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Transition to ICD 10 CM Diagnostic Code Set June 2014

Transition to ICD 10 CM Diagnostic Code Set

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Transition to ICD 10 CM Diagnostic Code Set. Workshop Agenda - June 23rd 2014 . Highlights of the Previously Shared ICD10 CM Presentation http :// www.shafafiya.org/Dictionary/Workshops/20140320_ICD_10_Presentation.pptx Stakeholder Preparation for Transition - PowerPoint PPT Presentation

Text of Transition to ICD 10 CM Diagnostic Code Set

PowerPoint Presentation

Transition to ICD 10 CM Diagnostic Code Set

June 2014

Workshop Agenda - June 23rd 2014Highlights of the Previously Shared ICD10 CM Presentationhttp://www.shafafiya.org/Dictionary/Workshops/20140320_ICD_10_Presentation.pptxStakeholder Preparation for TransitionPhases: Transition to ICD 10 CMhttp://www.shafafiya.org/Dictionary/Workshops.html Establishing ICD 10 Transition Working Group.

Workshop Agenda - June 23rd 2014Providers and payers were invited to a 2 hour workshop about 100 members cameHAAD presented the Transition to ICD 10 Diagnostic Code Set presentation and answered related questionsHAAD invited volunteers to represent payers and providers to create a working group to facilitate the transitionSupporting material for each of the transition phases is published on Shafafiya http://www.shafafiya.org/Dictionary/Workshops.htm

Arial Stakeholders Transition WorkingGroup Representatives (pending contact emails*)HAADLina Jichi (Chair)Michelea PeechMarwan Al NaboulsiMohammad Al HajLuis PerfettiProvidersPublic Providers:SehaMubadala Health CarePrivate ProvidersAl NoorAhliaNMCBurjeelOasisAdvanced Cure Diag. Ctr.Western Region??PayersPublic Payers:DamanPrivate PayersADNICTPANASVendors and others 3MAccumed Abu Dhabi Police

HighlightsIn the US as of 2014ICD-10-CM (Diagnosis)Will affect inpatient and outpatient

ICD-10-PCS ( Procedures)Will only affect inpatient in the U.S.NOT UAE -We have CPT for outpatient & inpatient reimbursementICD-10-CM/PCS: Incorporates much greater specificity and clinical information, which results in:Improved ability to measure health care services; Increased sensitivity when refining grouping and reimbursement methodologies; Enhanced ability to conduct public health surveillance; and Decreased need to include supporting documentation with claims;Includes updated medical terminology and classification of diseases;

In the US as of 2014All software will be ICD 10 basedAll certified coders will be ICD 10 basedAll RVUs will be ICD 10 basedICD 9 CM will no longer be updated after 2012HighlightsICD-10-CM Provides codes to allow comparison of mortality and morbidity data; and Provides better data for: Measuring care furnished to patients;Designing payment systems; Processing claims;Providers making clinical decisions; Tracking public health; Identifying fraud and abuse; and Conducting research.

Upgrade to ICD 10 CMJune 2014 DSP voted to retain 1st October, 2015 DeadlineEncouterStart date 1/10/2015 00:01

Is it a big change? ComparisonICD-9-CMMechanical complication of other vascular device,implant and graft1 code (996.1)ICD-10-CMMechanical complication of other vascular grafts156 codes, includingT82.310 Breakdown (mechanical) of aortic(bifurcation) graft (replacement)T82.311 Breakdown (mechanical) of carotid arterialgraft (bypass)T82.312 Breakdown (mechanical) of femoral arterialgraft (bypass)T82.318 Breakdown (mechanical) of other vascular graftsT82.319 Breakdown (mechanical) of unspecifiedvascular graftsT82.320 Displacement of aortic (bifurcation) graft(replacement)T82.321 Displacement of carotid arterial graft (bypass)T82.322 Displacement of femoral arterial graft(bypass)T82.328 Displacement of other vascular grafts

ComparisonsXXXXXXXXXXXXcategoryetiology,anatomic site,manifestationcategoryetiology,anatomic site,severityextensionICD-9 Code FormatICD-10 Code FormatICD-9-CM 14,025ICD-10-CM 68,069Diagnosis Codes

Comparisons

Tentative Timeline

Phase 1: Implementation plan development and potential impact assessmentsEstablish interdisciplinary steering committee to develop ICD10 implementation strategyDevelopment of potential impact assessmentsImplementation budget Systems inventory Identifying the impact from vendors and payer contractsVendors and Contracts

Make Your Plan to ICD 10 CM

Phase 2: Implementation preparationTraining/awareness on Codes and Code uses (data etc) AND documentationEducation on the available GEM and how to usePhase 3: Go live preparationConfirm with systems vendor(s)Finalize all systems - testing of systems changes, and provide intensive ICD10 education to coding staff.Complete all inhouse systems changes and testing. Claims on or after Deadline must use ICD10CM

Make Your Plan to ICD 10 CM

ICD-9-CM to data coded under ICD-10-CM due to the differences in the code sets. This will impact reports that compile statistical data for trend analysisDownload GEM from CMS website

http://www.cms.gov/Medicare/Coding/ICD10/2014-ICD-10-CM-and-GEMs.html

Any Questions Please [email protected]

Make Your Plan to ICD 10 CM