
psychological well being of involved health care providers
·         Identify the common results of physician distress following
involvement in medical errors
·         Describe the major barriers to physicians pursuing counseling
after involvement in medical errors
·         Explain organizational approaches to supporting health care
professionals after medical errors
 
ACCME Accreditation
The American College of Obstetricians and Gynecologists (ACOG) is
accredited by the Accreditation Council for Continuing Medical Education
(ACCME) to provide continuing medical education for physicians. 
 
AMA CME Category 1 Credit and ACOG Cognate Credit
The American College of Obstetricians and Gynecologists (ACOG)
designates this educational activity for a maximum of 2 category 1
credits toward the AMA Physician's Recognition Award or up to a maximum
of 2 category 1 ACOG cognate credits. Each physician should claim only
those credits that he/she actually spent in the activity.
 
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