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Getting Ready for ICD-10

Getting Ready for ICD-10. Steve Verno, CMBSI, CMSCS, CEMCS. Disclaimer. I am NOT a lawyer , so I do NOT provide ANY legal a dvice whatsoever. Therefore, this presentation has been designed for training purposes only!. Its Almost Here!. ICD-10 is effective,

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Getting Ready for ICD-10

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  1. Getting Ready for ICD-10 • Steve Verno, CMBSI, CMSCS, CEMCS

  2. Disclaimer I am NOT a lawyer, so I do NOT provide ANY legal advice whatsoever. Therefore, this presentation has been designed for training purposes only!

  3. Its Almost Here! ICD-10 is effective, Wednesday October 1, 2014

  4. ICD-9-CM & ICD-10-CM Tuesday, September 30, 2014 Wednesday, October 1, 2014

  5. ICD-9 Wont Disappear completely! September 30, 2014 and back claims will still need ICD-9-CM

  6. Why? VS This patient did NOT provide insurance information! Instead the patient provided incorrect information!

  7. Quiz Time 1) Our patient was seen September 30, 2014. What code set would you use for the claim?

  8. Answer

  9. Next Question: 2) Our patient was seen September 30, 2014. This patient didn’t offer insurance information. Today is September 30, 2016, the patient reveals that they have coverage through Aetna. What code set would you use for this claim?

  10. Answer NOT!

  11. True Answer ICD-9-CM was the Codeset on September 30, 2014

  12. Getting ready for ICD-10-CM

  13. Software

  14. Communicate with your Software Vendor! Upgrades & Training? Costs? Handle ICD-9 and ICD-10?

  15. Communicate with your Insurance Companies!Any changes to policies?Any payment delays?Are they testing?ARE THEY READY?

  16. Training

  17. Doctor Documentation! Poor Documentation = Loss of Revenue!

  18. Anatomical Documentation OM Left Ear, Right Ear, Both Ears Discharge, No Discharge

  19. You need to document the visit as if you were on trial!

  20. If your coders have NOT been trained, you must send them to a training session!

  21. Forums and Listserves wont be able to do the coding anymore once ICD-10 arrives

  22. The American Academy of Professional Coders (AAPC) requires their coders beICD-10 tested for recertificationThe Professional Association of Healthcare Coding Specialists (PAHCS) does not!

  23. Administration

  24. Policies • Update your coding policies • Update your Compliance Plans • Update your appeals • Make sure you have updated carrier determinations • Update insurance contracts, if needed • Update pre-employment tests

  25. Use Current Coding Manuals!

  26. Do NOT Wait to Get Ready!

  27. Helpful Websites www.cms.gov/icd10/‎ http://apps.who.int/classifications/icd10/browse/2010/en http://www.aapc.com/icd-10/ http://www.ahima.org/icd10/ www.pahcs.org/ www.donself.com www.billing-coding.com www.e-medbill.com http://medicalassociationofbillers.yuku.com/

  28. Questions? steve_verno@yahoo.com

  29. Thank you!

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