ICD-10: Steps For Building an ICD-10 Plan
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Preparing for ICD-10: Steps for Building a ICD-10 Plan Intuitive Solutions - “Your Single Service Provider”
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Transcript of 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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