Billing with ICD 10 Understanding what Centricity Practice Solutions can do for you.

Disclaimer The content of this presentation represents the views of the author and presenters. GE, the GE Monogram, Centricity and Imagination at Work are trademarks of General Electric Company.

HealthCo - Our Story Value Added Reseller Over 400 clinics 2013 and 2014 GE Channel Partner of the Year Presenter: Donna Dietz, Senior Implementation Consultant Co-Presenter: Andrea Cunningham, Director - Professional Services

Agenda Timelines Planning/Preparation Tools Set-Up

R46.1 is “bizarre personal appearance” “Are you going to share the story that talks about improvement in patient care or the one that makes you laugh?” … John Lynn/ HealthcareScene.com blog network Z63.1 “Problems in relationship with in-laws” V97.33XA “Sucked into jet engine, initial encounter” V97.33XD “Sucked into jet engine, subsequent encounter” V97.33XS “Sucked into jet engine, sequela”

ICD Codes Last major industrialized nation to switch 35+ years old Limits growth ICD Codes Flexible for expansion More specific diagnoses

“Based on the survey results, it appears the delay has had a negative impact on some readiness activities – especially external testing. Uncertainty over further delays was listed as a top obstacle across all industry segments,” Jim Daley, WEDI past-chair and ICD-10 Workgroup co-chair, said in a public statement…..”Jim Daley Author Vera Gruessner | Date April 7, 2015Vera Gruessner

Deadlines Prior to October 1, 2015 – ICD-10 Test purposes only – ICD-9 to bill dates of service <10/01/2015 After October 1, 2015 – ICD-10 for all dates of service on or after 10/01/15 – ICD-9 for all dates of service before 10/01/2015

Is Your Practice– ICD-10 Ready

CMS – ICD-10 Compliant

Clearinghouse – ICD-10 Compliant

Clearinghouse – Testing Status Check clearinghouse website State of readiness – Testing of ICD-10 transactions HealthCo has tested with our supported clearinghouses – Availity, Centricity EDI, HCRNet, Health-e-Web, Relay Health

Payors – ICD-10 Compliant

Billing Service – ICD-10 Compliant

CPS 12– ICD-10 Compliant

ICD-9 Codes ICD-10 Codes – All available for Load – Many with ICD-9 Mapping * Enterprise Date Carrier Date Mixed Carrier Dates

Work to Do Practice Management

Centricity Enterprise ICD-10 Implementation Date Carrier ICD-10 Implementation Date ICD-10 Diagnosis Codes – Cross Mapping ICD-9 Codes when applicable

Enterprise ICD-10 Implementation Date

Carrier ICD-10 Implementation Date

Carrier Preparation Tasks Identify Carriers that are exempt from ICD-10 requirements (Work Comp, Liability) Identify Carriers that will not be ready to accept ICD-10 codes on 10/01/2015 – Websites, calls Update Carrier Implementation Date far future date (Example: 12/31/9999)

Prepare for Mapping Determine Top Diagnoses Identify NOS Laterality 7 th Character “X” Character

ICD9>ICD10 Source: Centers for Medicare & Medicaid Services (CMS) General Equivalence Mapping (GEMs). Based on 2011 GEMS mapping.

S S Location Displaced Transverse Fracture Category Extension Shaft of Humerus Initial Encounter of closed fracture A A Etiology Laterality Right Arm Humerus Fracture

All Femur Fracture Codes ICD-9: 16 codes ICD-10: 1530 codes

ICD-10 CM Format Alphabetic Index – 21 Chapters Tabular List Instructional Notes

GEMS General Equivalence Mapping Created by CMS and CDC Crosswalk Tool Backward and Forward Mapping Posted annually with updated Will be maintained for 3 years post implementation

ICD-10 Diagnosis Codes Load ICD-10 codes Map to ICD-9 as applicable Review “pre-mapped” – User is responsible for accuracy

Load ICD-10 Codes

Mapping

Visit Record – ICD 10 Enterprise Date ICD 10 Insurance Carrier ICD 10 Implementation Date Date of Service – Prior to October 2015 – ICD-9 – October 2015 or later – ICD-10

Claim Insurance Carrier Implementation Date Medicare – Implemented ICD-10 Consolidated Healthcare – Not implemented

Visit – ICD 10 Codes Display

Date of Service Prior to 10/01/2015

DX Search Based Enterprise Implementation Date & Date of Service

Do you have a plan?

Plan for Chart Requirements

Questions

Resources CMS WHO AMA WEB