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Leveraging ICD-10 for Excellence ICD-10 presents us with an opportunity to focus on what really matters…population health.

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Presentation on theme: "Leveraging ICD-10 for Excellence ICD-10 presents us with an opportunity to focus on what really matters…population health."— Presentation transcript:

1 Leveraging ICD-10 for Excellence ICD-10 presents us with an opportunity to focus on what really matters…population health.

2 1 CMS strives to focus on what really matters: Better Care - Working together to improve care coordination Better Health - Keeping people healthy Lower Healthcare Costs - Spending dollars wisely CMS strives to focus on what really matters: Better Care - Working together to improve care coordination Better Health - Keeping people healthy Lower Healthcare Costs - Spending dollars wisely Today’s Session Objectives: To gain an awareness of the complexity of ICD-10 and the challenges implementation brings to our core business. To gain an understanding of how ICD-10 can be leveraged to SMAs’ advantage. To provide an opportunity to share best practices and implementation strategies. Today’s Session Objectives: To gain an awareness of the complexity of ICD-10 and the challenges implementation brings to our core business. To gain an understanding of how ICD-10 can be leveraged to SMAs’ advantage. To provide an opportunity to share best practices and implementation strategies. CMS has partnership with Noblis: CMS has partnered with Noblis to provide advisory services, training and ICD-10 Technical Assistance to State Medicaid Agencies. CMS has partnership with Noblis: CMS has partnered with Noblis to provide advisory services, training and ICD-10 Technical Assistance to State Medicaid Agencies. Welcome

3 Medicaid Integrity Institute (MII). Updated 04/24/2013

4 Medicaid Integrity Institute (MII). Updated 04/24/2013

5 Noblis at a Glance 4 We focus our resources on five areas of National importance Noblis was named one of the “World’s Most Ethical Companies” for 2012 by the Ethisphere Institute Noblis is a nationally recognized science, technology, and strategy organization. We are a 501(c)(3) with a Mission to serve the public good. Our Vision is to create enduring positive impacts on our clients’ missions. We are experienced with over 30 federal agencies including CMS, 35 state governments, and over 1500 healthcare facilities. Noblis is a nationally recognized science, technology, and strategy organization. We are a 501(c)(3) with a Mission to serve the public good. Our Vision is to create enduring positive impacts on our clients’ missions. We are experienced with over 30 federal agencies including CMS, 35 state governments, and over 1500 healthcare facilities. Enterprise Services Transportation Systems Health Innovation Sustainability National Security & Intelligence

6 Team MemberProject RoleBackground Godwin OdiaCMS Executive Sponsor / ICD-10; Officer (USPHS); PhD Experience includes working with CMS with the Center for Program Integrity (CPI), Medicaid Integrity Group (MIG), and Data Analytic and Control Group (DACG). Brady AugustineSubject Matter Specialist Medicaid / ICD-10Experience includes serving as a Senior Advisor to Administrator at CMS and Chief of Health Systems Development for the State of Florida. Brenda Faust-ThomasSubject Matter Specialist Medicaid / ICD-10Experience includes serving as a Health Plan Chief Operating Officer and Sr. Director of Claims Administration. (Medicaid Managed Care Organizations) Djuan Marshall, PMPProject Manager / CMS ICD-10Experience includes project management, business case analysis, systems analysis and requirements definition. Joseph Nichols, MDSubject Matter Specialist / ICD-10Board certified Orthopedic Surgeon. Experience includes executive management, system design, logical database architecture. ICD-10 certified coder. 5 CMS/Noblis Team

7 Key Takeaways Medicaid ICD-10 Implementation Technical Assistance Enhanced Medicaid Interrelationship Document Implementation Planning ICD-10 Collaboration Site Develop and deliver test data, cases, and scenarios Deliver Clinical Documentation Requirements Technical Assistance Site Visits Phase 1 SMA Site Visits Implementation Technical Assistance Deliver examples of Medicaid Policy Remediation Quarterly Readiness Assessments Monitor State 5010 and ICD-10 Progress Monitor Medicaid ICD-10 Mailbox Conference Calls MMIS Certification Checklist Phase 2 SMA Site Visits Phase 3 SMA Site Visits Maintain and Update Assistance Handbook On Hold Bi-weekly ICD-10 State Calls Perform Data Analysis for Code Patterns & Create a Default Crosswalk for States

8 CMS is committed to your success! 7 Now is the time to move forward with purpose and embrace ICD-10 with a sense of urgency.


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