11-20-14 PA Meeting Documents

Practice Administrator Meeting
November 20, 2014
\
I.
Mid-Level Surveys
9:30 – 9:35
II.
Physician ICD-10 training
9:35 – 9:40
III.
Coding 2015 – What Coming?
9:40 – 11:10
Richard Tuck, MD, FAAP
IV.
CIN Update
11:10 – 11:25
V.
KHF Group Health Insurance
11:25 – 11:30
VI.
Contract Updates
11:30 – 11:35
UHC Medicaid LOI
Next PA Meeting will be held on
Thursday, January 22, 2015 at 9:30
Scottish Rite Auditorium
Have a wonderful and safe Thanksgiving
2015 Practice Administrator Meeting Schedule
Most of these meetings will be held in the Scottish Rite Auditorium
But there will be several held as Webinars. You will be notified of those in
advance
Thursday, 1/22/2015 – 9:30 am – 12:00 pm
Thursday, 2/19/2015 – 9:30 am – 12:00 pm
Thursday, 3/19/2015 – 9:30 am – 12:00 pm
Thursday, 4/16/2015 – 9:30 am – 12:00 pm WEBINAR
Thursday, 5/21/2015 – 9:30 am – 12:00 pm
NO MEETING IN JUNE
NO MEETING IN JULY
Thursday, 8/20/2015 – 9:30 am – 12:00 pm
NO MEETING IN SEPTEMBER, will be replaced by OSHA Training on September 17th, 2015
Thursday, 10/15/2015 – 9:30 am – 12:00 pm
Thursday, 11/19/2015 – 9:30 am – 12:00 pm
NO MEETING IN DECEMBER
CODING 2015
What’s Coming ?
Kids Health First
Richard H. Tuck, MD, FAAP
11/20/2014
SOAPM
PPMA
Behind Every Successful Pediatrician is a
Very Skilled Practice Manager !
IMPORTANCE OF ACCURATE
APPROPRIATE CODING

INCREASED PAYMENT

DECREASED LIABILITY

IMPROVED INFORMATION FLOW
CODING CHANGES
2015
2015
Topical Fluoride Varnish

99188 – Application of topical fluoride varnish
by physician or other QHCP
-25 modifier most likely needed on the associated
E/M service
2015
Advanced Care Planning

99497 – Discussion of advanced directives with
completion of forms, when performed
– Physician or other QHCP
– First 30 minutes face to face

99498 – Each additional 30 minutes
Do not report on same date as critical care
Case Management Services 2015
Care Plan Oversight 99339, 99340, 99374-99380
 Prolonged Services w/o direct pt contact- 99358-99359
 Medical Team conferences 99366-99368
 Education and Training
98960-98962, 99071, 99078
 Telephone Services 98966-98968, 99441-99443
 Online Medical Evaluation 98969, 99444
 Prep of Special Reports99080
 Transitional Care Management - 99495, 99496
 Chronic Care Management99490-99489
 Med Therapy Management99605-9960

2015
Care Management Services
Provided by clinical staff under the direction of a
physician of other QHCP
 Establishing, implementing, revising, or
monitoring care plan and educating the patient or
caregiver
 Reported once per calender month by single
physician or other QHCP (99487-99490)
 Do not count time on day when patient has E/M
visit with physician or other QHCP

2015
Care Management Services
Extensive additional language re requirements
and description of management activities
 Requires establishing a complete patient care plan
 Office/Practice capabilities

– 24/7 access to physicians
– Continuity of care with timely access
– Utilize an electronic health record

E/M services reported separately during same
calender month
2015
Chronic Care Management Services

99490 – Chronic Care Management Services,
at least 20 minutes clinical staff time
– Multiple (two or more) chronic conditions(>12 months)
– Patient at significant risk
– Comprehensive care plan established
Moderate or high medical decision making
 99487- Complex Chronic Care Management
– 60-89 minutes clinical staff time
 99489- Each additional 30 minutes
(99488 deleted)
Chronic Care Coordination
2015 Scenario




You care for a premature infant with ongoing feeding issues
associated with poor weight gain, as well as,
bronchopulmonary dysplasia with a persisting low O2
requirement. A comprehensive care plan is documented and
shared with the family.
Your special needs nurse coordinates care with the home
health agency, PT, OT, and provides supporting calls to the
family.
99490 is billed monthly for these time intensive nurse
services (over 20 minutes per month)
Documentation is critical !
Transitional Care Management Services
(TCM) 2013
Established patient requiring mod or high complexity
decision making during transitions from inpatient
hospital setting, partial hospital, observation, or
skilled/nursing facility to patient’s community setting
(home, domiciliary,assisted living)
 TCM commenses on date of discharge
Continues for next 29 days

