Update in Billing, Coding & Reimbursement: ICD-10, MIPS and Bundled Payment System

Course overview

Learner Objectives: As a result of having attended the meeting, the participants should have had the opportunity to: • Show the transition from ICD-9 to ICD-10 • Provide resources for attendees to navigate to and make their journey easier • Discuss different governmental audits • Provide examples of audit tools • Understand common terms related to value based health care • Appreciate why our current model cannot sustain itself • Insight to value based health care and what direction wound care may embrace • Understand what Merit-Based Incentive Payment System (MIPS) and its impact on hyperbaric medicine • Participants will be able to identify CMS driven reviews that impact payment • Participants will understand the importance of quality reporting for reimbursement • Emphasize the need to build a more accurate patient’s medical story with cohesiveness of clinical documentation details in the medical record • Recognize the complexity assigning ICD-10- CM codes • Identify what the key source is to support medical necessity for HBO2 therapy Subject Matter: • Making ICD 10 Work With Wound Healing and Hyperbaric Oxygen Matthew Schweyer, CHT-A • Bundled Payment & Impact on Wound Care: Bedside to Curbside Matthew Schweyer, CHT-A • Merit Based Incentive Payment System & the Future of US HBOT Reimbursement Caroline Fife, MD; Helen Gelly, MD, Marc Robins, DO, MPH • Missing Puzzle Pieces in HBO Clinical Documentation Gretchen Dixon • Panel: Coding and Reimbursement in the ICD-10 Era Marc Robins, DO, MPH; Helen Gelly, MD, FUHM, FCCWS, FACHM; Randall Cook, MD, FACS, UHM; Stephanie Williams Teaching Methods: Online video of speakers lecture with PPT slides embedded; Exam questions for each lecture; evaluation of program. Evaluation Methods: Evaluation is offered online after completion of the activity, which evaluates the effectiveness of the meeting, that no bias was presented, individual faculty and overall objectives were met. References: • Undersea and Hyperbaric Medicine Journal, Undersea and Hyperbaric Medical Society, North Palm Beach, Florida • National Fire Protection Association 99, Health Care Facilities; 2015. www.nfpa.org • UHMS Hyperbaric Oxygen Therapy Indications, Thirteenth Edition, Dr. Lindell Weaver, April 2014 (http://www.bestpub.com/books/hyperbaric-a-undersea-medicine/product/359-ebook-hyperbaric-oxygen-therapy-indications-thirteenth-edition.html)