Where Credit is Due
AFSH to Sponsor Two Members to Attend US Bone and Joint Initiative Grant Workshop Series
Thank You to AFSH Donors
Dan Nagle, MD
Coding Committee Liaison
ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification created by the World Health Organization (WHO). (There is an ICD-11 due for release in 2015). Work on ICD-10 began in 1983 and was completed in 1992. It has been updated regularly ever since.
The Congress addressed the need for a consistent framework for electronic transactions and other administrative “simplification” issues in the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104–191, enacted on August 21, 1996. The Federal Register/Vol. 74, No. 11/Friday, January 16, 2009/Rules and Regulations requires that all entities dealing with patients covered by HIPAA adopt the International Classification of Diseases, 10th Revision, Clinical Modification (ICD–10–CM 68,000 codes (ICD-9 13,000 codes)) for diagnosis coding and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD–10–PCS 76,000 codes) for inpatient hospital procedure coding.
While the AMA has fought the implementation of the ICD-10, it is unlikely this steamroller can be stopped. The implementation was delayed once and the current “go live” date of October 1, 2014 is unlikely to be changed. There are twelve countries using the ICD-10 classification. Of those twelve ONLY the US will be using the ICD-10 for billing purposes. All other countries use the system to track disease entities. No country has implemented the entire code set. Each country has customized the ICD-10 code set for their particular needs.
ASSH ICD-10 Education Initiatives
The ASSH Coding and Physician Reimbursement Committee (CPRC) and the Business of Hand Surgery Committee are in the process of scheduling webinars hosted with the ICD-10 experts form Karen Zupko and Associates. The ICD-10 subcommittee of the CPRC under the leadership of Dr. Jon Rosenfeld, will provide our members with “cheat sheets” that will contain the most frequently used hand surgery related ICD-10 codes. The ASSH will also keep our members abreast of the ICD-10 education offerings of our sister orthopaedic and plastic surrey organizations. These links will be listed in the Weekly Member Update and on the ASSH home page. (The AAOS has had several ICD-10 articles in AAOS Now, all of which are able to retrieved online. The November issue of AAOS Now contains an ICD-10 implementation timeline. The AAOS will be hosting webinars on ICD-10 during the coming months.) In addition to these initiatives, an Instructional Course on ICD-10 for procrastinators will be given at the ASSH Annual Meeting in Boston.
The Centers for Medicare and Medicaid Services (CMS) has created websites that contain detailed information regarding ICD-10: www.cms.gov/ICD10
. The AMA in spite of its desire to derail ICD-10, has a good ICD-10 website: www.ama-assn.org/go/ICD-10
For those of you who are using an electronic medical record system (and sooner or later that will be everyone), you should contact your EMR / billing software vendors to discuss how they intend to integrate ICD-10 into your electronic medical record and billing system. This could be a costly process. Some estimate the financial impact of ICD-10 conversion could be as much as $80,000 for a 3-person group practice.
Many specialty societies are currently recommending that their members establish a line of credit now with a financial institution in order to cover any shortfall in receivables that will inevitably occur because of delays in reimbursement caused by the implementation of ICD-10. Claim denials are expected to skyrocket as the providers and insurers wrestle with the new software and climb the learning curve associated with the roll out of ICD-10.
The granularity of ICD-10 will certainly improve the tracking of disease but at a huge cost in lost efficiency and IT infrastructure. This will be hitting the physicians of America just as the Affordable Care Act swings into to high gear mandating that physicians provide high quality care to more people for less than it costs to provide the care.
Please watch the ASSH website for more announcements regarding ICD-10.
Yesterday, ASSH officially launched the beta version of the Hand-e learning portal
, an online education platform designed specifically for physicians and healthcare practitioners engaged in care of the upper extremity and hand. It is a comprehensive resource that debuts with more than 2,700 learning sources, including technique and lecture videos, images, articles, abstracts, papers, etc. Access to the platform and its content is free to members. That content will grow by about 50% in January 2014 and have monthly updates after that.
