Course Code: REL-HOS-0-EIDRHP
Hours: 1.25
Type: Online Course
Content Expiration Date: 3/31/2021
Learning Objectives:
Identify at least 3 characteristics of an ICD-10 code.
Identify the difference between coding conventions, general coding guidelines, and chapter specific coding guidelines.
Define the principal diagnosis and how it relates to hospice providers.
Identify at least 2 types of diagnosis codes that are prohibited on hospice claims as the principal diagnosis.
Identify at least 3 ways in which documentation can support hospice coverage.
Outline:
Section 1: Introduction
A. About This Course
B. Learning Objectives
Section 2 Introduction to ICD-10 Codes and Coding Guidelines
A. What is an ICD-10 Code?
B. Benefits of ICD-10 Codes
C. Composition of an ICD-10 Code
D. Dissecting an ICD-10 Code
E. Review
F. Summary
Section 3: ICD-10 Coding Conventions and Guidelines
A. Introduction
B. Coding Conventions
C. General Coding Guidelines
D. Chapter-Specific Guidelines
E. Establishing Reportable Diagnosis Codes
F. Review
G. Summary
Section 4: Hospice-Specific ICD-10 Coding Requirements
A. Overview
B. General Rules Related to the Principal Diagnosis
C. Debility and Adult Failure to Thrive
D. Mental, Behavioral, and Neurodevelopmental Disorders
E. Other Co-Morbidities and Diagnoses
F. Use of “Z” Codes as the Principal Diagnosis
G. CMS Analysis of Diagnosis Reporting
H. Review
I. Summary
Section 5: Supporting Hospice Coverage
A. Hospice Eligibility
B. Documentation to Support Hospice Coverage
C. Documentation to Support Hospice Admission
D. Documentation to Support Hospice Services
E. Documentation to Support Higher Level of Care
F. Supporting Terminal (End-Stage) Prognosis
G. Terminal Status LCD
H. Disease-Specific Guidelines
I. Review
J. Summary
Section 6: Conclusion
A. Summary
B. Course Contributors
C. Resources
D. References
E. Congratulations!
F. Exam
Staff Writer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ron Orth, RN, CMAC, CHC obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer.
Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Expert Reviewer: Tammy Furr, MSN, RN, CHPN
Tammy Furr, MSN, RN, CHPN is a registered nurse with 25 years of experience with the last 20 years working in the field of hospice and palliative care. She has continued her education by receiving a Master’s degree in Nursing as well as Certification in Hospice & Palliative Care. Her passion for hospice is grounded in the regulatory requirements for hospice and how this translates to facilitate not just quality but excellent patient care at the end of life.
Disclosure: Tammy Furr, MSN, RN, CHPN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Intermediate level Social Workers; Nurses; in the following settings: Hospice.
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
All courses offered by Relias Learning, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.