Posts tagged ‘ICD-10’

November 20, 2012

Communicating ICD-10 to payers

CMS is offering more advice and information on the ICD-10 transition. This focuses on talking to your payers:

As you prepare for ICD-10, check with your payers to be sure they are moving forward with ICD-10 planning. You will want to work together to ensure you meet the ICD-10 deadline – October 1, 2014.

Here are some questions to ask your payers:

  • Are you prepared to meet the ICD-10 deadline of October 1, 2014? Where is your organization in the transition process?
  • Who will be my primary contact at your organization for the ICD-10 transition?
  • Can we set up regular check-in meetings to keep our progress on track?
  • When will you be ready to accept test transactions from my practice?
  • What will we need to test with you?
  • Do you anticipate any changes in policies or delays in payments to result from the switch to ICD-10?

CMS’s ICD-10 website

October 10, 2012

Is your ICD-10 plan back on track?

Selman-Holman Associates is ready to help you as you create your ICD-10 plan. Just contact us to learn about specific services.

In the mean time, think about how to keep your ICD-10 project team working and focused. Thanks to CMS for the information below.

Preparing for Your ICD-10 Check-in Meeting

As you hold in-person check-in meetings or conference calls, it is helpful to establish a day and time when the meeting will occur each month (e.g., 1 p.m. on the first Tuesday of the month), so that all team members know that ICD-10 is a priority for your practice. As the transition date approaches, you should switch to more frequent meetings, weekly or biweekly.

To make sure the check-in meetings are productive, consider the following tips for holding an effective meeting:

  • Create an agenda. Developing and disseminating a brief agenda prior to the meeting will help keep the conversation on track and will allow team members to prepare their updates. 
  • Reserve time for questions. Remember to set aside time at the end of the meeting for questions from project team members.
  • Take notes and draft action items. Following each meeting, distribute key takeaways and action items to the team to keep everyone informed about any important decisions made and individual responsibilities.

During meetings, team members should plan to discuss:  

  • Progress on ICD-10 transition activities. This will help to keep the team up to date on each individual’s assigned tasks.It may also be helpful to use this time to set deadlines and goals for completing task activities.  
  • Upcoming education opportunities. Share information about local events or online trainings on ICD-10 that may benefit the team.Also, feel free to distribute ICD-10-related articles to keep the team informed about the latest ICD-10 news.  
  • Best practices. Have you done or did you hear about a novel way to address part of your transition to ICD-10? Take this time to share that information, and discuss how it can be applied in your group’s implementation plan.
  • Challenges encountered. Use this time to discuss any challenges the team has encountered, and brainstorm ways to successfully overcome these obstacles.
September 24, 2012

Train on ICD-9 to prepare for ICD-10

Prior to the news about the postponement of ICD-10 the most common question was, “Why should we continue with ICD-9 training when “10” is on the horizon?” The answer is simple. At the very least we still need to understand & correctly assign ICD-9 codes until 10/1/13.

I am holding ICD-9 education that also prepares you for the ICD-10 transition in Tampa, Florida; Houston, Grapevine, and Corpus Christie, Texas.

We still need training because we are mandated by regulations to only enter accurate information in our patients’ records. Erroneous coding can have horrible unintended consequences for the patient whose medical record becomes contaminated by diagnoses that they don’t have.

If you think there’s nothing new in coding, then you’re wrong! There is more scrutiny in the form of medical reviews.

Lisa will provide ICD-9 answers and food for thought for the future, as well as an extra bonus of what’s new with ICD-10-CM and how to best ready your agency for this huge change.
Learn more about my training!

August 24, 2012

ICD-10 delayed one year

The Department of Health and Human Services (HHS) announced Friday the final rule that changes the implementation deadline for the transition to ICD-10-CM and ICD-10-PCS from October 1, 2013 to October 1, 2014.

The rule is scheduled to be published in the Federal Register Sept. 5.
HHS concluded that delaying ICD-10 by one year does the least to disrupt existing implementation efforts, and minimizes the costs of delay, while affording the small provider community an additional year to become compliant. In order to assist entities in being prepared to meet the new compliance date, HHS expects to increase education and outreach events and to work with industry on improvements to the overall standards implementation process.

June 28, 2012

ICD-10 driving Kaiser crazy, but also saving a lot of money

Thanks to FierceHealth Finance for this report:

George Halvorson, whose Kaiser Permanente hospital system and medical group spent more than $4 billion to adopt a fully integrated system of electronic health records, said the upcoming deployment of ICD-10 is anathema to his organization.

“I hate ICD-10. It drives me crazy,” Kaisers CEO remarked during a question and answer session after delivering a keynote speech at the Healthcare Financial Management Association’s Annual National Institute on Monday. “It adds so little value, and I can’t find any therapeutic upside.”

ICD-10, the massive expansion of procedure coding, will roll out to providers in 2013. During Halvorson’s presentation, he noted that Kaiser’s rollout of an EHR system is saving about $3 billion in annual costs by making it more efficient to treat chronic conditions and combat sepsis, which kills tens of thousands of hospital patients a year.

Halvorson said the use of ICD-10 is a response to running out of current diagnosis-related group (DRG) codes rather the a logical expansion based on clinical data. “They’re putting the current codes into certain buckets to expand them, and they’ve run out of room,” he said, adding that it is more suited to work with a paper-based medical record system.

A Kaiser spokesperson said the system still plans to deploy ICD-10. “I think we’re required to,” said communications officer Ravi Poorsina.

However, Halvorson said he already is looking toward the ICD-11 iteration, in the hopes it might be better integrated with electronic health records. The American Medical Association has recently advocated a quicker move toward ICD-11.

For more:
Here’s info on Halvorson’s HFMA ANI address