July - Munson Healthcare

July - Munson Healthcare
As spring becomes summer,
I’m reminded of how change
is a continuous process. In
health care, change is the only
constant. A big change that
I know many of you are preparing for is ICD-10 implementation, which goes into
effect October 1.
Andrea Ludka
We’ve heard from you how
encompassing ICD-10 will be
for physicians and practices.
Munson is here to help by
providing ICD-10 education
for physicians (Precyse via
HealthStream and Tuesday
Grand Rounds) and your
staff (see “Free Basic ICD-10
Education for Coders” on
pg. 2) as well as notifying you
of education and resources
provided by other organizations including MSMS,
MHA, and MI payers.
change. Let me, Deb, or
Heidi know if there’s any way
we can support you. We love
hearing from you and look
forward to helping in any way
we can. As much as we try to
anticipate how ICD-10 and
other changes will affect us,
together we can learn from
each other.
I hope you take time this
summer to enjoy the beauty
of our region. Please know
that we are your partner in
Andrea Ludka, Director of
Physician Services, can be
reached at (231) 935-3391
or [email protected]
This is the first in a series of articles written by Karen Popa, RN; Director
of Patient Financial Services, to help physician offices prepare for coding
in ICD-10. Look for “Medical Necessity and ICD-10” in August.
Some of the most commonly used codes in ICD-9 are unspecified codes.
As the industry moves into using ICD-10, there are many opportunities
where providers can increase specificity in their documentation and
ordering practices.
How prevalent is the use of unspecified codes?
Overall, nearly 40 percent of diagnosis codes that are provided on
outpatient orders are unspecified. Some specialties have more than 60
percent, with others as low as 25 percent.
When is it appropriate to provide more specificity?
Documentation specificity should always represent what the patient’s
condition is at the time of the encounter. This allows for the most specified use of diagnosis codes. The provider should not only document the
specificity in the patient record, but also relevant information needs to
be included with any orders for testing and treatment.
When should specified codes be used?
When the provider can account for basic information, such as:
o Laterality (right, left, bilateral)
o Anatomical locations
o Description of severity or acuity
o The cause or set of causes of a disease or condition
What are some of the most
common diagnoses that would
benefit from more specificity?
An audit performed of Munson
Medical Center (MMC) outpatient
orders revealed the top 5 most common diagnoses that were unspecified
1.Abdominal pain: What site
2.Hearing Loss: Type and Laterality
3.Anemia: Type of anemia and
causation if known
4.Limb pain: Laterality, site
(knee, elbow, forearm, etc.)
5.Back Pain: Site
Karen Popa, RN
When should an unspecified code be used?
Only when sufficient clinical information is not known about the
patient’s health condition to allow for more specificity. Unspecified codes
should be used only when they are the codes that most accurately reflect
the patient’s condition for that encounter.
What about the use of signs/symptoms?
Many signs and symptoms have diagnosis codes that are valid for payment and the documentation of such plays an important role in the care
of the patient.
Watch for unspecified codes that can be converted to
specified codes with a little more information.
Page 1 | Practice Pro | July 2015
FREE Basic ICD-10 Education for Coders
Wednesday, August 12 | 8 – 9:30 am
Northwestern Michigan College
Beckett Building Classrooms #146-147
To help practices prepare for coding in ICD-10 we will be
mailing ICD-10 Specificity Guides outlining the codes identified
during audits to be most likely to have deficiencies and what
the specific ICD-10-CM code is for each of these codes. An
example is inserted in this issue of Practice Pro.
A once-shifting deadline is now set: As of October 1, 2015, health care
providers will bill with ICD-10 codes versus ICD-9. To help practices
prepare for ICD-10 implementation this fall, Munson Medical Center is
providing basic ICD-10 coder training at no cost to practices.
Katherine “Kitty” Kremer, BA, RHIT, Director of Coding Education for
Anthelio Healthcare Solutions, Inc., will provide an informative session
on ICD-10 diagnosis coding basics including rules and guidelines.
Attendees are encouraged to bring their ICD-10-CM code book if you
have one.
Registered participants will receive certificates for 1.5 AAPC CEU’s.
Light snacks will be provided. Space is limited. Please register soon to
reserve a spot.
To RSVP, please register online at munsonhealthcare.org/
codertraining or call (231) 935-5873.
The Centers for Medicare & Medicaid Services (CMS) has
developed a Quick Start Guide for ICD-10 implementation
that practice managers may find helpful. It outlines steps
health care professionals should take to prepare for ICD-10
by the October 1, 2015, compliance date.
As part of our ongoing efforts to help physicians transition to ICD-10, Munson Medical Center has
partnered with Precyse University to make it easy for physician practices to download the Precyse ICD-10
Virtual Code book. The Precyse University ICD-10 Virtual Code Book eliminates the need for an ICD-10-CM
code book, as all codes and guidelines are contained within its easy-to-use, clinically-focused interface.
The Precyse ICD-10 Virtual Code Book app is available for either Android or Apple devices. Please note that
the app may take 15 minutes to download during installation.
To request a code for each of your on-staff providers:
1.Determine how many Android and/or Apple codes are needed
2.Complete the online request form at: munsonhealthcare.org/virtualcodebook
3.Codes will be emailed within 5 business days.
If you have any questions, please contact Cheryl Wheeler, ICD-10 Training Coordinator, at
(231) 935-6040 or [email protected] Thank you.
Medicare Provides Free Billing Software
For those offices without an EMR, Medicare offers free billing software,
PC-ACE Pro32, which provides practices with the ability to submit claims
electronically. Electronically submitting claims results in faster claims
processing, reduction of payment errors and data entry errors, immediate
verification of claims received, and reduces administrative costs.
