1. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Linda Best 14.00 - 14.45 Thursday, 8th December 2011 Providing expert coding advice in helpline

2. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Coding query mechanism Two-way process –Avenue to resolve coding problems –Provide feedback on problem areas

3. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА What is a coding query? Answer to problem areas in coding: –New condition – no code –New procedure – no code –Limited medical science knowledge –Incomplete understanding of classification system –‘Alone’ coder

4. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Coding advice Crucial to the coding process Helps maintain accurate and consistent data Reduces variations in decisions Provides support to coders

5. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Who provides the answers? Sound knowledge of: –Medical science –Medical terminology –Coding and classification system –Coding conventions –Coding standards/guidelines

6. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Query process Written NOT verbal –Allows for consistent responses –Storage of responses –No misunderstanding –No misinterpretations –Does not allow for dissemination

7. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Query process (cont) Set guidelines Document the process –Submission of query –Response to query

8. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Steps in query process 1.Coder responsibility –Review the classification –Reference texts, web –Seek advice locally –Send off for advice

9. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Steps in query process (cont) 2.Submission of the query –Email –Fax –Web submission 3.Query form –Detailed information Enquirer Query

10. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example

11. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example - Electronic

12. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Steps in query process (cont) 4.Reviewing the query –Review the classification –Check the query database –Check other classifications –Reference texts, websites –Seek clinician advice

13. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Steps in query process (cont) 4.Reviewing the query (cont) –Seek international advice –Circulate & discuss –Prepare a response –Publish the query –Submit feedback to the authors

14. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Query database Storage Easy reference

15. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example

16. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Publishing Q&As Up-dates coder workforce Consistent solutions to problems Coder education

17. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Publishing Q&As Methods –Coding magazines –Websites

18. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example - Ireland

19. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example - Australia The 10-AM Commandments

20. Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011 Република Србија МИНИСТАРСТВО ЗДРАВЉА Example - Australia