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code it! - ACCD Newsletter Vol 4, No 4, September 2017

Welcome to another edition of our code it! Newsletter.

CONTENTS

What's New

What's New in CLIP

New Coding Rules
New Coding Rules have been published in CLIP as at 15 September 2017, for implementation 1 October 2017. Click here to view them.

Updated Coding Rules

There are 2 Coding Rules that has been updated for implementation 1 October 2017  - Pancytopenia (published 15 Dec 2013) and Prematurity and documentation of gestational age (published 15 Dec 2015). Click here to view a track changed version in the Updated Coding Rules document.

ICD-10-AM/ACHI/ACS Tenth Edition Frequently Asked Questions (FAQs)

Due to the volume of FAQs received from the Tenth Edition education material, the FAQs response will be split into two parts:

Part 1 includes the topics of General Classification Issues (e.g. ACS 0001 Principal diagnosis, 0002 Additional diagnoses and other Specialty Standards, Deleted ACS for Tenth Edition, Mutual Exclusivity, Multiple Condition Coding Convention and Definitional Information), Excludes Notes, Chronic Pain, Mental Health Interventions, Obesity and BMI, Deep Venous Thrombosis, Adoption, Anticoagulants, Administration (ACHI), Cardiovascular Interventions, Difficult Intubation and Passive Smoking. Part 2 includes the topics of Obstetrics, Procedural Complications and Same-Day (ACS). Part 2 will be released on Friday 22nd September, 2017.

See the Education Update section of this newsletter for further information.

Errata 2, September 2017 (for implementation 1 October) now available

ICD-10-AM/ACHI/ACS Tenth Edition Errata 2 is now available. Please update your hard copy volumes. Click here to download the errata.

ICD-10-AM/ACHI/ACS Tenth Edition Education

This material has now been consolidated into the ACCD website https://www.accd.net.au/Education.aspx

AR-DRG V9.0 Education

The AR-DRG V9.0 Video tutorial continues to be available from this link.  

Fundamentals of Morbidity Coding

Fundamentals of Morbidity Coding is now updated for Tenth Edition. Order here

Purchase of Products

The ICD-10-AM/ACHI/ACS Tenth Edition Manuals, Electronic Code Lists (ECLs) and Mapping Tables as well as the AR-DRG V9.0 Definitions Manuals are available for purchase. 

Please refer to the Ordering section below.

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ICD-10-AM/ACHI/ACS Update

Eleventh Edition update

The work programme for ICD-10-AM/ACHI/ACS Eleventh Edition will be tabled at the September 2017  ICD Technical Group (ITG) meeting.  The mandatory updates to ICD-10-AM and ACHI in line with the World Health Organization (WHO) updates to ICD-10, the Australian Dental Association (ADA) updates and the Medicare Benefits Schedule (MBS) updates will be undertaken, and the following key areas have also commenced development:
  • Chronic Conditions / Review of ACS 0002 (ICD/ACS)

  • Ophthalmology (ACHI Part 2)

  • Obstetrics & Abortion (ICD/ACHI/ACS Part 2)

  • Excludes note review (Part 2) (ICD)

  • Syndromes and Congenital/Neonatal conditions and interventions (ICD/ACHI/ACS)

  • Wound Management (including debridement) (ACHI/ACS)

  • Neoplasms (ICD/ACHI/ACS)

  • FESS and ENMT interventions (ACHI/ACS)    

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AR-DRG Update

AR-DRG V9.0

The final report continues to be available on the ACCD website as well as from the Independent Hospital Pricing Authority (IHPA) website.

Further information regarding the AR-DRG V9.0 can also be found on the AR-DRG V9.0 page on the ACCD website.

The AR-DRG V9.0 education continues to be available on the ACCD website. Please refer to the Education Update below for further details. 


The AR-DRG Version 8.0 and 9.0 DCL/ECCS Calculator continues to be available on the ACCD website.

Future Versions of the AR-DRG Classification

In 2016, IHPA made a strategic decision to retain the development of the AR DRG classification within the agency for the development of AR DRG V10.0 and continued to contract ICD 10 AM/ACHI/ACS Eleventh Edition development to the ACCD.  Please refer to the IHPA website for their Work Program 2017-18.

 

AR-DRG Public Submissions

ACCD will continue to receive AR-DRG submissions (https://www.accd.net.au/Submissions.aspx?page=3) and will review and hand them over to IHPA where applicable to AR-DRG development. IHPA and ACCD will work together to ensure there is continued integration between ICD-10-AM/ACHI/ACS and AR-DRG development.

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Education Update

ICD-10-AM/ACHI/ACS Tenth Edition Education

The ICD-10-AM/ACHI/ACS Tenth Edition online education program and materials has been relocated to the education section of the website at https://www.accd.net.au/Education.aspx. The tutorial videos (with presentation slides), coding exercise workbook and the reference to changes for Tenth Edition remain accessible from here, however the challenge quiz, participant evaluation survey and enquiries link are no longer available.

