connecting the pieces crownweb and icd-10...• icd-10 codes provide nearly five times as many...

September 17, 2015 – 2pm ET – 3pm ET

With CROWNWeb Outreach, Communication, and Training (OCT)

Connecting the Pieces

CROWNWeb and ICD-10: What You Need to Know

2 Connecting the Pieces Note: Computer speakers or headphones are necessary to listen to streaming audio.

• Audio for this event is available via INTERNET STREAMING - No telephone line is required.

• Computer speakers or headphones are necessary to listen to streaming audio.

• NOTE: A limited number of phone lines are available if you are experiencing poor audio quality – send us a chat message!

Streaming Audio

3 Connecting the Pieces

Step 2

Step 1

Location of Audio Controls

Note: Computer speakers or headphones are necessary to listen to streaming audio.

Audio from computer speakers breaking up? Audio suddenly stop?

• Click Pause button

• Wait 5 seconds

• Click Play button

Troubleshooting Audio

4 Connecting the Pieces Note: Computer speakers or headphones are necessary to listen to streaming audio.

Example of Two Connections to Same Event

• Hear a bad echo on the call?

• Echo is usually caused by multiple connections to a single event.

• Close all but one browser/tab and the echo will clear up.

Troubleshooting Echo


Note: Some questions may require additional research. Unanswered questions may be submitted to [email protected].

Type questions in the “Chat with Presenter” section, located in the bottom-left corner of your screen.

Submitting Questions


Note: Computer speakers or headphones are necessary to listen to streaming audio. Limited telephone lines are available for users who cannot stream. Send a chat message.

Janis Grady, RHIT, CPHQ

Contract Officer’s Representative (COR)

CROWNWeb Outreach, Communication, and Training (OCT) Contract

Centers for Medicare & Medicaid Services

Division of Quality Measurement (DQM)

Today’s Host


Oniel Delva, BA, CTT+ Communications Manager

Oniel Delva is the Communications Manager for the CROWNWeb OCT team. Since joining the CROWNWeb team in October 2008, he has spearheaded the development of CROWNWeb educational events and materials, and published more than 33 CROWNWeb articles in a numerous national magazines and journals.

Michael Seckman, CTT+ Training Manager

Michael Seckman is the Training Manager for the CROWNWeb OCT team. Mr. Seckman has led the development of CROWNWeb online training modules, online help systems, and quick start guides since December 2007. Additionally, in his role, Mr. Seckman oversees the deployment of instructor-led webinar and video training efforts.

Today’s Presenters

Latest News and Reminders


Clinical Month(s) Date of Closure for Clinical Submissions

July 2015 September 30, 2015 at 11:59 p.m. ET

August 2015 October 31, 2015 at 11:59 p.m. ET

September 2015 November 30, 2015 at 11:59 p.m. ET

October 2015 December 31, 2015 at 11:59 p.m. ET

November 2015 January 31, 2016 at 11:59 p.m. ET

December 2015 February 29, 2016 at 11:59 p.m. ET

• Clinical closures apply to all Collect Types.

• Clinical data submission applies to all submission methods.

Remaining 2015 Clinical Closures


• Effective September 15, 2015, the QualityNet Help Desk transitioned to Ventech Solutions, Inc.

• The phone number, email address, and fax number have remained the same. HOWEVER, there is a new address.

• All physical mail correspondence, registration forms, security certificates, etc. should be sent to:

QualityNet Help Desk

12000 Ridgemont Drive

Urbandale, IA 50323

QualityNet Help Desk Transition


Topic Description of Change

Pain Assessment and Clinical Depression Screening

Allow facilities to report data and receive scores on Pain Assessment and Follow-Up, and Screening for Clinical Depression and Follow-Up reporting measures in ESRD QIP.

Removal of QIP Attestations Removal of Anemia Management and Mineral Metabolism attestation reporting in CROWNWeb.

ICH CAHPS Attestation Maintain functionality that allows facilities to complete ICH CAHPS attestations in CROWNWeb.

QARM Integration Integrate CROWNWeb with the QualityNet Authorization Role Management (QARM) system using 2-phase approach.

Form 2728 Calendar Icon Update calendar tool to enable calendar icon for “Date When Patient Completed, or is Expected to Complete Training” field.

• CMS plans to release CROWNWeb 4.8 on October 10, 2015.

CROWNWeb 4.8 – What to Expect


• Removal of Anemia Management and Mineral Metabolism attestation reporting in CROWNWeb.

• Maintain functionality that allows ICH CAHPS attestation reporting in CROWNWeb.

CROWNWeb 4.8 Attestation Changes


CROWNWeb 4.8 Clinical Depression


CROWNWeb 4.8 Pain Assessment


• CROWNWeb 4.8 changes implemented in 2015 to support 2016 data entry.

• Further details to be discussed during “What’s New in CROWNWeb 4.8” training.

• CROWNWeb 4.8 training to be provided:

Thursday, October 8, 2015 at 2PM-2:30PM ET – Session 1

Thursday, October 15, 2015 at 2PM-2:30PM ET – Session 2

CROWNWeb 4.8 Training

http://mycrownweb.org/pcw_lems/whats-new-in-crownweb-4-8-session-1/

















http://mycrownweb.org/education/training-calendar/

CROWNWeb and ICD-10 Codes


• The World Health Organization (WHO) revises the list of International Classification of Diseases (ICD) to reflect changes in the medical and health care fields.

