" don't need to know the lingo, it's spelled out for them."Īnd what began as a coding tool quickly became an educational one, noted Taylor. "We said, give me what you got and we'll get you the rest of the way ," he said. The answer for Kaiser was to create an ICD-10 calculator tool that would help fill in the blanks to move from the ICD-9 code to its ICD-10 successor. Physicians know what they want - to code a hip fracture, for example - but need help with the rest to complete the code: What type of fracture? What's the encounter type? What's the laterality? So if you know what you want - coffee - you just need help with the rest: Is it venti or grande? Whole milk or skim? Hazelnut or caramel? It's the same with ICD-10 codes, said Taylor. Join us May 2 & 3 in Newport Beach, Calif. Looking for more information on improving your practice's billing and coding and preparing for the ICD-10 transition? Learn from our experts at Practice Rx, a new conference for physicians and office administrators. " just want a cup of coffee … but there are too many variables." "At Starbucks, the customers have learned their jargon it's usually vice versa," he said. That, Taylor said, is where Starbucks comes into play. So primary-care physicians would rely on their referring specialists to get to the root of the issue versus guessing on the proper diagnosis and code.īut what about getting physicians to understand the new codes in ICD-10 when they've been using ICD-9 for years? How do you get them to essentially adopt a whole new language? The work groups came up with 10 guiding principles for diagnosis documentation and coding for ICD-10, including that physicians "tell us what they know," and be sure they are making diagnoses relevant and consistent with their level of clinical expertise. "I can turn coding speak to physician speak," Taylor, a former private family physician in Ohio, said. Kaiser enlisted physicians as part of its ICD-10 work groups to help ensure it made reasonable ICD-10-related decisions and that the messaging coming from the top down came from the physicians' peers in plain language. "Change is always easier with you than to you … And ICD-10 is not that big of a deal for a majority of your physicians." "You need to get physicians involved early on," he said. No matter the volume of physicians your practice needs to prepare, Taylor said the first key step to make ICD-10 more accepted is to get physicians engaged in the transition from the start. Taylor played a key role in preparing Kaiser's 17,000 physicians for the ICD-10 transition, originally slated for Oct. Taylor was a keynote speaker at the American Health Information Management Association's ICD-10 and Computer-assisted Coding Summit, held in Washington, D.C., April 22 and 23. "That's what we tell our doctors."Īnd with that statement, Taylor, the physician director of coding and revenue cycle for Kaiser Permanente, made understanding, adopting, and using more than 70,000 codes under the ICD-10 coding system a little more palatable for your average doctor. "If you can order coffee at Starbucks, you can do coding," said James M.
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