just the facts- meaningful use stage 2 & icd 10

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855.85HIPAA www.compliancygroup.com Industry leading Education Certified Partner Program Please ask questions For todays & past webinars go to: http://compliancy-group.com/ webinar/ Get Involved. #cgwebinar

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Attend this hard hitting session where Rebecca Wiedmeyer, President of Vela Consulting Group will share her experiences helping hundreds of covered entities understand and address MU 2. In addition she will provide answers to the complexity of addressing ICD 10. Panelists: Rebecca Wiedmeyer, President of Vela Consulting Group Moderator: Marc Haskelson, President, The Compliancy Group LLC.

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Page 1: Just the Facts- Meaningful Use Stage 2 & ICD 10

855.85HIPAA  www.compliancygroup.com  

Industry leading Education

Certified Partner Program

Please ask questions For todays & past webinars go to: http://compliancy-group.com/webinar/

Get Involved.

#cgwebinar

Page 2: Just the Facts- Meaningful Use Stage 2 & ICD 10

Meaningful Use Stage 2 and ICD-10:

What Lies Ahead Rebecca Wiedmeyer

CEO of Vela Consulting Group, LLC

Sponsored by:

Page 3: Just the Facts- Meaningful Use Stage 2 & ICD 10

CMS says: ●  Measures focused on more rigorous

health information exchange (HIEs) ●  Additional requirements for e-prescribing

and incorporating lab results

Meaningful Use Stage 2

Page 4: Just the Facts- Meaningful Use Stage 2 & ICD 10

CMS says: ●  Electronic transmissions of patient care

summaries across multiple settings ●  Increased patient and family engagement

Meaningful Use Stage 2

Page 5: Just the Facts- Meaningful Use Stage 2 & ICD 10

17 Core objectives (opposed to 13 in MU Stage 1) 3 of 6 Menu objectives (opposed to 5 of 10 in MU Stage 1) =20 Total + CQM

MU Stage 2 Requirements

Page 6: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  CPOE ●  e-Prescribing ●  Demographics ●  Vital signs ●  Smoking Status ●  Clinical Decision Support

Core Measures

Page 7: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Ability for patients to see certain aspects of their health record (portal or PHR)

●  Protected EHR/Secure technology ●  Integrated lab results ●  Patient lists by conditions

Core Measures

Page 8: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Analytics for preventative and follow-up care

●  Patient Education materials ●  Medication Reconciliation ●  Summary of care per transfer or referral ●  Immunization registries ●  Bilateral communication tool for MDs/

patients

Core Measures

Page 9: Just the Facts- Meaningful Use Stage 2 & ICD 10

Example: CPOE ●  60% of Medications ●  30% of Labs ●  30% of Imaging Studies

Attestation - MDs Must Make the Numbers for 90 days

Page 10: Just the Facts- Meaningful Use Stage 2 & ICD 10

Begins in 2014 Runs until 2016 Must use a certified EHR Must complete attestation form and submit (e.g. simply running reports will not suffice)

Attestation

Page 11: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  International Classification of Diseases (ICD) has been used since 1979

●  Current code set is ICD-9, consisting of diagnosis codes (ICD-9 CM)

●  In 1994, the World Health Organization approved ICD-10.

ICD-10: History

Page 12: Just the Facts- Meaningful Use Stage 2 & ICD 10

ICD-10 consists of two code sets: ●  ICD-10 CM codes - Diagnosis ●  ICD-10 PCS codes - Procedures In 2008, the Department of Health and Human Services determined that the US was ready to adopt ICD-10

ICD-10: History

Page 13: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Recent legislation has delayed compliance until the end of 2015, no firm date has been announced.

●  ICD-10 compliance is a requirement for

Meaningful Use Stage 2.

ICD-10: Current State

Page 14: Just the Facts- Meaningful Use Stage 2 & ICD 10

ICD-9 =13,000 CM codes ICD-10 = 68,000 CM codes ICD-10 = 72,000 PCS codes

ICD-9 Versus ICD-10

Page 15: Just the Facts- Meaningful Use Stage 2 & ICD 10

ICD-9 codes are 3-5 characters in length ICD-10 codes are 5-7 characters in length *ICD-10 CM codes will be used in the Inpatient and Outpatient spaces, but PCS codes will only be used in the IP space.

ICD-9 Versus ICD-10

Page 16: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  More specificity ●  Less gratuitous procedures ordered ●  Tracking and reporting for grants and

public health initiatives ●  Globalization: other countries are

already using ICD-10

ICD-10: Pros

Page 17: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Loss of productivity Coders, MDs, Billing, IT

●  Revenue impact

Some healthcare facilities are predicting up to a 70% revenue loss

ICD-10: Cons

Page 18: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Electronic system readiness - work with vendors

●  Update paper processes and content ●  Communicate across organization or

clinic

Risk Mitigation

Page 19: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Test, test, test! ●  Train and retrain staff and clinicians ●  Confirm coders are certified in ICD-10 ●  Create and leverage a strong project plan

Risk Mitigation

Page 20: Just the Facts- Meaningful Use Stage 2 & ICD 10

●  Create/run reports both before and after ICD-10 to monitor areas of weakness

●  Plan for and utilize a strong support model

for the time of ICD-10 “go-live” ●  Engage Legal and Compliance ●  Select project “champions”

Risk Mitigation

Page 21: Just the Facts- Meaningful Use Stage 2 & ICD 10

For further information, go to www.cms.gov

Questions?

Page 22: Just the Facts- Meaningful Use Stage 2 & ICD 10

www.compliancy-­‐group.com    

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