Presentation on theme: "Transition to ICD 10 CM Diagnostic Code Set June 2014."— Presentation transcript:
Transition to ICD 10 CM Diagnostic Code Set June 2014
Workshop Agenda - June 23rd 2014 Highlights of the Previously Shared ICD10 CM Presentation –http://www.shafafiya.org/Dictionary/Workshops/ _I CD_10_Presentation.pptxhttp://www.shafafiya.org/Dictionary/Workshops/ _I CD_10_Presentation.pptx Stakeholder Preparation for Transition Phases: Transition to ICD 10 CM –http://www.shafafiya.org/Dictionary/Workshops.htmlhttp://www.shafafiya.org/Dictionary/Workshops.html Establishing ICD 10 Transition Working Group.
Workshop Agenda - 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
Arial Stakeholders’ Transition Working Group Representatives (pending contact s*) 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?? Payers Public Payers: Daman Private Payers ADNIC TPA NAS Vendors and others 3M Accumed Abu Dhabi Police
Highlights 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. NOT UAE -We have CPT for outpatient & inpatient reimbursement 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 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 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.
Upgrade to ICD 10 CM June 2014 DSP voted to retain 1 st October, 2015 Deadline EncouterStart date 1/10/ :01
Is it a big change? Comparison ICD-9-CM Mechanical complication of other vascular device, implant and graft 1 code (996.1) ICD-10-CM Mechanical complication of other vascular grafts 156 codes, including T – Breakdown (mechanical) of aortic (bifurcation) graft (replacement) T – Breakdown (mechanical) of carotid arterial graft (bypass) T – Breakdown (mechanical) of femoral arterial graft (bypass) T – Breakdown (mechanical) of other vascular grafts T – Breakdown (mechanical) of unspecified vascular grafts T – Displacement of aortic (bifurcation) graft (replacement) T – Displacement of carotid arterial graft (bypass) T – Displacement of femoral arterial graft (bypass) T – Displacement of other vascular grafts
Comparisons X X X X X X X X X X X X X X X X X X X X X X X X categoryetiology, anatomic site, manifestation categoryetiology, anatomic site, severity extension ICD-9 Code Format ICD-10 Code Format ICD-9-CM 14,025 ICD-10-CM 68,069 Diagnosis Codes
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 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 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 CM-and-GEMs.html Any Questions Please Contact Make Your Plan to ICD 10 CM