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Tenet ICD-10 Training Information

Appendix

Affiliated Physicians

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Table of Contents

o Directions for creating an account in Healthstream Express (HEX)

Access training via Windows Explorer browser

List of available courses in HEX

o Continuing Medical Education Credits (CMEs) Information

o Physician Training on Tablets

o Smartphones and Resource Apps for ICD-10

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Directions for Creating an Account in HEX

Tenet Ethics and Compliance HealthStream Express (HEX)

Access the training through Windows Explorer

Access the site by entering the web address: www.healthstream.com/hlc/tenetcx

Select “First time students click here to register” to begin the registration process.

Please note: If you have an existing HEX account from prior training it will not work for the ICD-10 training. A new HEX account must be created in order to access this training content.

Select “TNTICD-ICD-10 Training for Affiliated Physicians” as the Institution for where you will work.

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Use the following guidelines, complete the required fields and click submit to create your account. Note. If you have entered a valid email address, your user ID, password and login URL will be emailed to you shortly. Otherwise, you will need to remember your user ID and password. If you forget this information, contact the Tenet Help Desk at 1-800-639-7575, option 3 then option1 for assistance.

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Once you click submit to create your account, you will be logged into the system.

Click the “My Learning” tab to see the list of available Precyse University courses

for physicians. Please feel free to take as many or as few of the courses as you

like.

These are the fundamental courses with descriptions that are highly

recommended to assist credentialed providers to prepare for ICD-10.

A Day in the Life of ICD-10 – Introduction to ICD-10 with review of similarities and

differences between ICD-9 and ICD-10

Prologue to ICD-10-CM for Non-Coders – Introduction to ICD-10CM disease groups,

structure and categories

Basic Physician Coding Strategies for ICD-10 – Understanding the relationship

between coding and medical documentation

Documenting in ICD-10-CM (.50 CME available) – ICD-10 differences to identify

gaps in documentation habits and additional detailed requirements.

Documenting in ICD-10-PCS (.50 CME available) – Define changes to new level of

granularity needed for documenting operative and procedural documentation.

The Language of ICD-10: Specificity and Granularity (.50 CME available) –

Overview of ICD-10 documentation practices that will impact reimbursement, highlighting common documentation errors.

In addition, you should also select appropriate sub specialty courses for relevant

information. Below is a comprehensive list of the courses that are available to all

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our affiliated physicians.

A Day In the Life of ICD-10

Basic Physician Coding Strategies for ICD-10

Documenting in ICD-10-CM

Documenting in ICD-10-PCS

ICD-10 and Anesthesiology

ICD-10 and Cardiovascular Medicine: Conditions of the Heart

ICD-10 and Cardiovascular Medicine: Conditions of the Vascular System

ICD-10 and Dermatology

ICD-10 and Emergency Medicine

ICD-10 and Endocrinology

ICD-10 and ENT (Otolaryngology)

ICD-10 and Family Practice and Primary Care

ICD-10 and Gastroenterology

ICD-10 and General Surgery

ICD-10 and Hepatology

ICD-10 and Hospitalist Medicine

ICD-10 and Immunology

ICD-10 and Infectious Diseases

ICD-10 and Internal Medicine

ICD-10 and Nephrology

ICD-10 and Neurology

ICD-10 and OB-GYN: Gynecology

ICD-10 and OB-GYN: Obstetrics

ICD-10 and Oncology and Hematology

ICD-10 and Ophthalmology

ICD-10 and Orthopedics: Degenerative Diseases

ICD-10 and Orthopedics: Injuries

ICD-10 and Pathology

ICD-10 and Pediatrics: Cardiovascular Medicine - Conditions of the Heart

ICD-10 and Pediatrics: Congenital Anomalies

ICD-10 and Pediatrics: Endocrinology

ICD-10 and Pediatrics: ENT (Otolaryngology)

ICD-10 and Pediatrics: General Pediatric Medicine

ICD-10 and Pediatrics: Hematology

ICD-10 and Pediatrics: Immunology

ICD-10 and Pediatrics: Neonatology

ICD-10 and Pediatrics: Nephrology

ICD-10 and Pediatrics: Neurology

ICD-10 and Pediatrics: Oncology

ICD-10 and Pediatrics: Ophthalmology

ICD-10 and Pediatrics: Orthopedics

ICD-10 and Pediatrics: Plastics

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ICD-10 and Pediatrics: Pulmonology

