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What Social Workers Need to Know About the World of ICD 10, DSM-5 and PQRS
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When: June 22, 2016
Where: NASW-NYC Chapter Office
50 Broadway, Suite 1001
New York, New York  10004
United States
Presenter: Carmel L Gold, LCSW

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ICD is the International Classification of Diseases, the standard diagnostic coding system for epidemiology, health management and clinical purposes. Social Workers have transitioned from ICD 9 to ICD-10, along with all other health care practitioners in the United States last October 1, 2015. This brings a new challenge to mental health providers, in particular.  The transition into ICD-10 was simultaneously with the transition to the new Diagnostic and Statistical Manual of Mental Disorders (DSM-5).  This workshop is aimed at making sure social workers understand the nuances of reporting diagnoses using ICD-10 and DSM-5, particularly in relation to the current diagnostic tools used by social workers.  Attendees will learn how the DSM-5 and ICD-10 have been harmonized, to the extent that the DSM-5 contains all of the information needed to assign valid ICD-10 codes to the psychiatric diagnoses of clients.

Additionally, Medicare has begun collecting data that measures the “quality” of the care delivered by social workers. Social workers will submit measures to CMS (Centers for Medicare & Medicaid Services) on their sessions with Medicare patients.  This workshop will also show the measures that are available to social workers and the methods for reporting these measures to show the “value” of the services we provide.  We will also review Physician Quality Reporting System (PQRS) quality measures. This workshop will define terms, explain what is changing and discuss the impact of these changes on the way that social workers practice.  Lastly, the workshop will cover Current Procedural Terminology (CPT)—the most widely accepted medical terminology used to report medical procedures and services under public and private health insurance programs.


Carmel L Gold, LCSW BCD’s career includes work in Substance Abuse treatment settings, academic counseling centers, outpatient private practice and Health Plans. Ms. Gold is the president of Health Assets Management, Inc., the official billing company of the New York State Psychological Association. She pioneered the role of Managed Care in Behavioral Health, introducing the concepts to many NY Behavioral Health Practices and facilitating their entry into that system. Her company manages the billing, credentialing and benefits verification services for hundreds of New York mental health private practices as well as, for-profit, not-for-profit and public agencies.


3 CE Contact Hours

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