For more information, go to wpsic.com/edi/files/pcace_infodownload.pdf. To download the software, go to
wpsic.com/edi/pcacepro32.shtml and scroll down to the Installations and User Guide sections.
Page 2 | Practice Pro | July 2015
Munson Medical Center’s Rehabilitation Services recently
installed a new aquatic therapy pool at Munson Community
Health Center.
“We’ve had an aquatics program at Club One, formerly
Premier Fitness for several years,” said Kevin Schrider,
Rehabilitation Services manager. “Having our own pool gives
us more flexibility in terms of scheduling and efficiencies.”
Conditions helped by the therapy include arthritis, athletic
injuries, balance and coordination deficits, chronic pain,
fibromyalgia, joint replacement, musculoskeletal disorders,
neuromuscular disorders, neurologically impaired pediatric
patients, and more.
Aquatics specialist Sue Gotts also offers a post-therapy
program using recreational therapy to help patients continue
The 12-by-6.5-feet pool opened in May and has been serving a their gains.
variety of patient needs. Physical therapists work with patients “We also anticipate that the Healthy Weight Center patients
and pain clinic patients will be able to take advantage of the
one-on-one to restore movement using the gravity-reduced
environment of water. Water’s resistance properties also allow pool,” Schrider said.
weak muscles to be strengthened earlier than on land.
Aquatic therapy is covered by most insurance companies.
Therapists provide an individualized program for patients
designed to strengthen, stabilize, and provide flexibility, as
well as for pain control. All patients are required to have a
prescription from a physician for the program.
For more information on Munson Medical Center
Rehabilitation Services go to munsonhealthcare.org/rehab.
 Patrick Friedli, MD, Joins Bay Area Family Care  Updated Contact Numbers for Creekside
Dr. Patrick Friedli, family practice, is now practicing at
Bay Area Family Care.
Bay Area Family Care
906 Business Park Dr.
Traverse City, MI 49686 (231) 935-8750 phone
(231) 935-8749 fax
 Glen Henbest, DO, Joins Digestive Health
Dr. Glen Henbest, gastroenterology, is now practicing at
Digestive Health Associates.
Digestive Health Associates
4100 Park Forest Dr., Ste. 208 (231) 935-5710 phone
Traverse City, MI 49684
(231) 935-9045 fax
 Jennifer Lyon, DO, Opens New Practice
Dr. Jennifer Lyon, family and sports medicine, has opened a
new practice, Pure Health Family and Sports Medicine.
Pure Health Family and Sports Medicine
(231) 922-0400 phone
647 E. Eighth St.
Traverse City, MI 49686
(231) 922-3063 fax
 New Fax Number for iNDIGO Hospital
The fax number for iNDIGO Hospital Medicine has changed.
Please update your records, including your EMR.
Clinic & Sports Medicine
Please update your records, including your EMR, as the
Creekside Clinic & Sports Medicine phone and fax numbers
are now unique to each physician.
Michael F. Carroll, MD
Phone (231) 715-3613
Fax (231) 715-3570
Matthew R. Jackson, DO
Phone (231) 715-3601
Fax (231) 935-0787
Natalie J. Okerson-Sparks, MD
Phone (231) 715-3614
Fax (231) 715-3566
Douglas M. Spence, MD
Phone (231) 715-3620
Fax (231) 715-3597
 Providers Who Are No Longer Practicing
Dr. David Steffey, Grand Traverse Radiologists, and Dr. David
Wilcox, Bay Area Family Care, both retired as of June 30. Dr.
David Ko, U.S. Coast Guard Air Station Traverse City Medical
Clinic, and Dr. Peter Shireman, pathology, have left the area.
A reminder that the following providers have recently retired
or left the area:
Thomas Crosby, MD, FACC •
Peg Dunn, CNM
Richard Hartwell, DO
Margaret Moen, MD
Rochak Varma, MD
For those practices with an EMR, please update your records.
iNDIGO Hospital Medicine: (231) 392-0622 NEW FAX
Page 3 | Practice Pro | July 2015
1105 Sixth Street
Traverse City, MI 49684-2386
A New Face in Physician Recruitment
Lesli Humphrey is the new physician recruiter joining Tracey Kukla-Aleshire.
“This is an exciting time for Munson Healthcare! I am looking forward to working with
such a dynamic team and being part of the continued health care growth in our region.”
Lesli can be reached at (231) 935-5890 and [email protected]
Lesli Humphrey
Physician Recruiter
Chanida Siripraparat, MD
Kyle R. Ver Steeg, MD, FACS
Chanida Siripraparat, MD has joined
the staff of Munson Medical Center
as a board-certified specialist in
psychiatry and geriatric psychiatry.
Dr. Siripraparat practices inpatient
psychiatry at Munson Medical Center.
Kyle R. Ver Steeg, MD, FACS, has
joined the staff of Munson Medical
Center as a board-certified specialist
in plastic surgery. Dr. Ver Steeg is
accepting new patients.
Munson Medical Center – Center One
1105 Sixth St.
Traverse City, MI 49684
(231) 935-6210 phone
(231) 935-7130 fax
The Center for Plastic Surgery
4110 Copper Ridge Dr., Ste. 242
Traverse City, MI 49684
(231) 929-7700 phone
(231) 929-7709 fax
For additional information, call HealthLink at (231) 935-5886 or 1-800-533-5520.
Page 4 | Practice Pro | July 2015
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