Presentation is loading. Please wait.

Presentation is loading. Please wait.

Transitioning to ICD-10-CM/PCS. Agenda Overview Implementation Team Organization Awareness Impact Analysis Financial Impact Training Plan Timeline.

Similar presentations


Presentation on theme: "Transitioning to ICD-10-CM/PCS. Agenda Overview Implementation Team Organization Awareness Impact Analysis Financial Impact Training Plan Timeline."— Presentation transcript:

1 Transitioning to ICD-10-CM/PCS

2 Agenda Overview Implementation Team Organization Awareness Impact Analysis Financial Impact Training Plan Timeline

3 ICD-10 Implementation OCTOBER 1, ICD-10-CM and ICD-10-PCS code sets implementation date – In January 2009, HHS published a Final Rule requiring the adoption of ICD-10-CM and ICD-10-PCS code sets to replace the 30-year-old ICD-9-CM coding system used for billing purposes ICD-10-CM - International Classification of Disease, 10 th Revision, Clinical Modification – Diagnosis Code Set ICD-10-PCS – International Classification of Disease, 10 th Revision, Procedural Coding System – Procedure Code Set Billing Format (X12 version 5010)update also required to accommodate new code formats – Effective Date – January 1, 2012

4 ICD-10 Implementation SettingDiagnosis Code SetProcedure Code Set Hospital InpatientICD-10-CMICD-10-PCS Hospital OutpatientICD-10-CMCPT/HCPCS Physician FacilityICD-10-CMCPT/HCPCS Physician OfficeICD-10-CMCPT/HCPCS Skilled NursingICD-10-CMCPT/HCPCS Home HealthICD-10-CMCPT/HCPCS Note: Only inpatient hospital setting impacted by change in procedural coding system

5 Implementation Team Charge: Implementation Plan Development and Oversight Internal Staff – Health Information Management – Finance – Information Technology – Medical Staff Leadership – Other Use of Consultants

6 Organization Awareness Communication Plan – Who, what, when Need for Participation in Impact Analysis Need for Multi-Year Resource Planning

7 Impact Analysis Assess all software applications that currently store, transmit or received ICD-9-CM codes for potential impact Required Changes to Workflow – Analysis of coding and billing functions throughout the revenue cycle – Billing Forms/Spreadsheets – Clinical Documentation Issues – Impact on internal and external reporting Evaluation of contracts for which payment is based on ICD-9-CM codes

8 Financial Impact Potential impact to hospital – $15 million to $20 million Need to plan for decrease in productivity to prevent billing backlogs during training and initial implementation

9 Training Plan Varies based on employee role (audience) Content Timing Delivery Methods Contracted Out or Provided by Internal Staff

10 Recommended Implementation Schedule / Implementation Plan Impact Assessment Implementation Preparation Go Live Preparation Post – Implementation Follow-Up Phase I Phase II Phase III Phase IV Year


Download ppt "Transitioning to ICD-10-CM/PCS. Agenda Overview Implementation Team Organization Awareness Impact Analysis Financial Impact Training Plan Timeline."

Similar presentations


Ads by Google