Transitional Care Management Services
(TCM) 2013
99495 Transitional Care Management with:
Communication with pt or caregiver within 2 business
days of discharge
Minimum of moderate complexity decision making
Face to face visit within 14 calender days of discharge
 99496 Transitional Care Management with:
As above but requiring:
Face to face visit within 7 calender days of discharge

Transitional Care Management Services
(99495 and 99496) / 2014
Revisions were made to this code set.
 Now can be reported for new or established
patients.
 Clarifies that a discharge service may not
constitute the required face-to-face visit.
 Clarifies that the same individual should not
report TCM services provided in the postoperative
period of a service that the individual reported

Transitional Care Management Services
(TCM) 2015
You have a 5 year old established patient who is
hospitalized for pneumonia and hypoxia. She is
managed by a hosptialist who calls you on discharge,
briefly reviewing her stay, and recommending a
followup visit in 5 days.
 Your staff make a followup call to the mother within
48 hours, checking her status and answering her
questions. She is then seen in a face to face visit by you
within 1 week
 CPT code: 99496 Careful documentation is a must!

Preventive Medicine Ancillary Services
Screening
2014 Medicare
Hearing testing - Select picture
92583
$51.94
Hearing testing – Puretone
92551
$11.82
Hearing testing – Puretone(threshold) 92552
$30.81
Vision screening
99173
$2.87
Developmental Screening
96110
$8.24
Lab
Hemoglobin
85018
$3.26
Urine (dip only)
81002
$3.24
Routine Venipuncture
36415
$3.00
Finger/Heel Stick
36416
$4.95
Immunizations
Immunization administration
90471/90460 $25.08/$25.08
90472/90461 $12.54$/12.54
Vaccine/Toxoid product
90476-90479
Other
Injection/other
96372
.76/ $25.08
Developmental Screening Code
Central Nervous System Assessments/Tests







96110
Developmental Screening
Performed by office nurse or other trained non-physician
personnel
Parent/guardian report of behavior
$8.24 2014 Medicare
Modifier 25 may be attached to associated E/M visit
Modifier 59 to multiple additional tests
Interpretation and report
Documentation in progress report of E/M visit
96110 Examples
2014









Ages and Stages Questionnaire (ASQ)
Brigance Early Preschool
Developmental Profile II
Early Language Milestone Scales
PEDS
PDQ
Vanderbilt
MCHAT
NOT direct physician observation or
general developmental assessment with
checklist of milestones appropriate for age
2015
CNS Assessments / Tests
96110 – Developmental screening with scoring
and documentation, per standardized form
 96127 – Brief emotional/behavioral assessment
(depression inventory, ADHD scale, with scoring
and documentation, per standardized instrument

Depression Screening

96110 Adolescent depression screening
($8.24 - 2014 Medicare)

99420 Maternal depression screening
($10.75 - 2014 Medicare)
2015
Vaccines, Toxoids
*90651 – Human Papillomavirus (HPV)
Types 6, 11, 16, 18, 31, 33, 45, 52, 58, 3 dose schedule
 90654 – Influenza, trivalent (HV3)
split virus, preservative free, intradermal microinjection
 90630 – Influenza, quadrivalent (HV4)
split virus, preservative free,
intradermal proprietary microinjection system
 *90697 – DTaP-IPV-Hib-HepB (hexavalent vaccine)

Pediatric Component
Immunization Administration Codes
90460
Immunization administration through 18 years of
age via any route of administration, with
counseling by physician or other qualified health
care professional; first vaccine/toxoid component
 90461
Each additional vaccine/toxoid component (List
separately in addition to code for primary
procedure)

Vaccine Administration
Payments


Per Vaccine codes
2014 medicare
2014 medicare
– 90471 – $25.08
90472 – $ 12.54
– 90473 – $25.08
90474 – $ 12.54
Component Based codes
– 90460 – $25.08
90461 – $12.54
Immunizations 2014/2015
How are you doing ?
What are your problems?
2013-2015 ICD Changes ?
NONE !
 Freeze on ICD-9 and ICD-10 changes in
anticipation of ICD-10 implementation in
October 1, 2015

