Speaker: Betsy Nicoletti
Like other medical professionals, mental health professionals and coders will begin using ICD-10 in October, 2015. This one hour webinar will focus primarily on chapter 5 “mental, behavioral, and neurodevelopmental disorders,” but will also describe personal and family history codes and adult and child abuse. There are significant changes in this chapter that coders and clinicians need to know.
If you are using a one page cheat sheet for diagnosis coding, it has to go. If you report the same codes over and over, you’ll have trouble with the transition. In order to code specifically and accurately, you need to prepare. The ICD-10 codes for depression and substance abuse are greatly expanded and will require more specific and detailed clinical descriptions.
This session covers coding for mental disorders due to physiological conditions, substance abuse, psychosis, mood and anxiety disorders, personality disorders and behavioral and emotional disorders in children. Although the chapter is short, it is critical that clinicians understand the specificity built into ICD-10 codes and provide documentation to allow for accurate coding. Is the condition in partial or full remission? Is the disorder mild, moderate or severe? Was there a single episode or is the condition recurrent? Substance abuse coding is totally revamped in ICD-10. Coding for suspected or confirmed child abuse will require the use of a 7th character extender.
Many mental health professionals use too few ICD-9 codes, over- reporting unspecified codes on claims, because they’re easy to remember or printed on a form. This will be an obstacle in the transition to ICD-10.
After listening, participants will:
- Describe documentation needed to code substance abuse disorders and depression with specific codes.
- Code “personal history of…” and “family history of…” conditions.
- Identify documentation improvements needed to ease the transition to ICD-10.
Meet Our Expert Speaker:
Betsy Nicoletti, MS, CPC, is the co-founder of Codapedia.com, devoted to physician reimbursement. She is also the author of The Field Guide to Physician Coding 3rd Edition and Auditing Physician Services, 2nd Edition, both published by Greenbranch Publishing. As a certified coder, Betsy simplifies complex coding rules for practitioners and engages physicians in a positive and respectful way, which encourages attention and accuracy in their coding. Besides doing auditing and compliance work, she is a speaker, writer and consultant in coding education, billing and accounts receivable management.
She holds a Masters of Science in Organization and Management from Antioch, New England, and has worked in and around physician offices for over 25 years. She became a certified coder in 1999. Betsy is a member of the National Speakers Association, the Medical Group Management Association and the Healthcare Financial Management Edition.
You may have heard her speak at conferences sponsored by MGMA, DecisionHealth, ACHE, HFMA, AMBA, The Coding Institute, The Journal of Medical Practice Management and the World Research Group.
Betsy was awarded the 2010 QuantiaMD Community Choice Award for Excellence in Knowledge and Sharing Information. She was the only person to win the award who was not an MD, showing the tremendous value the physician community places on her!