Patel It Like It Is: What You Need to Know about ICD-10


Binesh Patel, MD, CMO DMC Detroit Receiving Hospital

The deadline is September 30, so I hope you’ve completed your online training by now.  If not, I encourage you to join us at the Westin Southfield Detroit on Wednesday, October 14 from 6-9 p.m. for a free dinner/CME presentation.

Make no mistake:  ICD-10 will have a serious impact on our professional lives.

  • It doesn’t change the way physicians practice medicine, only how they document it.
  • It requires physicians to document their thought process as well as their diagnoses and orders.
  • It leads to more specific documentation,
  • which leads to accurate reflection of the illness;
  • which supports the medical necessity of care and
  • Results in optimal reimbursement.

Michigan Medicaid also converts from MS-DRG to APR-DRG on October 1.

There were 14,000 ICD-9 codes; in ICD-10, there are more than 68,000.

There were 4,000 procedure codes in ICD-9; there are 72,000 in ICD-10.

Likewise for comorbid conditions.

Some important things to remember:

  • Coders must have your specific diagnosis to code accurately.
  • Physicians can use terms like “probable,”  “likely,”  and “suspected” as long as it is being treated and/or otherwise affects the hospitalization.
  • Uncertain diagnoses must be documented at the time of discharge in order to be coded.
  • Use nouns.  Don’t say “septic,” use “sepsis.”
  • Questionable documentation will result in queries that will delay reimbursement.
  • Queries are considered incomplete medical records and can result in suspension of privileges.

One More Reason to Learn the ICD-10 Process Quickly

The government has been comparing quality of care to cost among physicians for a while.

  • If you practice in a group of more than 100 physicians, they started tracking your charts in 2013 (ending in 2015).
  • If you practice in a group of 10-99 physicians, they started tracking your charts in 2014 (ending in 2016).
  • If you have a solo practice, or work  with one other partner or up to nine total doctors, they will begin tracking you in 2015 (ending in 2017).

The ICD-10 coding will help the government provide differential payment to providers based on “quality of care” compared to “cost” during the performance periods listed above.


  • Get the Free App: Go to the Intraweb , go directly to “Downloads.”
  • 3M produces pocket saver tip cards by specialty.
  • Discounts are available for courses to train office staff and other affiliated providers.
  • Receive the Tenet ICD-10 Virtual Code Book.  YOu can get one code to use one time.  It’s available in HealthStream and HealthStream Express (HEX).  Go to:

Download for free on iPhone or iPad; Android or Kindle Fire will provide a code to download for free.

Any questions, email Gloria Hansen at

  • FREE dinner / CME Presentation at the Westin Southfield Detroit

Wednesday, October 14, 2015

Registration:  5:30 p.m.

Dinner/ CME:  6 – 9 p.m.

1500 Town Center, Southfield, MI 48075

RSVP Required:  go online to and register today.

Project Genesis: Displaying Proven Results

IMG_6159Project Genesis, a summer youth employment program for participants enrolled in the Detroit Public High Schools is displaying proven results. Past participants of the program have been employed by the DMC in occupations such as: registered nurse, physical therapist, emergency room technician, pharmacy technician and research assistant to name a few. Project Genesis is celebrating its 10th anniversary in 2015. Project Genesis has a 100% ascension rate to college by students who complete the program. For additional information about Project Genesis call (313) 578-2156.

Project Genesis: Hands-on job experience 


The 2015 Project Genesis summer youth employment program hired includes over 100 participants who work in a variety of hospitals and departments at Detroit Medical Center. The program has been in existence since 2006 with hundreds of Detroit Public High Schools participants.Selected participants work 30 hours per week for eight weeks in the Project Genesis program. The program seeks to develop good work habits, stresses career development and provides hands-on job experience as a prerequisite to a successful future. Each week, participants attend a health care career development forum. For more information about Project Genesis, visit us here.

Project Genesis: Helping The DMC

ProjGenProject Genesis summer youth employment participants work in a variety of departments throughout the Detroit Medical Center obtaining exposure in both clinical and non-clinical areas. Opportunities are closely aligned with the participant’s healthcare interest. These experiences allow insight into career-potential jobs, helping participants make decisions about courses of study at the high school and college level. Project Genesis helps the DMC acquire human capital with potential to grow its workforce. Many Project Genesis participants express interest in working at the DMC and continuing to live in the Detroit area. For additional information about Project Genesis call (313) 578-2156.

10 Years of Project Genesis!

ProjGenThe Detroit Medical Center’s Project Genesis Summer Youth Employment program is celebrating its 10th successful year.

Project Genesis is a Summer Youth Employment Program at Detroit Medical Center. Project Genesis provides Detroit Public High School juniors with opportunities to obtain hands-on job experience in healthcare with the purpose of serving as a foundation for future healthcare career choices.

For additional information about Project Genesis call (313) 578-2156.

The Spin On Golf: Children’s Hospital of Michigan’s Dr. Kalra

Kunal Kalra MD – Orthopedic Surgeon, Sports Medicine, Shoulder Surgery and Pediatric trauma at the Children’s Hospital of Michigan recently spoke during a segment of WJR’s Spin on Golf – take a listen!

Visit for more on all of our programs and experts, and don’t forget to tune in to WJR Radio on Sundays 8-9pm to listen to the DMC’s experts on “The Spin On Golf”

March of Dimes and Flagstar Bank partner to donate infant items to Hutzel


Today, the infants born at Hutzel Women’s Hospital received a special gift from the March of Dimes and Flagstar Bank.

Both entities delivered a large pallet of baby items to the labor and delivery floor of Hutzel. As part of their annual drive for babies, each year, Flagstar encourages their employees to purchase new infant items (bottles, clothes, diapers, wipes, receiving blankets, strollers, etc.) and donate them to a local birthing facility. This year, Hutzel was the recipient of the baby items. Pictured  here are the nurses of the Hutzel Labor and Delivery Units along with representatives from Flagstar Bank and March of Dimes.