• The United States has been using the ninth revision of the ICD (ICD-9-CM) since 1979.

• 25 countries–including Canada, Costa Rica, Germany, China, and Australia—have used ICD-10 codes since 1994.

Why ICD-10?


• ICD-10 codes uses alphanumeric categories that provide nearly 19 times as many procedure codes as ICD-9-CM. (Going from ~3,800 to nearly 72,000)

• ICD-10 codes provide nearly five times as many diagnosis codes as ICD-9-CM. (Going from ~14,000 to over 68,000)

• ICD codes are used on the CMS-2728 form to indicate the Primary Cause of Renal Failure.

• ICD-9-CM selections for the CMS-2728 included 82 code options. There will be 110 initial ICD-10-CM code selections.

Number of ICD-10 Codes


Finalizing ICD-10 Codes for CMS-2728 CMS used the GEMS to cross-walk from ICD-9-CM codes to ICD-10-CM

codes.

CMS reviewed feedback provided by ESRD stakeholders and

Nephrology lists of “best” codes.

CMS held ICD-10 Listening Session for

additional stakeholder input.

CMS updated ICD-10-CM list based on feedback.

CMS sent updated ICD-10 code list to

Nephrologists (adult and pediatrics) for additional

input.

CMS worked with a Panel of Nephrology doctors for a clinical

level review.

CMS utilized the Panel’s list of recommended ICD-10-CM codes for

posting on MyCROWNWeb.org.

CMS utilized the final list of recommended ICD-10-

CM codes in re-programming

CROWNWeb to update the CMS-2728 form.


• Effective October 1, 2015, CROWNWeb will transition to ICD-10-CM code selections to allow facilities to comply with federal requirements.

• What can CROWNWeb users expect?

CROWNWeb will continue to follow guidelines set by CMS

CROWNWeb to contain an updated CMS-2728 form (Field 15)

The process to complete the CMS-2728 form remains the same

A list of recommended ICD-10-CM codes for the CMS-2728 form

CROWNWeb to present the appropriate ICD code selections based on a patient’s admission date

The ICD-10 Transition in CROWNWeb


• Not much will change when selecting ICD-10 codes in CROWNWeb.

What’s Changing?

Will Remain the Same

• CMS-2728 form – Questions

• Process to access CMS-2728 form

• Field for Primary Cause of Renal Failure (Field 15)

• Process to indicate ICD code

Will Change

• CMS-2728 form – ICD codes removed from new form

• CROWNWeb may present ICD-9-CM selections or ICD-10-CM selection


• CROWNWeb is programmed to present users with ICD-9-CM or ICD-10-CM code selections based on the patient’s admit date.

Admission Dates – ICD-9 vs. ICD-10

• Users will be presented with ICD-9-CM codes

• Users can only select and submit ICD-9-CM codes on the CMS-2728 form

Patients admitted BEFORE

October 1, 2015

• Users will be presented with ICD-10-CM codes

• Users can only select and submit approved ICD-10-CM codes on the CMS-2728 form

Patients admitted ON or AFTER

October 1, 2015


• How will users select ICD-10 codes in CROWNWeb?

CROWNWeb currently provides users with 3 ways to identify and enter a Primary Cause of Renal Failure; this will continue with the implementation of the ICD-10-CM codes

• Will CROWNWeb accept valid ICD-10 codes not on the Code List?

Only ICD-10-CM codes from the Code List can be accepted in CROWNWeb at this time

CROWNWeb will present an error message if an invalid ICD-10-CM code is entered

ICD Selections in CROWNWeb


• Will the ICD-10-CM list for Primary Cause of Renal Failure provided for the October 1, 2015 implementation be the final list?

No. The list will be reviewed and updated as needed to help ensure that the valid diagnosis codes for Primary Causes of Renal Failure are reflected

CMS recommends using the ICD-10 Code Book/Manual to select the appropriate code for the Primary Cause of Renal Failure – https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html

• How will additional ICD-10 codes be accepted in CROWNWeb that are not on the List?

A Help Desk ticket to Tier 3 should be generated if an ICD-10 code noted on the CMS-2728 form is not accepted in CROWNWeb

In a future release, CROWNWeb will be re-programmed to accept any valid ICD-10 code so the Code List will become a reference tool only

Updates to ICD Selections in CROWNWeb

https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html













• Will the CMS-2728 instructions on the Reports screen in CROWNWeb have a list of the recommended ICD-10-CM codes?

The new CMS-2728 form (2728-U3 (08/15))—released in support of the ICD-10-CM code implementations— will not include the ICD-10-CM codes in the instructions

The old CMS-2728 form that supported ICD-9-CM codes (2728-U3 (03/06)) will still have the ICD-9-CM codes in the instructions

• Where can I access a copy of the recommended CMS-2728 ICD-10-CM codes?

Users will be able to access a copy of the recommended ICD-10-CM codes for Primary Cause of Renal Failure via www.MyCROWNWeb.org

Accessing the Recommended ICD-10 List


Sample of Recommended ICD-10 List

Final Comments and Wrap Up


Questions


CMS Community WebEx:

Topic: TBD

Date: October 29, 2015

Time: 2pm-3pm ET

Our Next Session


For Further Information…

Help Me Form: http://help.mycrownweb.org/

QualityNet Help Desk: 1-866-288-8912

Website: http://www.mycrownweb.org

HHSM-500-2015-00511G

Thank You

connecting the pieces crownweb and icd-10...• icd-10 codes provide nearly five times as many...

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