We invite you to visit Hand-e
to explore this new tool on your own. Please let us know what you think of Hand-e by sending feedback to firstname.lastname@example.org
. The beauty of Hand-e is that it will always be a work in progress, so your suggestion today can be a reality tomorrow. We would love to hear about your experience to help make it even better the next time you return.
Two weeks ago, we asked members whether they currently volunteer in teaching anatomy at medical schools. View the results here
February 7-8, 2014
Hyatt Regency New Orleans
The 2014 Electives in Hand Surgery Course is designed to help both surgeons and therapists master anatomical knowledge of common conditions from the fingertip to the shoulder. Topics that are infrequently seen in educational forums but are clinically common will also be covered. The Course will offer concurrent programming on Friday and Saturday morning, giving attendees the choice of which topic best meets their needs. Check out our program
and register today
Submit proposals for the 69th ASSH Annual Meeting and the 32nd Adrian E. Flatt Residents and Fellows Conference. ASSH is accepting submissions for Scientific Papers, E-Posters and Residents and Fellows Papers and E-posters. Read the Call for Abstracts and submit your proposals here
Consider making a planned gift in honor of the AFSH 25th Anniversary Campaign
. Join the AFSH Heritage Society by naming the Foundation as owner and beneficiary of a life insurance policy, through charitable gift annuities, or through estate planning by naming the Foundation as the beneficiary of your will. To enroll please complete our online form: http://bit.ly/HeritageSociety
You can also specify a donation to the AFSH through OREF. Donate to OREF
and direct your donation to the AFSH (half of your donation will go to OREF, the other half to AFSH). Note: donations from the OREF are applied to the AFSH Annual Fund. To designate your OREF gift to the AFSH 25th Anniversary Campaign please submit your request to email@example.com
Brent Graham, MD has been appointed Chair of the work group for the American Academy of Orthopaedic Surgeons Clinical Practice Guideline on the Diagnosis and Treatment of Carpal Tunnel Syndrome (CTS) as a representative of the American Society for Surgery of the Hand. Congratulations to Dr. Graham for this exciting opportunity!
The Association of Bone and Joint Surgeons have selected ASSH member Amy Ladd, MD as the recipient of the 2014 Nicolas Andry Award for "musculoskeletal research that has significantly contributed to orthopaedic knowledge." Her co-authors include bioengineer Joseph J. Crisco, ASSH International Member Elisabet Hagert, MD, PhD, kinesiologist Jessica Rose, and ASSH member Arnold-Peter Weiss, MD. Congratulations to all!
Deadlines January 15 and July 15
The American Foundation for Surgery of the Hand will sponsor two ASSH members to attend the US Bone and Joint Initiative (USBJI) Young Investigators Initiative and Workshop Program
. This program is designed to provide early-career clinical investigators an opportunity to work with experienced researchers in our field and to assist them in securing funding and other survival skills required for pursuing an academic career. This workshop series is open to promising junior faculty, senior fellows or post-doctoral researchers who wish to secure funding for hypothesis driven research. It is also open to senior fellows that are doing research and have a faculty appointment in place or confirmed.
Any ASSH active or candidate member may apply. Applications should be sent directly to the USBJI, and applicants should clearly state on their paperwork that they are an ASSH member. If selected, the Hand Society will reimburse for travel and the registration fee. For more information please visit the US Bone and Joint Initiative website
S. D. Boles, MD
John F. Crowe, MD
Thomas F. DeBartolo, MD
Thomas P. Ferlic, MD
Jeff W. Johnson, MD
Eugene C. Kim, MD
Roy G. Kulick, MD
Donald R. Laub, Jr., MD, FACS
Mitchell B. Rotman, MD
Craig S. Williams, MD
Bruce I. Wintman, MD
These donors have written a check, gone online, given through OREF or donated stock to support the Foundation. Have you? Visit www.afsh.org/donate
today to make your 2013 annual contribution.