ICD-10 PCS

clemed12clemed12
edited May 2016 in CDI Talk Archive
Hi everyone, I am just writing to ask everyone's thoughts on education related to ICD-10 PCS. Are your hospitals having the CDI nurses go through training? We finished ICD-10 CM last year for the whole coding department including the CDI nurses. We are gearing up for PCS training starting this fall as we will start dual coding and CAC at that time. We initially were slated to go through PCS training but my director has changed his mind. So it will only be the hospital coders and clinic coders who will receive training> Any thoughts?

Comments

  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    I don't know how you can assign a working MS-DRG unless you are provided some ICD-10 Education. Our entire CDI team is receiving training for I-10. Our intent is not to become coding experts in this system, but to be able to assign an accurate 'working' MS-DRG.

    Paul

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org

  • sharon.cooper@owensborohealth.orgsharon.cooper@owensborohealth.org
    edited May 2016
    All of our CDS's will receive the same training as the Coding staff. 3 of our CDS's are currently enrolled to become an AHIMA-Approved ICD-10-CM/PCS Trainers & possibly Ambassadors.

    Sharon Cooper, RN-BC, CCS, CCDS, CDIP
    AHIMA-Approved ICD-10-CM/PCS Trainer/Ambassador
    Manager Clinical Documentation

    Owensboro Health
    P.O. Box 20007
    Owensboro, KY 42304

    Sharon.cooper@owensborohealth.org
    Office: (270) 417-4612
    Cell: (270) 316-9088
    Fax: (270) 417-4609

  • katysuegood@gmail.comkatysuegood@gmail.com
    edited May 2016
    My personal feeling is that CDI should know how codes are applied. However, I don't think that takes extensive training. I think they should understand the meaning of the PCS characters (I personally love the PCS system and how the codes 'tell a story') and know what information is going to be required by coding.
    One of the big things that we must be concerned about with I-10 implementation is that PCS coding will be more specific. If coders do not have the required information they often will be unable to code the record at all. They will reach a point where they cannot move on and will need to query. This slows the revenue cycle and has negative impact on the hospital. We expect to be helping to mitigate this risk both by helping MD's modify their templates in order to prompt them for the required information and with concurrent queries.
    While I think CDI needs PCS training, it likely does not need to be as extensive. It may have a different focus as well. More education/research on where there is increased specificity required by I-10 and how they can help the MD's get that in the record concurrently.

    Katy Good, RN, BSN, CCDS, CCS
    Clinical Documentation Program Coordinator
    AHIMA Approved ICD-10CM/PCS Trainer
    Flagstaff Medical Center
    Kathryn.Good@nahealth.com
    Cell: 928.814.9404

  • Linda_RhodesLinda_Rhodes
    edited May 2016

    I agree with Paul. It would be extremely difficult to assign the correct
    procedure code without ICD-10 PCS training. All of our CDS's recieve the
    same training as coding for both ICD10 CM and PCS.
    Thanks,
    Linda


    Linda Rhodes RN, BSN, CCDS
    Manager Clinical Documentation Improvement
    New Hanover Regional Medical Center
    Wilmington, North Carolina
    Office # 910-815-5544
    Cell " 910-777-8344
    e-mail : linda.rhodes@nhrmc.org
  • sharon.colesharon.cole
    edited May 2016
    Our CDI team just went through the week long AHIMA ICD-10 bootcamp for coding professionals. It covered PCS and CM. It was GREAT!! Learned a lot and I have not had any formal coding training prior to that - just what I had picked up from a couple of sessions with the coding team and playing with the encoder and books on my own. I was worried it would all be over my head but it was not and was nice to learn together with the coding team. It helps us appreciate what they will be having to do and gave us some ideas of things we will need to be watching for in the record. It was well worth it! I hope we get to attend the ICD-10 bootcamp for CDI professionals as well because I think it will focus more on what we are seeing clinically vs how to code. I hope if we do our coding team is allowed to participate in that as well. I think it makes the group more cohesive and understanding of each other.

    Sharon Cole, RN, CCDS
    CDI Specialist
    254.751.4256
    Sharon.cole@phn-waco.org

  • Unknown
    edited May 2016
    Our CDI Department are half nurses, half HIM professionals. We are
    currently going through ICD-10 training, including PCS (the same
    training the coders had). Our coders started dual coding July 1, 2013.



    Linda Haynes, RHIT, CCDS

    Manager, Clinical Documentation

    Legacy Health

    Lhaynes@lhs.org



  • evanspx@sutterhealth.orgevanspx@sutterhealth.org
    edited May 2016
    I agree with NBrunson –if you are a “CDI” you need to ‘know’ coding. I am of the opinion some understate that concept. If you can’t assign a working MS-DRG, you can’t adequately perform basic CDI function – see position statement of ACDIS.

    A CDI should not spend an inordinate amount of time coding each and every condition, such as should be expected of a professional coder, however. There is a balance one need to achieve.

    PCS coding in I-10 is very much different than 1-9 and there will be a significant learning curve for all.

    Paul Evans, RHIA, CCS, CCS-P, CCDS

    Manager, Regional Clinical Documentation & Coding Integrity
    Sutter West Bay
    633 Folsom St., 7th Floor, Office 7-044
    San Francisco, CA 94107
    Cell: 415.637.9002
    Fax: 415.600.1325
    Ofc: 415.600.3739
    evanspx@sutterhealth.org

Sign In or Register to comment.