1. ICD-10 UPDATE 2 Rocky Fullerton, Sr. Manager ePMO October 7, 2015.

Slides:



Advertisements
Similar presentations
St. Louis Public Schools Human Resources Support for District Improvement Initiatives (Note: The bullets beneath each initiative indicate actions taken.
Advertisements

The Risk Management Process (AS/NZS 4360, Chapter 3)
MSCG Training for Project Officers and Consultants: Project Officer and Consultant Roles in Supporting Successful Onsite Technical Assistance Visits.
1 Capital BlueCross ICD-10 Toolkit. 2 Introduction Capital BlueCross and ICD-10 Capital BlueCross is dedicated to assisting providers transition to ICD-10.
Process and Procedure Documentation. Agenda Why document processes and procedures? What is process and procedure documentation? Who creates and uses this.
Documentation Enhancement is the Key to Success!.
Transitioning to ICD-10-CM/PCS. Agenda Overview Implementation Team Organization Awareness Impact Analysis Financial Impact Training Plan Timeline.
Lessons Learned from the 5010 Conversion to take into ICD-10
What you need to know about billing to Medicaid Beverly Remm Director of Billing Orion Healthcare Technology.
CALEA Compliance in 2006 H. Michael Warren Vice President, Fiduciary Services NeuStar, Inc February 2006.
Imagine that. Ingenious. Surviving and Thriving in the ICD-10 Transition Joy C. Burnette, RN, BSN, AACC, CHTS-IM, CPHIMS February 2014.
Segment Five: Provider Communication Idaho ICD-10 Site Visit Training segments to assist the State of Idaho with the ICD-10 Implementation January 26-27,
SHELLY GUFFEY MAKING THE MOST OF YOUR REVENUE CYCLE MANAGEMENT TECHNOLOGY
2010 Region II Conference Corporate Compliance Panel June 3, 2010
Operations Process Workflow September 13, Streamlined Operations – No Wrong Door (MAGI Medicaid/CHIP/APTC/QHP) AHCT, DSS and other partners have.
MyFloridaMarketPlace
State of Kansas Statewide Financial Management System Project Update Agency STARS Rapport Association August 2, 2007.
Center for Health Care Quality Licensing & Certification Program Evaluation 1 August 2014 rev.
Preparing for ICD-10 Implementation WV HFMA 2012 Revenue Cycle Spring Workshop.
Readiness Index – Is your application ready for Production? Jeff Tatelman SQuAD October 2008.
PELORUS INTELLIGENCE AND TRAINING ACADEMY
ICD-10 IMPLEMENTATION – ARE YOU WHERE YOU NEED TO BE? Maureen Doherty, CPC, CPC-H EisnerAmper Healthcare Services Group June 2012.
The Transition to ICD-10 November 8, 2013 Dickon Chan Health Insurance Specialist Centers for Medicare & Medicaid Services 1.
2010 UBO/UBU Conference Title: MHS Implementation of ICD-10 – Status Update Session: R
ITPD PRODUCTION SUPPORT PROCESS OCTOBER 8, /15/2015 Guiding Principles 1.Support the business area’s needs to execute transactions and expand.
Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS) January 30, 2013, 12:00 PM –
ICD-10 CHANGE AHEAD Change is HARD 1)ICD-9 CM implemented in )Other countries using ICD-10 since the 1990’s: UK 1995, France 1997, Germany 2000,
HealthTechNet July 19, Introduction to ICD-10 Timeline Readiness Assessment Departments and Systems Impacted Steering Committee Education 2.
Presented by Joan Kossow Data Compliance Manager The Changing Face of Claims Processing &
Compliance and Quality Bringing It Together for Your Board Kristin Jenkins, J.D., FACHE October 2008.
ICD- 10 READY OR NOT ! Terrance Govender, MD, MBBCh, C-CDI, CHBC.
State of Iowa Enterprise HIPAA Compliance
Planning your Summer Food Service Program Staffing Oregon Department of Education Summer Food Service Program.
© 2015 TriZetto Corporation ICD-10: Ready, Set, Go! August 27, 2015.
0 Presentation to: Providers, Trading Partners & Billing Firms Presented by: Sheldia Evans-Maddox Department of Community Health (DCH) Medical Assistance.
Because your patients come first. Regulatory and Practice Management Services Daniel L. Johnson, CPC, CPC-H.
By: Heather Smith LDR 609. On January 15, 2009, the Department of Health and Human Services (HHS) released the final regulation to move from the current.
1. ICD-10 UPDATE 2 John Mandujano, PMP CPHIMS September 2, 2015.
1 HSCRC ICD-10 Hospital Survey Information Exchange II May 28, 2015.
Bill Atkins, Exec. Vice President Health Management Consultants, LLC. Columbia, Maryland Electronic Medical Records Some.
Implementing QI Projects Title I HIV Quality Management Program Case Management Providers Meeting May 26, 2005 Presented by Lynda A. O’Hanlon Title I HIV.
DCIPS Implementation Project Plan Update Army G2 Intelligence Personnel Management Office (IPMO) April 6, 2009.
“Reaching across Arizona to provide comprehensive quality health care for those in need” Our first care is your health care Arizona Health Care Cost Containment.
Welcome to the San Bernardino Coach Quarterly Meeting.
Systems Update May HIPAA 5010 Project Status Key Considerations/Timeline for 7/1/2012 Next Steps.
Performance Management: Getting Ready for Accreditation Needs Assessment Survey Community Assessment 1 Online survey Open to anyone interested in this.
IEP Health Related Service: Speech/Language Pathology and Audiology Identifying ICD-10-CM Codes May, 2015.
A Values Based Approach to Handling Risk. DigniCARE’s Approach is Different DigniCARE differentiates itself by using a “Values Based” approach to risk.
Connecting the Dots A Practical Approach to Integrating Compliance, Risk and Quality Jody Ann Noon RN, JD Partner Health Care Regulatory Practice.
Veterans Assistance The Department Service Officer Perspective.
IEP Health Related Services: Occupational and Physical Therapy Identifying ICD-10-CM Codes May, 2015.
GETTING STARTED Physician Office ICD-10 Preparation Karen Prescott Norwalk Hospital.
Provider Outreach and Education November 16, 2010.
Facilitators: Kit Cairns, Dean Health Greg Margrett, Netwerkes/Ingenix.
Segment 6: Provider Communication California ICD-10 Site Visit Training segments to assist the State of California with the ICD-10 Implementation June.
National HIPAA Audioconference: Analysis of the National Provider Identifier Preparing for the NPI Transition January 11, 2006.
Response due: March 15,  Directions state that the report must “focus on the institution’s resolution of the recommendations and Commission concerns.”
HomeTown Health LEVEL TWO: MANAGED CARE. Why focus on MANAGED CARE? Despite the rapidly changing health care environment under managed care and.
Texas Nodal Program ERCOT Readiness Update TPTF May 5, 2008.
Click to edit Master title style Status of ICD-10 Challenges and Successes 2014 Infian User Group Meeting September 17-18, 2014 Presented by: Robin Heath.
ICD-10 Operational and Revenue Cycle Impacts Wendy Haas, MBA, RN Dell Services Healthcare Consulting.
Keys to a Successful Records Management Implementation One Firm, One Place for Records Presented by: Joanna Pashos.
Under the Deck Vendor: The Engine Room. Idaho WIC Vendor Overview  Work with stores  Authorization  Contract renewal  Training  Create the food list.
Assessing Quality Improvement in Special Needs Plans Marsha Davenport, MD, MPH CAPT USPHS Chief Medical Officer Medicare Drug and Health Plan Contract.
1 Transition to ICD-10 UC San Diego Health System 2015.
Best Managerial Practices For Supervisors and Managers
Assessing Where You Are To Know Where to Go Next
Digital Learning Forum Meeting November 12, 2018
21 NOVEMBER 2018 FREE STATE PROVINCE
HSCRC ICD-10 Hospital Survey
Presentation transcript:

