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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

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workshop agenda june 23rd 2014
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
  • Phases: Transition to ICD 10 CM
    • http://www.shafafiya.org/Dictionary/Workshops.html
  • Establishing ICD 10 Transition Working Group.
workshop minutes june 23rd 2014
Workshop Minutes -June 23rd 2014
  • Providers and payers were invited to a 2 hour workshop – about 100 members came
  • HAAD presented the “Transition to ICD 10 Diagnostic Code Set presentation” and answered related questions
  • HAAD invited volunteers to represent payers and providers to create a working group to facilitate the transition
  • Supporting material for each of the transition phases is published on Shafafiya

http://www.shafafiya.org/Dictionary/Workshops.html

stakeholders transition working group representatives pending contact emails
Stakeholders’ Transition Working Group Representatives (pending contact emails*)

Payers:

  • Public Payers:
    • Daman
  • Private Payers
    • ADNIC
  • TPA
    • NAS

HAAD:

  • Lina Jichi (Chair)
  • Michelea Peech
  • Marwan Al Naboulsi
  • Mohammad Al Haj
  • Luis Perfetti

Providers:

  • Public Providers:
    • Seha
    • Mubadala Health Care
  • Private Providers
    • Al Noor
    • Ahlia
    • NMC
    • Burjeel
    • Oasis
    • Advanced Cure Diag. Ctr.
    • Western Region??
  • Vendors and others
  • 3M
  • Accumed
  • Abu Dhabi Police
  • Contact emails for the above representatives are required to be sent to CCSC@haad.ae by July 7th, to be published in order for Abu Dhabi facilities and payers to contact regarding their issues with ICD 10 transition.
highlights
Highlights
  • ICD-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 2014
  • ICD-10-CM (Diagnosis)
    • Will affect inpatient and outpatient
  • ICD-10-PCS ( Procedures)
    • Will only affect inpatient in the U.S.
    • NOTUAE -We have CPT for outpatient & inpatient reimbursement
highlights1
Highlights
  • ICD-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.
  • In the US as of 2014
  • All software will be ICD 10 based
  • All certified coders will be ICD 10 based
  • All RVU’s will be ICD 10 based
  • ICD 9 CM will no longer be updated after 2012
is it a big change comparison
Is it a big change?Comparison

ICD-10-CM

Mechanical complication of other vascular grafts

156 codes, including

T82.310 – Breakdown (mechanical) of aortic

(bifurcation) graft (replacement)

T82.311 – Breakdown (mechanical) of carotid arterial

graft (bypass)

T82.312 – Breakdown (mechanical) of femoral arterial

graft (bypass)

T82.318 – Breakdown (mechanical) of other vascular grafts

T82.319 – Breakdown (mechanical) of unspecified

vascular grafts

T82.320 – 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

  • ICD-9-CM
  • Mechanical complication of other vascular device,
  • implant and graft
  • 1 code (996.1)
comparisons
Comparisons

ICD-10-CM

68,069

ICD-9-CM

14,025

Diagnosis Codes

ICD-9 Code Format

ICD-10 Code Format

X

X

X

X

X

X

X

X

X

X

X

X

extension

category

etiology,anatomic site,manifestation

category

etiology,anatomic site,severity

make your plan to icd 10 cm
Make Your Plan to ICD 10 CM
  • Phase 1: Implementation plan development and potential impact assessments
    • Establish interdisciplinary steering committee to develop ICD‐10 implementation strategy
    • Development of potential impact assessments
    • Implementation budget
    • Systems inventory
    • Identifying the impact from vendors and payer contracts
    • Vendors and Contracts
make your plan to icd 10 cm1
Make Your Plan to ICD 10 CM
  • Phase 2: Implementation preparation
    • Training/awareness on Codes and Code uses (data etc) AND documentation
    • Education on the available GEM and how to use
  • Phase 3: “Go live” preparation
    • Confirm with systems vendor(s)
    • Finalize all systems - testing of systems changes, and provide intensive ICD‐10 education to coding staff.
    • Complete all in‐house systems changes and testing.
    • Claims on or after Deadline must use ICD‐10‐CM
make your plan to icd 10 cm2
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 analysis

Download GEM from CMS website

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

Any Questions Please Contact

  • ccsc@haad.ae