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

2. 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.

3. 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

4. Agenda Timelines Planning/Preparation Tools Set-Up

5. http://cms.gov/Medicare/Coding/ICD10/index.html

6. 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”

7. ICD-9 14000+ Codes Last major industrialized nation to switch 35+ years old Limits growth ICD-10 68000 Codes Flexible for expansion More specific diagnoses

8. “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 https://ehrintelligence.com/2015/04/07/is-the-industry-ready-for-the-icd-10-implementation-deadline/

9. 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 http://cms.gov/Medicare/Coding/ICD10/index.html

10. Is Your Practice– ICD-10 Ready

11. CMS – ICD-10 Compliant

12. Clearinghouse – ICD-10 Compliant

13. 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

14. Payors – ICD-10 Compliant

15. Billing Service – ICD-10 Compliant

16. CPS 12– ICD-10 Compliant

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

18. Work to Do Practice Management

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

20. Enterprise ICD-10 Implementation Date

21. Carrier ICD-10 Implementation Date

22. 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)

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

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

25. S S Location Displaced Transverse Fracture Category Extension Shaft of Humerus Initial Encounter of closed fracture 4 4 2 2 3 3 2 2 1 1 A A Etiology Laterality Right Arm Humerus Fracture

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

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

28. 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

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

30. Load ICD-10 Codes

31. Mapping

32. 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

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

35. Visit – ICD 10 Codes Display

36. Date of Service Prior to 10/01/2015

38. DX Search Based Enterprise Implementation Date & Date of Service

40. Do you have a plan?

41. Plan for Chart Requirements

42. Questions

43. Resources CMS http://cms.gov/Medicare/Coding/ICD10/index.html WHO http://apps.who.int/classifications/icd10/browse/2015/en AMA WEB