ICD-10-CM
READY OR NOT ? !
October 1, 2015
ICD-10 is a new language
Diagnosis and Procedure Codes are the
foundation of all healthcare transactions and
information flow
 The transition to ICD-10 diagnosis and procedure
codes is one of the most profound changes the
health care industry has ever faced

ICD Change…
ICD-9 no longer supported by the WHO
Insufficient detail
Function exhausted
 ICD-10 in use since 1994 worldwide for
epidemiological tracking of illness and injury
Expandable and sufficiently detailed
HIPAA standard for reporting

ICD-10-CM

Will become effective October 1, 2015
– NO EXCEPTIONS if you are a covered entity under
HIPAA.
– Currently there is a freeze on new ICD-9-CM and
ICD-10-CM codes to prepare for the changeover.
Significant change

ICD-9-CM
(Diagnosis)
5 characters
14,000 codes
→

ICD-10-CM
7 characters
>68,000 codes

ICD-9-CM
(Procedure)
5 characters
4,000 codes
→

ICD-10-PCS
(Inpatient)
7 characters
>72,000 codes
ICD-10 Benefits
Flexible
 Quickly incorporates emerging diagnoses
 More specific
– Better identifies precise diagnosis
 Improves ability to measure health care services
 Supports improved public health surveillance
 Reflects advances in medicine/ technology
 Room for expansion

Value to Providers
More accurately reflects the acuity of the patient
population
 More accurately reflects application of advances in
medical knowledge
 Better defined and automated referrals and approvals
 More detail for preauthorization medical review

Enhanced Care Management
More detail to support effective engagement and
interventions
 Enhanced knowledge sharing, communication,
and coordination
 Improved analytics and compliance
 Better identification of gaps in care

Innovation
Supports:
 Patient Centered Primary Care
 Clinical Integration Strategies
 Accountable Care Organizations
 Value Based Reimbursement
Using and Reporting ICD-9 (10)-CM
Codes
Code to the highest degree of specificity
Code to the highest degree of certainty for the encounter such as
symptoms, signs, abnormal test results,
Probable, suspected ,questionable, or rule out should not be coded
List the ICD code that is identified as the main reason for
the service first. Next list any current coexisting conditions.
Chronic disease treated on an ongoing basis may be coded
Do not code for conditions that were previously treated and no
longer exist
ICD-10-CM Code Format and Structure
S60 Superficial injury of wrist, hand and
fingers*
 S60.4 Other superficial injuries of other fingers
 S60.45 Superficial foreign body [splinter] of
fingers**
 S60.451 Superficial foreign body [splinter] of
left index finger

S60.451A Superficial foreign body [splinter]
of left index finger, initial encounter***
 Required to use the 7 digit code for this condition
»*category, **subcategory, ***code

How Do Codes Translate
ICD-9-CM  ICD-10-CM?
ICD-9-CM  ICD-10-CM

Some codes will have the same wording between the 2
codes sets and basically “crosswalk” over
ICD-9-CM
003.21 Salmonella meningitis
to
=
745.2 Tetralogy of Fallot
=
ICD-10-CM
A02.21 Salmonella
meningitis
Q21.3 Tetralogy of Fallot
ICD-9-CM  ICD-10-CM

Some codes won’t match because of changes in
definitions in ICD-10-CM
ICD-9-CM
to
764.0 "Light-for-dates" without
mention of fetal malnutrition
birthweight 2,500 grams and
over
≠
ICD-10-CM
No diagnosis for infant with
this birthweight
 code set is for weights
<2500 grams
ICD-9-CM  ICD-10-CM

When there is more specificity in I-10, there may be
multiple codes to describe the condition or disease.
Increased physician documentation will be vital
ICD-9-CM Source
to
ICD-10-CM Target
599.72 Microscopic
hematuria
≈ R31.1 Benign essential
microscopic hematuria
599.72 Microscopic
hematuria
≈ R31.2 Other microscopic
hematuria
ICD-9-CM  ICD-10-CM


When ICD-10-CM contains a combination code, it will
relate back to 2 distinct ICD-9-CM codes
What used to require 2 or more codes, now only requires
a single code
ICD-10-CM Source
to ICD-9-CM Target
R65.21 Severe sepsis with
septic shock
≈ 995.92 Severe sepsis
and
785.52 Septic shock
Otitis Media ICD-10

