preparing for icd-10
DESCRIPTION
Preparing for ICD-10TRANSCRIPT
April 2014 Webinar Preparing for ICD-10
Heidi Jannenga PT, MPT, ATC/L
WebPT COO and Co-Founder
Mike Manheimer
WebPT Marketing Director
Delay of Game: Congress Votes to Push Back ICD-10 Deadline
• Go-live date moves from October 1, 2014, to
October 1, 2015 (at the earliest)
• Provision for the delay was part of the
Sustainable Growth Rate “fix”
• Estimated cost of the delay: $1 billion to
$6.6 billion.
What You Need to Know Now About ICD-10
1. ICD-10 applies to all HIPAA-covered entities.
2. ICD-10 consists of two parts: ICD-10-CM and ICD-10-PCS
3. ICD-9 and ICD-10 differ big time.
4. Crosswalking is difficult.
5. The transition is necessary.
6. Time is still of the essence.
Strategy for Attacking ICD-10
1. Accept the change: Today
2. Designate a lead (or a team): Within the next three months
3. Make a plan: Within the next six months
4. Start training: Within the next year
5. Test, test, test, and test some more: Next year
Your ICD-10 Checklist • Compile educational resources
• Assess your current diagnosis coding processes
• Pinpoint ways ICD-10 will affect your practice
• Ensure all external partners will be ready
• Assign specific tasks and deadlines
• Establish a budget
• Get your finances in order
How to Test Internally
Before you test, determine:
• Who in your clinic touches your codes (billers, front office
personnel, clinical staff, etc.)
• What ICD-9 codes you use most frequently and their ICD-10
equivalents
• Where and how your staff locate correct ICD-9 codes and where
and how they’ll locate ICD-10 ones
• Whether your coding processes will still make sense after the
codes change
How to Test Internally
1. Test that your staff can competently use the new
codes
a. Practice dual-coding
2. Test that each redesigned process or workflow
actually works
a. Review and tweak your current processes
How to Test Externally
Proper external testing will help you:
1. Verify that your practice can submit, receive, and
process data containing ICD-10 codes.
2. Understand the impact that clearinghouse and payer
policies will have on transactions.
3. Identify and address specific problems.
How to Test Externally
External testing plan:
1. Identify (and prioritize) the stakeholders with
whom you need to test.
2. Submit test data to your clearinghouse, billing
service, and/or payers.
3. Review test results for the data you submitted.
4. Update your processes based on the results of
your tests.
Preparing for ICD-10
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