ICD-10 and Pediatrics: Rheumatology

ICD-10 and Pediatrics: Urology

ICD-10 and Plastics

ICD-10 and Podiatry

ICD-10 and Psychiatry

ICD-10 and Pulmonology

ICD-10 and Radiology for Radiologists

ICD-10 and Rheumatology

ICD-10 and the Delivery and Business of Healthcare

ICD-10 and the Physician

ICD-10 and the Physician Office

ICD-10 and Urgent Care

ICD-10 and Urology

Mini-The Basics of GEMs in ICD-10

Physician Coding for Anesthesiology in ICD-10

Physician Coding for Cardiology in ICD-10

Physician Coding for Dermatology in ICD-10

Physician Coding for Endocrinology

Physician Coding for Family Medicine in ICD-10

Physician Coding for Gastroenterology in ICD-10

Physician Coding for Gynecology in ICD-10

Physician Coding for Immunology in ICD-10

Physician Coding for Internal Medicine in ICD-10

Physician Coding for Nephrology in ICD-10

Physician Coding for Neurology in ICD-10

Physician Coding for Obstetrics in ICD-10

Physician Coding for Oncology in ICD-10

Physician Coding for Ophthalmology in ICD-10

Physician Coding for Orthopedics in ICD-10

Physician Coding for Otolaryngology (ENT) in ICD-10

Physician Coding for Pediatric Medicine in ICD-10

Physician Coding for Podiatry in ICD-10

Physician Coding for Psychiatry in ICD-10

Physician Coding for Pulmonology in ICD-10

Physician Coding for Radiology in ICD-10

Physician Coding for Rheumatology in ICD-10

Physician Coding for Urology in ICD-10

Prologue to ICD-10-CM for Non-Coders

Prologue to ICD-10-PCS for Non-Coders

The Language of ICD-10: Specificity and Granularity

Using the ICD-10-CM Code Book for Non-Coders

What is ICD-10 in the Physician Office

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Technical assistance: If you need any assistance logging in to HealthStream

Express or if you have any trouble with any course content, contact the Tenet

Help Desk at 1-800-639-7575, option 3 then option1 for assistance.

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Continuing Medical Education (CME) Credits

Category 1 CME credits are available for completion of three of the offered

courses:

.50 CME – Documenting in ICD-10-CM

.50 CME – Documenting in ICD-10-PCS

.50 CME – The Language of ICD-10: Specificity and Granularity

In order for physicians to receive CME credit upon course and test completion, they will need to complete the following:

1. Log into the HealthStream Learning Center 2. Click on the tab titled My Profile 3. Click on the link titled Maintain Discipline and License Information 4. Click on the link titled Other 5. The physicians will need to select their Discipline and State 6. Click the Save button 7. Complete CME courses 8. Click on the tab titled My Transcript 9. Click on the completed CME course title 10. There will be two certificates displayed to the physician. One is the certificate of completion and the other is the CME certificate. 11. Physicians may print out their CME certificate at any point in time when needed

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Physician Training on Tablets

Tablets and Precyse University Courses

• Precyse University has developed the majority of their physician courses to be “mobile ready”

• Being “mobile ready” allows the courses to function properly on Mobile Tablets without the need for a Flash Player

• The courses work properly on the Apple iPad

• The only physician courses that are not completely mobile ready are the courses built for physicians that do their own Coding

• Precyse continues to modify these physician coding courses to be mobile ready

• All or most should be mobile ready by end of first quarter

Smartphones and Resource Apps

ICD-10 Resource Apps

Five smartphone apps are included in our license agreement • These apps are not courses

• They are resources to assist the physician and others with the ICD-10 transition

• There is a small iTunes costs for some of the apps

• For example: • ICD-10 Doc Guide is an tool to quickly retrieve information on how to

document the most common diseases and conditions (No cost) • ICD-10 Doc Talk contains videos specialty-specific audio webinars (No cost) • The ICD-10 Virtual Code Book app was developed for physicians who code as

well as other professionals ($7.99 on iTunes)

• The smartphone apps do not work like courses so there is no communication with HealthStream when someone uses one of the apps

• Here is a link to learn more about each one: http://precyseuniversity.com/support/apps/

Page 1 of 12 2014 ICD-10 Training for Affiliated Physicians 03.11.2014

Date: March XX, 2014

To: Physicians and Allied Health Professionals

From: Kelvin Baggett, M.D., SVP, Clinical Operations & Chief Clinical Officer

Vanessa Benavides, Chief Compliance Officer

Subject: ICD-10 Training Offering

The ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by the ICD-10

codes effective October 1, 2014. The transition to ICD-10 is required for everyone covered by the Health

Insurance Portability Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims.

The change to ICD-10 does not affect CPT coding for outpatient procedures.

The ICD-10 code set requires a much higher level of specificity than ICD-9 and will essentially reshape

clinical documentation practices that have been in place for decades. We are pleased to provide you with

online training courses to assist you as well as Tenet with the transition to ICD-10.

Precyse University has been selected as the training solution for Tenet employees and physicians. Precyse

developed hundreds of physician courses including pediatric sub-specialties and courses for physicians that do

their own coding. All of the physician courses have been loaded into Healthstream Express (HEX) and are

listed at in the Appendix section of this communication.

We are extending an invitation to all of our hospital medical staffs and allied health professionals to complete

this training by September 30, 2014. Precyse is offering physicians 1.5 Continuing Medical Education (CME)

credits.

Category 1 CME credits are available for 3 courses; total of 1.5 CMEs

o .50 CME – Documenting in ICD-10-CM

o .50 CME – Documenting in ICD-10-PCS

o .50 CME – The Language of ICD-10: Specificity and Granularity

At your earliest convenience, please complete the following steps:

1. Create an account in Healthstream Express. Directions are included in the Appendix.

a. Healthstream Express accounts created for previous training will not work for the ICD-10

training

2. Select and complete desired courses from available courses in Healthstream Express.

3. Complete the directions for obtaining CME credits in the Continuing Medical Education Credits

(CMEs) Information section in the Appendix.

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If you have any questions about these materials, please do not hesitate to contact your Medical Staff Services

or Hospital Compliance Officer.

Thank you for your commitment to serving our patients and your community. We value our relationship with

you and hope that you will enjoy our online courses.