SFACO ALL MEMBERS MEETING - ICD 10 STRATEGIC ADVANTAGE

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Transforming ICD-10 Regulatory Compliance into Strategic Advantage

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Transforming ICD-10

Regulatory Compliance into

Strategic Advantage Eduardo Porras CPC, CPMA AHIMA Certified ICD-10 Instructor

SFACO ALL MEMBERS MEETING

Saturday 9/6/2014

Agenda

2 ICD-10 Regulatory Compliance into Strategic Advantage

Why is ICD-9 Going to be

Replaced?

Why is ICD-9 Being Replaced?

ICD-9-CM is out of date and running out of space

for new codes.

Lacks specificity and detail

No longer reflects current medical practice

ICD-10 is the international standard to report and monitor diseases

and mortality, making it important for the U.S. to adopt ICD-10 based

classifications for reporting and surveillance.

4 ICD-10 Regulatory Compliance into Strategic Advantage

Worldwide ICD-10 Adoption

5 ICD-10 Regulatory Compliance into Strategic Advantage

Comparison of ICD-9-CM

and ICD-10-CM

6 ICD-10 Regulatory Compliance into Strategic Advantage

A - Category of code

B - Etiology, anatomical site,

and/or severity

C - Extension 7th character for obstetrics, injuries, and

external causes of injury

• A - Category of code

• B - Etiology, anatomical

site, and manifestation

ICD-9-CM Code ICD-10-CM code

ICD-10 to ICD-9 Mappings

7 ICD-10 Regulatory Compliance into Strategic Advantage

Summary of Changes

8 ICD-10 Regulatory Compliance into Strategic Advantage

Potential ICD-10 Impact on

Payor Claims Process

ICD-10 Impact on Payor Claims Process

10 ICD-10 Regulatory Compliance into Strategic Advantage

ICD -10

Impact Assessment

ICD-10 Timeline

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ICD-10 Assessment Areas

13 ICD-10 Regulatory Compliance into Strategic Advantage

ICD-10 Readiness Assessment Process

14 ICD-10 Regulatory Compliance into Strategic Advantage

Implementing Leading

Practices

10 Step Strategy for a Seamless

Implementation

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Streamline Operations

17

ICD-10 Regulatory Compliance into Strategic Advantage

Achieve ICD-10 Benefits

Moving Forward to Achieve ICD-10

Benefits

19 ICD-10 Regulatory Compliance into Strategic Advantage

Closing Thoughts

How Prepared are You?

21 ICD-10 Regulatory Compliance into Strategic Advantage

Thank You

If you would like more information on this topic or other ways

to increase your reimbursements, contact us directly.

• Call us: 1-877-AVISENA

• E-Mail: marketing@avisena.com

• Visit us at www.avisena.com

Presenter:

Eduardo Porras CPC, CPMA

Director of Operations

Avisena, Inc

Phone 786-621-3879

Eporras@Avisena.com

22 ICD-10 Regulatory Compliance into Strategic Advantage

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