FY2022 ICD-10-CM Coding and Guideline Updates
September 17, 2021
The 2022 ICD-10-CM code updates went into effect on October 1st. This webinar will review each of the changes to the ICD-10-CM coding guidelines that impact long-term care, including changes to:
- COVID-19 codes (long haul COVID) and sequencing instructions
- Changes to instructions for coding insulin and oral hypoglycemic drug use in Diabetic residents
- Social determinants of health
- HIV disease coding
- Breast cancer coding
ICD-10-CM coding accuracy is required by HIPAA. The NHA and facility clinical team must ensure that diagnosis coding is accurately completed in each medical record. ICD-10-CM coding impacts payment under PDPM. This webinar will end with recommendations that will assist facilities to understand the steps that need to be taken each October 1st when the coding guidelines and ICD-10-CM codes are updated, including additions, revisions, and/or deletions.
The Medicare payment system, PDPM is of great relevance to NHAs. Medicare payment provides significant income to most SNFs. ICD-10-CM codes have a major impact on Medicare payment in the therapy and NTA components in PDPM. Diagnosis codes must be accurate in each resident’s medical record. As the leader of the nursing home team, the NHA should understand how the diagnosis coding process must be updated each October, what resources his/her team needs, policies and procedures that will need updating, and which reports should be run.
1. State the new code for Long (Haul) COVID-19 and how it impacts PDPM payment.
2. List 4 items that can be coded when documented by a non-physician practitioner.
3. Explain the change to coding related to insulin and oral anti-hypoglycemic medications.
4. Report three steps that should be taken each October 1st to ensure the resident ICD-10-CM codes are kept up to date.
Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
- 1.25 credit hours for RNs
- 1.25 credit hours for NABs
This pre-recorded webinar expires on October 1, 2022.
Hansen Hunter & Co. P.C. clients are invited to access any of our webinars for free by contacting Allison Johnson at our office at 503.244.2134 to receive your free registration code.
- This nursing continuing professional development activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
- Enduring material: To meet the requirements for these contact hours, you must watch the entire recorded presentation as well as answer and submit the post-test evaluation that is provided as a link along with the link to your webinar which you will receive via email after completing your purchase.