As of 31 August 2017 (at the close of the Education Online Portal) a total of 1850 participation certificates were issued and 285 people completed the participant evaluation survey.

The short graphical overview below depicts the feedback (on a scale of 1: strongly disagree to 5: strongly agree) on the training material delivered, and chart 5 indicates how participants completed the education program.

 

 

 

 

Tenth Edition Frequently Asked Questions (FAQs)

Due to the volume of FAQs received from the Tenth Edition education material, the FAQs response will be split into two parts:

Part 1 includes the topics of General Classification Issues (e.g. ACS 0001 Principal diagnosis, 0002 Additional diagnoses and other Specialty Standards, Deleted ACS for Tenth Edition, Multiple Condition Coding Convention and Definitional Information), Excludes Notes, Chronic Pain, Mental Health Interventions, Obesity and BMI, Deep Venous Thrombosis, Adoption, Anticoagulants, Administration (ACHI), Cardiovascular Interventions, Difficult Intubation and Passive Smoking.

Part 2 includes the topics of Obstetrics, Procedural Complications and Same-Day (ACS). Part 2 will be released on Friday 22nd September, 2017.

NCCH will also be presenting a clinical coding workshop based on the Tenth Edition FAQs at the upcoming HIMAA/NCCH Conference in November 2017 (see below).

Standards for ethical conduct in clinical coding 

A clarification of the Standards for ethical conduct in clinical coding (based on the FAQs received and other feedback) will be published at a later stage following the first ICD Technical Group meeting to be held in late September 2017. This material will also be presented at the upcoming HIMAA/NCCH Conference in November 2017 (see below).

Fundamentals of Morbidity Coding

The Tenth Edition revision of the Fundamentals of Morbidity Coding is available now.

This book provides a useful reference for clinical coder trainees or those returning to the coding work force who wish to re-familiarise themselves with coding basics. You can order it here. 

AR-DRG V8.0 and V9.0 Education 

Education tutorials outlining the changes in AR-DRG Versions 8.0 and 9.0 continue to be available on the ACCD website.

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Upcoming Events

IHPA ABF and PCSI (Patient Classification Systems International) Conference 2017

Sydney, 9-13 October 2017
Hilton Hotel

Visit the Conference website

HIMAA NCCH Conference 2017

Cairns, 1-3 November 2017
Pullmann Cairns International

Register now

Program Themes
  1. Digital Health/Health Informatics – EMRs, personal health records, telehealth, consumer health informatics, aged care informatics, mobile technology in health, implementation of health information systems, social media and health.
  2. Health Classifications and Coding – funding, activity based funding, casemix, clinical costing, coding audits.
  3. Pricing for Patient Quality and Safety - clinical pathways, clinical indicators, patient outcomes, integrated care, models of care
  4. Information Governance – data standards, data quality, clinical data management, clinical documentation improvement.
  5. Health Services Management – human resource management, change management, strategic planning, accreditation, leadership.
  6. Medico-legal Issues – privacy principles and policies, security.
  7. International Health Information Management - practice and perspectives.
  8. Education and Training – workforce, professional pathways.
  9. Health Analytics - data analytics, business intelligence, predictive analytics.
  10. Health Information Management in 2025 – the future of health information management in the changing landscape, climate change and its effect on the future of health information and health generally in Australia, technology interoperability during major weather events. 

Visit the Conference Website

 

Professional development

For further professional development opportunities and ongoing education please refer to:

http://sydney.edu.au/health-sciences/ncch/events/current-events.shtml

https://www.accd.net.au/ (What’s New)  

 
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Ordering ICD-10-AM/ACHI/ACS and AR-DRG Related Products

The Tenth Edition ICD-10-AM/ACHI/ACS hard copy books, Electronic Code Lists (ECLs) and Mapping Tables as well as AR-DRG V9.0 Definition Manuals

are now available for purchase from the IHPA Sales website.

Please also refer to the IHPA AR-DRG Classification System Product Sales Frequently Asked Questions Sales website.

The Ninth Edition ICD-10-AM/ACHI/ACS hard copy books, Electronic Code Lists (ECLs), Mapping Tables and AR-DRG Version 8.0 Definitions Manual continue to be available for purchase from the IHPA Sales website.

Fundamentals of Morbidity Coding

The NCCH has released the Tenth Edition revision of the Fundamentals of Morbidity Coding. You can order it here

ICPC-2 PLUS License

If you are developing a software program, either for clinical or research purposes, and would like to consider using the ICPC-2 PLUS terminology, see the Developers section of the NCCH website.

If you are purchasing an EHR system that incorporates ICPC-2 PLUS and would like to use it for coding your health information, see the End Users section of the NCCH website

 
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