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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ICD-9-CM is out of date and running out of space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
12 ICD-10 Regulatory Compliance into Strategic Advantage
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
16 ICD-10 Regulatory Compliance into Strategic Advantage
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: [email protected]
• Visit us at www.avisena.com
Presenter:
Eduardo Porras CPC, CPMA
Director of Operations
Avisena, Inc
Phone 786-621-3879
22 ICD-10 Regulatory Compliance into Strategic Advantage
