icd-10: steps for building an icd-10 plan

Preparing for ICD-10: Steps for Building a ICD-10 Plan

Intuitive Solutions - “Your Single Service Provider”

Tayyab YunusCEO, Intuitive Solutions

Meet your Presenter:

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Copyright Intuitive Solutions - All rights reserved.

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Purpose of Today’s Presentation

Help you build a plan to prepare with the transition to ICD-10

Copyright Intuitive Solutions - All rights reserved.

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ICD-10 Overview Department of Health and Human Services (HHS) announced the

final rule that ICD-10 will be in affect October 1st, 2015. Thinking that there will be a delay will not help your practice

ICD-10 will have 141,000 codes—more than 8 times the 17,000 codes in ICD-9. The additional codes will enable practices to be more specific on claims forms in reporting the care provided to patients.

Anyone covered under HIPAA will be required to comply with ICD-10

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How Detailed is ICD-10?

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ICD-10 Play Book: Steps that are Critical

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Identify Current Systems and Processes on ICD-9

Clinical Documentation- Providers should document to a greater level of specificity

Encounter Forms/Superbills- Update to avoid unnecessary denials, know your mapped diagnoses codes

Practice Management Systems

Pre-Authorizations

EHR systems

Contracts

**Wherever in your processes ICD-9 codes appear currently, ICD-10 codes will take their place

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Talk With Your Practice Management and EHR Vendor

Confirm with your vendor that your system has been upgraded to the Version 5010 standards for ICD-10

Talk to your vendor about updates for ICD-10 with your systems and how else they are preparing. Are they ICD-10 ready?!

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Check ICD-10 Plans of Other Businesses You Work With

Clearing house

Billing Services

Payers- Check your contracts, payment schedules and reimbursement, they may be modified due to specificity

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Evaluate Staff Training Needs

Some level of ICD-10 education should be provided

Depending on role in your practice, you can tailor your ICD-10 training

Training should be given to: Physicians/PA’s/NP’s- Clinical Documentation Training

Practice Managers- Overview and ICD-10 implementation and workflow processes

Coders- Code and specialty specific correct coding guidelines

Billers- Correct claims submission, denials, follow-up

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Budget for Time and ICD-10 Associated Costs

Systems changes or upgrades

Re-printing of superbills

Resource Materials

Training

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Lastly…Conduct ICD-10 Claims Submission

Ask your payers or clearing house if claims testing is available May offer certain days where you can submit test claims

Ensure successful transmission and receipt by your payers of your ICD-10 test claims when you send

Questions?

Thank you!

Information cited from: www.cms.gov- Road to 10 | www.hcrs-inc.com

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