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Surviving the Transition to ICD-10 Presented by HomeTown Health. Documentation Enhancement is the Key to Success!. Agenda. Reasons for Change & Cost Benefit Analysis Comparing ICD-9-CM and ICD-10 Steps to ICD-10 Timeline and Implementation Phase

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Surviving the Transition to ICD-10 Presented by HomeTown Health


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    Presentation Transcript
    1. Surviving the Transition to ICD-10 Presented by HomeTown Health Documentation Enhancement is the Key to Success!

    2. Agenda • Reasons for Change & Cost Benefit Analysis • Comparing ICD-9-CM and ICD-10 • Steps to ICD-10 • Timeline and Implementation Phase • How to Survive and Ensure Smooth Transition

    3. Reason for Change ToInternational Classification Disease 10-CM • No longer meet the demands of healthcare’s data needs • Cannot accurately describe the diagnoses and inpatient procedures for care delivered • Coded data is well beyond the purposes of ICD-9-CM • Greater need for coding accuracy and specificity • ICD-9-CM initially was not used for reimbursement purposes • ICD-9-CM procedures are outdated and inadequate • ICD-9-CM cannot support many of the IT and data exchange initiatives.

    4. Cost/Benefit Analysis • More accurate reimbursement for new procedures • Fewer rejected claims • Fewer fraudulent claims • Better understanding of new procedures • Improved disease management • Quality measures and medical error reduction (Patient safety)

    5. ICD-10 APPLIES TO ALL

    6. SO . . .How Do We Survive? . . . .TOGETHER • By Driving Down Cost • With Expert Hands on Training • Monthly To Do List and Group Q & A • Access to Coding Simulation Technology • Using Web-based Education and Resources • Project Management & Support “Given Canada's experience of a 23 to 50 percent decrease in coder productivity during their ICD-10 conversion, we created an affordable ICD-10 Survival Kit and Readiness Program to help keep our hospitals running smoothly and effectively during and after the conversion,” said HTH CEO Jimmy Lewis.

    7. HomeTown Health18 Month ICD-10 Solutionbegins April 1, 2013 Survival Kit includes: • ICD-10 Education - 5 tracks of Role-Based Training by HCCS • ICD-10 Readiness Assessment / Gap Analysis • 12 Monthly ICD-10 Webinars • Monthly ICD-10 Implementation Checklist • ICD-10 Project Management & Support by Tyler Wallace, PM Specialist • ICD-10 Coding Simulation Boot Camp in Fall of 2013 • Team Development • Policy & Procedure / Oversight by Morris, Manning & Martin

    8. EDUCATION Healthcare Coding & Consulting Services HCCS School of Coding Thirty (30) Hours of webinar training sessions will be presented by: HCCS Director of Medical Consulting Terrance Govender MD, MBBCh, CHBC, C-CDI and HCCS VP Coding Services Lynda Starbuck MS, RHIA, AHIMA Certified ICD-10 Trainer, C-CDI

    9. AHIMA RecommendedReadiness Assessment

    10. Monthly Webinars In addition to weekly training sessions, monthly webinars will be held to track progress, learn about tools & resources required like: • Monthly Implementation Checklist • Recommended by HIMSS / AHIMA • Web- Based Project Management Updates • Regulatory Updates • Vendor Testing & Readiness Updates

    11. Project Management & Supportby Tyler Wallace, PM Specialist • In Scope: • Project Management Software: • Add / Manage End-Users • Deploy customized project plan with attached documentation • Hosted on Small Jumps’ Teamwork PM account • Communication: • Deliver Milestone and Risk Assessment reports to local Project Manager and Executive Sponsor monthly • Track project progress and escalate threatened deadlines • Respond to all inquiries within 24 business hours • (Monday – Friday)

    12. ICD-10 Coding Boot Camp • ICD-10 Coding Boot Camp in Fall of 2013 • CERTIFIED ICD-10 Instructors will lead ICD-10 Project Teams through intensive Readiness Training • Team Development • Policy and Procedure • Vendor Readiness & Set up for Vendor Testing • Coding Simulation • Mark your Calendars – Sept 18-20 – Macon

    13. Program Oversight & Coordination • Michelle Madison – Attorney • MORRIS, MANNING & MARTIN • Policy & Procedure • Regulatory Updates • Dr. Denise Hines – GA- HITEC Outreach & Education Coordinator and President of Georgia HIMSS • Kristy Thomson, Director of Online Education, HTHU

    14. HomeTown HealthICD-10 Introductory Offer Introductory Offer: $750 per month for those signed up by Jan 31st! APPROVED FOR SHIP GRANT FUNDING! You can also apply your 2013-14 SHIP grant funding to this HTH ICD-10 project!

    15. Transition Step #1 http://www.caloptima.org/en/~/media/Files/CalOptimaOrg/Providers/ProviderCommunications/ICD-10/TipsforEffectiveImplementationofICD.ashx

    16. Transition Steps http://www.caloptima.org/en/~/media/Files/CalOptimaOrg/Providers/ProviderCommunications/ICD-10/TipsforEffectiveImplementationofICD.ashx

    17. Transition Steps http://www.caloptima.org/en/~/media/Files/CalOptimaOrg/Providers/ProviderCommunications/ICD-10/TipsforEffectiveImplementationofICD.ashx

    18. Transition Steps 4. Create an Implementation Timeline Activity Timeline Education and Training March 2013 – November 2014 Planning and Assessment August 2013 – January 2014 Implementation Activities (gap analysis, design, development, internal testing) January 2013 – January 2014 External Testing January 2014 – September 2014 Go live / Compliance Date October 1, 2014 Adhering to timelines for specific milestones in conjunction with activities described will ensure a timely and smooth transition to ICD-10. Awareness, communication, preparation and collaboration are the keys to success!