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Maximizing ICD-10

The 2015 switch to ICD-10 threatens to create billing chaos for physicians, which could create serious financial problems for your practice. As a physician leader, you need to guide your team through sustained implementation of this change. One of the best ways to avoid problems is to make sure you and your billing staff know the many, many new codes and how they are applied differently from ICD-9 codes. You’ll gain a better understanding of how to educate yourself and your staff to handle the 155,000 codes of ICD-10.

These codes are linked to disease processes and anatomy in ways they were not previously, requiring a more in-depth understanding by the biller. You will be able to outline a plan for your organization to initiate ICD-10 training and influence physician behavior to improve medical coding, compliance with CMS coding requirements and timely reimbursement.

This course is in the Health IT Leadership Certificate program.

1.5 Total CME

1.5 Elective Credits - CPE

1.5 Elective Credits - Masters

1.5 Elective Credits - HIT

Course Objectives

  • Detail the role of physicians in understanding the federal and national move from volume to value.
  • State the requirements and knowledge necessary to create sustainable and reliable billing practices.
  • Identify the groupings of diagnoses determined to be related clinically (DRG); MS-DRG and APR-DRG and role of Case Mix Index (CMI).
  • Discuss the importance and impact of Length of Stay (LOS), Severity of Illness (SOI) and Risk of Mortality (ROM).
  • Outline the design details and implementation strategy for ICD-10 changes from ICD-9.
  • Describe the principal components of population-based care, and how ICD-10 will help improve population health.
  • Apply strategies for influencing physician behavior to improve coding-effectiveness.

Method of Participation

To complete this program successfully and claim credit, participants must follow these steps:

  • Read the educational objectives provided on the course summary page.
  • Attend the sessions or watch all the video lectures for this course (if applicable).
  • Read any course materials and complete any required activities.
  • Complete the course evaluation and post-test via your dashboard on the Association website. Successful completion of a given activity's post-test requires a minimum 75% passing score prior to claiming CME credit, with three attempts allowed.
  • CME certificates will be available for printing after claiming CME credit.
  • Estimated time for course completion is equivalent to the CME credit hours.

Key Dates

Original Course Release Date: January 2016

Course Expiration Date: January 2019

Access to Course Expires: 365 days from purchase date of course



The American Association for Physician Leadership® is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians.


The American Association for Physician Leadership® designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Cancellation Policy

Registrations are eligible for full refund or transfer to another course (that occurs within 12 months) for up to 72 hours after purchase. A $100 processing fee applies to cancellations or transfers after 72 hours but before 30 days have elapsed. Cancellations after 30 days from purchase date are not eligible for refund or transfer.

Registrations may not be transferred to another person at any time. All refunds will be issued to the original form of payment. Refunds or transfers are not available if testing has occurred or CME is claimed.

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