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An Eye for ICD-10s. Jaye Benson Marketing Manager MEDITECH. Overview of ICD-10 Impact of ICD-10 Planning and Preparing for ICD-10 MEDITECH's Road Map. Competing Initiatives. ARRA ACOs 5010/HIPAA Payment Restructuring. Why Move to ICD-10s.

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An Eye for ICD-10s

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Presentation Transcript


An Eye for ICD-10s

Jaye BensonMarketing ManagerMEDITECH


  • Overview of ICD-10

  • Impact of ICD-10

  • Planning and Preparing for ICD-10

  • MEDITECH's Road Map


Competing Initiatives

  • ARRA

  • ACOs

  • 5010/HIPAA

  • Payment Restructuring


Why Move to ICD-10s

  • Improved understanding of health conditions

  • Improved patient outcomes

  • Improved data for disease management (nationally and worldwide)

  • Reduced need for additional documentation from payers

Greater Level of Specificity Provides:


Myths About ICD-10

  • It's an I.T. project

  • It's a HIM project

  • They will be revenue neutral


I.T. Impact

  • Providers

  • Vendors

  • Clearinghouses and Payers


User Impact

  • HIM/Coders

  • Physicians

  • Patient Access and Ancillary Staff

  • Case Managers and Utilization Review

  • Patient Financial Services

  • Contract Management

  • Quality Reporting

  • Decision Support


Cumulative Impact of ICD-10s

  • Decreased productivity

  • Increased coder demand

  • UR/AR increase

  • Decreased cash flow


Planning for ICD-10


Planning for ICD-10


Planning for ICD-10


Planning for ICD-10


MEDITECH and ICD-10s


  • How has MEDITECH been preparing for ICD-10s?

  • Recommendations and Best Practices

  • What's still to come?


MEDITECH's Road Map

  • Preparation Began in 2009

  • ICD-10 Committee

  • Updated all ICD-10 Touch Points in our Systems

  • Dual Coding Functionality Introduced

  • General Equivalency Maps (GEMS)

  • MEDITECH Staff Education

  • Customer Education

  • Best Practice

  • Future Changes


Industry Best Practices

  • Identify Your Needs

  • Steering Committee

  • Budget Planning

  • Training/Staffing

  • Reporting

  • Interfaces

  • Financial/Payers

  • Medical Necessity

  • Encoder Interfaces


More to Come...

  • Problem List enhancements

  • Physician Documentation enhancements

  • Coder worklist

  • Notices

  • Nomenclature mapping

  • Natural language processing


MEDITECH Resources

  • Customer training sessions

  • ICD-10 Resource Center

  • Periodicals, portals, people

  • Your story


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