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Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS) January 30, 2013, 12:00 PM – 1:00 PM MT Presented by Gervean Williams, Director, Community Health Center Finance and

Preparing for ICD-10 Transition Teleconference

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Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS ) January 30, 2013, 12:00 PM – 1:00 PM MT Presented by Gervean Williams, Director, Community Health Center Finance and Operations, - PowerPoint PPT Presentation

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Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS)

January 30, 2013, 12:00 PM 1:00 PM MT

Presented by Gervean Williams, Director,Community Health Center Finance and Operations,National Association of Community Health Centers (NACHC)The NACHC MissionTo promote the provision of high quality, comprehensive and affordable health care that is coordinated, culturally and linguistically competent, and community directed for all medically underserved populations.ICD 10 MythsIts not going to happenMy employees are responsible for the changesIt wont require many operational changesMy software vendor is responsible for the changesWe have plenty of timeWe are ready nowICD-9 HistoryWorld Health Organization

National Center for Health Statistics Adopts ICD-9 in 1979

ICD-9 is the International classification of diseases, 9th revision

Why Change to ICD-10ICD-9 is over 30 years old

More specific and accurate capture of data

Improved ability to measure health care services

Alignment with WHO

TimelineDateCompliance StepJanuary 1, 2010 Payers and providers should begin internal testing of Version 5010 standards for electronic claimsImplementedDecember 31, 2010 Internal testing of Version 5010 must be complete to achieve Level I Version 5010 complianceImplementedJanuary 1, 2011 Payers and providers should begin external testing of Version 5010 for electronic claimsCMS begins accepting Version 5010 claims Version 4010 claims continue to be acceptedImplementedDecember 31, 2011 External testing of Version 5010 for electronic claims must be complete to achieve Level II Version 5010 complianceImplementedJanuary 1, 2012All electronic claims must use Version 5010Version 4010 claims are no longer acceptedImplementedOctober 1, 2014 Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures CPT codes will continue to be used for outpatient servicesPendingPotential Impact of 5010/ICD - 10Information Technology

Finances

Providers and StaffIT ConcernsImpact of transaction types

IT Staff

Electronic Medical Record(EMR)

Practice Management Software (PMS)FinancesBudget considerationsSoftware and HardwareUpgradesTestingTraining

Will you be able to send claims electronically?11Budget ConsiderationsSoftware and licensingHardwareUpgradesTrainingUpdating formsTestingMGMA Budget SampleCost Breakdown 3 physician practiceEducation2,500Process Analysis (Consultant/Additional Staff Hrs)7,000Changes to Super bills (Consultant/Reprinting)3,000IT Costs (Upgrades/New Technology)7,500Increased Documentation (Dictation/New Technology)44,000Cash flow Disruption (Lost Production)20,000Total84,000Provider and Staff TrainingWho Providers, Clinical staff, Billing, and Finance

WhenPhase training

How much Varies depending on responsibilities

Planning NeedsAssess your current systems

Identify your internal and external teams

Contact your IT and clearinghouse vendors

Develop an implementation timeline

Train, Test, Train, and Test

Key StepsOrganize project team & resources for project completionConduct preliminary impact analysis (mission critical issues)Create implementation timeline (need vs. nice to have)Develop ICD-10 Implementation Budget (plan more, not less)Analyze documentation needs (EMR, dictation, hand-written)Develop communication plan (special news letter, staff meetings, special sessions, etc.)Develop training plan (targeted AND integrated training)Complete information systems design & developmentConduct business process analysis (optimal not perfect)Conduct needs assessment (Missed anything?)Complete deployment of system changes (test, test, final)

Note: Based on AMAs Implementation of ICD-10; Chapter 4, page 45

Community Health Center IssuesBillingUB-04 and 1500Uniform Data System Table 6 Grant WritingRegistry ResourcesICD 10 On Demand Webinar http://www.softconference.com/nachc/slist.asp?C=2761#TID17717AAFP http://www.aafp.org/online/etc/medialib/aafp_org/documents/prac_mgt/codingresources/timeline.Par.0001.File.tmp/ICD10Timeline.pdf

CMS Resourceshttp://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfPage18Misc.Medicare ChangesCR 7038PAL 2011-04Enrollment Application Fee (855 form)RevalidationAcknowledgementsCMS ICD-10 PlanningPriority Management Group, Inc. 2011 www.gopmg.comContact Informationhttp://www.nachc.com/complete-list-of-trainings.cfm

Gervean WilliamsDirector of Finance and [email protected] you for your participation!

Please complete the online evaluation questionnaire. You will receive an email with a link to the evaluation. Your feedback is very valuable in helping CHAMPS develop future training programs.

There is no continuing education credit available for this event.

An archive of the event will be made available within one week of the live event on the CHAMPS website at http://www.champsonline.org/Events/DistanceLearning.html#archtele.

Please contact Shannon Kolman at [email protected] or 303-867-9583 with any questions.