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

Special Offer New Members Sign up with WebPT by May 31 and receive $100 off the initial sign-up cost.

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