Specific Variables
– Acuity
» Acute/subacute vs. chronic
– Specific Type
» Serous, mucoid, suppurative, sanguineous
– Rupture of eardrum
– Laterality
» Right, Left, Bilateral
– Recurrence
Terminology matters

Acute suppurative otitis media without spontaneous
rupture of ear drum
– H66.001, right ear
– H66.002, left ear
– H66.003, bilateral
– H66.004, recurrent, right ear
– H66.005, recurrent, left ear
– H66.006, recurrent, bilateral
– H66.007, recurrent, unspecified ear
– H66.009, unspecified ear
Asthma Documentation Improved
State of the asthma
Uncomplicate, acute exacerbation, status
 Frequency
Mild intermittent
Mild, moderate, severe persistent
 Triggers
Ex tobacco smoke

Asthma ICD-10




J45.2x
J45.3x
J45.4x
J45.5x
Mild intermitent
Mild persistent
Mod persistent
Severe persistent

X=
– 0 Uncomplicated
– 1 With acute exacerbation
– 2 With status asthmaticus

Z 77.22 Exposure to tobacco smoke
Case Scenario




You see an est pt, 4 year old boy, with a hx of asthma.
Exp Prob Focused Hx: Intermittent night time cough, with
occasional episodes of wheezing, relieved using an
albuterol MDI; No restrictions of activity noted
FHx: No others ill; SHx Parents smoke “outside”
Vitals wnl, pulse ox 98%; No respiratory distress;
Detailed exam: rare expiratory wheezes. You make a
diagnosis of asthma using current asthma dx guidelines.
You discuss the diagnosis in detail, including management
of asthma using rescue (albuterol) and controller (inhaled
steroid) MDIs. The use of MDI’s with a spacer is
discussed, demonstrated, and documented.
Followup visit is scheduled in two weeks.
Asthma Scenario Coding



CPT
– E/M
99214
– Pulse Ox
94760
– MDI Teaching
94664-59
ICD-9
– 493.00
Asthma, Childhood w/o status
ICD-10
– J45.21
Asthma, Mild Intermittent, Exacerbation
– Z77.22
Exposure to tobacco smoke
Dermatitis

Atopic/eczematous
– Flexural
– Infantile
– Ear
– Eyelid

L20.82
L20.83
H60.541- H60.543 (laterality)
H01.131- H01.135 (laterality)
Due to substances taken internally
– Generalized skin eruption L27.0
– Localized skin eruption L27.1
Dermatitis
Diaper
– Erythema to dermatitis
Dry skin
Seborrheic
– Cradle cap
– Seborrheic infantile
L22
L85.3
L21.0
L21.1
Dermatitis

Contact dermatitis
– Allergic
L23.1 – L23.9
» Adhesive, cosmetics, drugs, food, metals,
plants (poison ivy, etc.)
» Ear H60.531-3
Eyelid H01.111-5
– Irritant
L25.3 – L24.9
» Cement, cosmetics, drugs, etc.
– Not specified as Allergic or Irritant L25.3 – L25.9
» Cement, dyes, food
Symptom/Compliant Based Coding
A 3 yo child presents with a cough, fever and
vomiting. It appears the symtoms are due to a
viral process, but this is not a firm diagnosis.
 Code for the symptoms and complaints:
ICD-9
ICD-10

– Fever
– Cough
– Vomiting
780.60
R50.9
786.2
R05
787.03
R11.11 (w/o nausea)
R11.10 (unspecified)
“Inherent” conditions

Do not separately code for presenting problems or
findings inherent to a condition
– Vomiting and diarrhea are inherent in acute
gastroenteritis, Do not code separately
– Ear pain (otalgia) is inherent in otitis media

Do code for conditions not inherent in a diagnosis
– Hypoxia is not inherent in pneumonia
? Urinary Tract Infection
An 8 yo girl presents with 2 days of urgency and
burning on urination. There are no other
complaints and the exam is normal. An office
urinalysis is indeterminate and a culture is sent.
 Code only for the symptoms

– Dysuria
– Urinary frequency
ICD-9
ICD-10
788.1
788.63
R30.0
R39.15
Neonate
Neonatal period is the first 28 days of life
 Neonatal codes should be used for conditions in this
age group
– Newborn vomiting
P92.01-P92.09
– Newborn seizure
P90
 May be used after the neonatal period if the condition
affects the visit
– Infant of substance abusing mother P04.3-P04.49
– Bronchopulmonary dysplasia
P27.1