1

ICD-10 UPDATE 2 Rocky Fullerton, Sr. Manager ePMO October 7, 2015

Support Plans (Post Go-Live) WellCare post go-live readiness and support plans include: –A 15% additional staffing by our Customer Service group –Conducting go-live status meetings with leadership team and market reps to review transactions of critical importance, as well as impact to their SLAs –Establishing a fully staffed war room for October 1 and planning to keep this open for 10 days; Project Management Office will staff and track major issues –Establishing support procedures to direct any problems that arise to the correct group for resolution 3

WellCare’s Internal Training External vendor conducted an ICD-10 Boot Camp (20-hour online workshop) for new Coders coming onboard. Corporate coders who have completed assessments and boot camp are taking more in-depth courses including 26 hours of CM training and 32 hours PCS training. WellCare Associates are taking a 7-hour online training w ebinar. 1-day onsite workshop for all Corporate Coders. 4

WellCare’s ICD-10 Readiness It will take a couple of weeks before we have the full picture of ICD-10 implementation because very few health care providers file claims on the same day a medical service is given. –Providers are encouraged to contact their local Provider Relations representative if there are any concerns or assistance needed; providing specific examples of your concerns is most helpful for investigative purposes WellCare will be monitoring the claims intake and adjudication cycle for ICD-10 compliancy over the next few weeks. WellCare is aligning itself with CMS guidelines and practices for ICD-10 compliance. 5