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Local Health Operations Branch Update

Local Health Operations Branch Update. Questions and Answers PHN ITV October 17, 2013. ICD 10 Transition.

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Local Health Operations Branch Update

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  1. Local Health Operations BranchUpdate Questions and Answers PHN ITV October 17, 2013

  2. ICD 10 Transition • The Local Health Operations (LHO) Branch began making Department for Public Health (DPH) and Local Health Departments (LHD) aware of the federal requirement to transition from ICD-9 to ICD-10 in 2011.  • DPH program staff are currently reviewing the ICD-9 codes that pertain to their program cost centers to determine the appropriate ICD-10 code that LHDs will need to use. 

  3. ICD 10 Transition • Once this process is finalized, LHO staff will work with CDP to get the PSRS system ready to accommodate the ICD-10 codes.  • After that time DPH program staff, under the coordination of LHO, will schedule an ITV to provide training to the LHDs on the transition.   

  4. ICD 10 Transition • In the interim, LHDs can familiarize themselves with aspects of ICD-10 through the Medicare Learning Network (MLN).  • MLN offers frequent webinars.  • LHO will forward webinar training information as it is received. 

  5. DMS Correspondence • The Department for Medicaid Services (DMS) sent out ICD 10 conversion correspondence on September 20 to all Medicaid providers.  

  6. DMS Correspondence • This message targeted independent/private providers to alert them of the upcoming changes.  • Since DPH is working with CDP on the ICD 10 transition of coding, LHDs do not need to be concerned with the vendor/clearinghouse setup.

  7. Meaningful Use • “Meaningful Use” is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records (EHR) • Allows eligible providers and hospitals to earn incentive payments by meeting specific criteria. For details about the incentive programs, visit the CMS website.   

  8. Meaningful Use • CDP is working with DPH to provide the LHDs with certified EHR system capability by early to mid 2014.  • More information regarding meaningful use and the LHD EHR system will be forthcoming

  9. Medicare and “Qualified Providers” • Q: Are there any talks underway to get Medicare to recognize LHD RN’s as “qualified providers” for administering immunizations other than flu & pneumonia?  (i.e., Hepatitis B) • A: At this time, DPH does not contract with Medicare, so DPH is not in a position to negotiate this request.

  10. Medicare Provider Guidelines • Qualified Medicare Providers can provide services to Medicare Part B & C patients according to their scope of practice and they follow the “Medicare Preventive Services Guidelines” manual (CMS website). • LHDs have unique billing situations related to their provider setups; therefore, they must know the rules for billing Medicare as it relates to their agency.

  11. Questions? Further questions? Contact the LHO Branch at LocalHealth.Helpdesk@ky.gov

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