Z-codes (The New “V” Codes)
Encounter for healthcare exams
 Must be recognized by third party payors
 May be used as primary diagnosis

Preventive Medicine/Vaccine ICD-10 Coding
ICD-10 effective October 1, 2015
 Preventive Care
V20.2 crosswalks: Z00.129 w/o abnl findings
Z00.121 with abnl findings
 Vaccine product V codes all crosswalk to one ICD-10
code: Z23, encounter for immunization
 Vaccination not carried out (V64.00- V64.09) crosswalk
with Z28.20-Z28.9 codes

Vaccines not given







Z28.20
Z28.21
Z28.29
Z28.81
Z28.82
Z28.89
Z28.9
Due to patient decision for unspecified reason
Due to patient refusal
Due to patient decision for other reason
Due to patient having had the disease
Due to caregiver refusal
For other reason
For unspecified reason
Other Routine Health Visits
Z01.818 Pre-operative examination
 Z02.0
School physicals
 Z02.5
Sport physicals
 Z02.82 Pre-adoption exam

Overweight/obesity

Add BMI code if concern about:
– Underweight
– Overweight
– Obesity
ICD-9
ICD-10
783.22
278.02
278.00
R63.6
E66.3
E66.01 (excessive
calories)
E66.09 (other
obesity)
E66.8 (unspecified)
Diet surveillance and counseling
Overweight/obesity
– Z68.51 pediatric BMI
– Z68.52 pediatric BMI
– Z68.53 pediatric BMI
– Z68.54 pediatric BMI
<5th% for age
5th<85th% for age
85th–<95th% for age
≥95th% for age
Healthcare Services






Z09
Follow-up exam, after treatment
– Use additional code to identify any applicable history
of disease code (Z86.-. Z87.-)
Z48.02 Suture removal
Z48.817 Post I&D aftercare
Z71.0
Parent (family) conference
Z71.3
Diet management (for obesity)
Z76.81 Parents pre-birth or pre-adoption visit
Follow-up Visit

A 2 yo is seen for a f/u visit after completing a
course of antibiotics for otitis media. The ears are
normal to examination and the child is eating and
acting well.
ICD-9
ICD-10
Follow-up after Rx V67.59
Z09
 PMHx respiratory disease
Z86.09
 Code condition if still present or other

What if nothing’s wrong?

When unable to find specific conditions then code for
“ Observation (exam) for:”
– following transport accident (Z04.1)
– for work (school) related incident (Z04.2)
– for alleged child rape or sexual assault (Z04.42)
– for suspected child abuse or neglect (Z04.72)
– for alleged assault (Z04.72)
– for other suspected disease or condition ruled out
(Z03.89)
– for suspected neonatal condition (P00.-)
Transition



Encounters that take place on or after October 1, 2015
are reported with ICD-10-CM codes
Encounters that take place before October 1, 2015 are
reported with ICD-9-CM codes
You will have to run simultaneous systems of ICD-9 and
ICD-10 until all your claims from before October 1, 2015
have cleared
ICD-10 Implementation
Business and Practice Considerations
Touches every area of the Practice
 Everyone needs some basic training
 Coder and billing staff education to include
hands-on use of ICD-10-CM and PCS code sets

Analyze Your Top Dxs
By frequency
 By revenue
 Know replacement codes
Include additional details on
Superbill
EMR
Train staff

ICD-10 Implementation
Business and Practice Considerations
Download GEMS free
 Convert your top diagnosis codes
– Start with the top ten
– Complete the top twenty to thirty
 Conduct chart audits
 End to End testing is the ultimate test
– Send claims – Receive payment

Determine Impact on Your Systems
Update superbills, charge sheets
2-4 hours
 Add additional details in HER
 Train staff on added detail requirements 2-8 hours
Outpatient Coders 16 hours
 Certified coders must pass test to maintain
certification
 Train physicians
8-12 hours

ICD-10 Implementation
Business and Practice Considerations
Y 2 K ??
 Initial Loss of Productivity – Up to 40% !
 Line of Credit to support the Transition
– CMS recommends 6 mos line of credit
Minimum 30 –60 days cash reserve
– AMA estimates cost of $10,000 per physician
– May need to hire an additional coder
 Hardware and software impact

7 Step Planning and Implementation
PLAN – Complete by Winter 2014
Establish structure and leadership
Physician champion
Project manager / Team
 COMMUNICATE – Ongoing with all “stakeholders”
Education and Planning with confidence
 IMPACT ASSESSMENT -Now
Business and policy impacts
Technology impacts

7 Step Planning and Implementation
IMPLEMENTATION – To follow
Identification of systems issues
Preparation for training
 TESTING – Early 2015
Vendors, payers, billing companies
 BUDGETING – Early 2015
Financial Impact / Line of Credit
 TRANSITION – Summer 2015
Go live environment for October 1, 2015

PHYSICIANS:
DO IT FOR ME !
Detailed Documentation Is Critical
Tell the Story with Documentation
Coder/Biller cannot make a Diagnosis
Do Your Part !
How Your Performance is Measured
How You Get Paid
You are Ultimately Responsible !
ICD-10 GEMs
General Equivalence Mappings
 Tool for converting ICD-9-CM databases to ICD10-CM or ICD-10-PCS
 Backward and forward mapping
 Move to coding books and encoder systems
October 1, 2015
 Free GEMS download:
www.cdc.gov/nchs/icd/icd10cm.htm#icd2014

Transition: What you can do NOW?





Communicate the implementation process with everyone!
Look at the current systems/resources that exist
Determine workflow and process changes
Review your EMR/HER programs to verify they are ICD10-CM ready and what steps you have to take to update
If you don’t have an EMR or billing program look in to one
that supports ICD-10-CM
– Capability to run both codes a bonus

Look at costs of the change-over and start planning now
Transition: What you can do NOW ?



Encourage physicians to document and use more specific
codes
– Especially those who tend to use unspecified codes or
whose documentation leads to an “unspecified” code
Work with those physicians on their documentation and
in areas where you know more documentation is needed
(e.g. Otitis Media)
Remember that all HIPAA covered entities are required
to adhere to the transition to ICD-10-CM
– So do you!
Transition: What can you do THEN?









Communicate with everyone!
Internal system design and development
Work with system vendors
Policy change development
Develop education and training plan
Work with physicians and clinical staff on documentation
Plan for a coding process slow down
Check commercial payors status
GO LIVE – implementation compliance
ICD-10-CM +
 Leverage
your investment
 Move beyond mere compliance to achieve
strategic advantage
Thanksgiving ICD-10 !
Y93.63 Activity Cooking and Baking
 W26.0 Contact with knife
 W61.42 Struck by Turkey
 W71.43 Pecked by Turkey
 W61.49 Other contact with Turkey
 W21.01 Struck by Football

Resources

For additional information go to the NCHS ICD10-CM website
cdc.gov/nchs/icd/icd10cm.htm
– 2010 Version of Documentation and User’s Guide,
Diagnosis Code Set General Equivalence Mappings
– General Equivalence Mappings, Documentation for
Technical Users
Resources
For provider resources from CMS go to
cms.gov/ICD10/05a_ProviderResources.asp#TopOf
Page
– Implementation manuals for large practices,
small hospitals and small/medium practices
– Download these to start your practice’s
implementation plan

AAP Coding Resources
ICD-10
Principles of Pediatric ICD-10-CM Coding
 Pediatric Code Crosswalk: ICD-9-CM to ICD-10CM
 ICD-10-CM Implementation Set for October 1, 2015

– Small and Medium Practices
– Large Practices
– Communication Plan for External Resources
AAP Coding Resources
ICD-10 Webinars
ICD-10-CM, June 25, 2013: Postponed, Not canceled!
Jeff Linzer, MD, FAAP
 Preparing for ICD-10 Implementation: Business and
Practice Considerations, January 13, 2014
 ICD-10-CM Coding: Part I, February 11, 2014
Jeff Linzer, MD, FAAP
 ICD-10-CM Coding: Part II, March 25, 2014
Jeff Linzer, MD, FAAP

AAP Coding Resources

Coding for Pediatrics 2015
Transitioning to ICD-10-CM highlights included

AAP Pediatric Coding Newsletter

Quick Reference Tools
AAP Coding Resources

AAP Coding Hotline [email protected]
is the resource for AAP members to submit
coding questions and receive a response from
AAP coders.
Practice Management Online
Practice Management Online (PMO)
(http://practice.aap.org) supports pediatricians in
running a practice that is fiscally sound and
efficient and provides quality health care to
children and families.
 Practice Support / Coding Resources

Turn to AAP for Help –
State AAP Pediatric Councils
SOAPM
National PPAC (Ped Practice Adv Council)
PPMA (Ped Practice Managers Alliance)
aap.org PMO

Download Report