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Transition to ICD 10 CM Diagnostic Code Set

Transition to ICD 10 CM Diagnostic Code Set. Workshop Agenda - June 23rd 2014 . Highlights of the Previously Shared ICD10 CM Presentation http :// www.shafafiya.org/Dictionary/Workshops/20140320_ICD_10_Presentation.pptx Stakeholder Preparation for Transition

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Transition to ICD 10 CM Diagnostic Code Set

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  1. Transition to ICD 10 CM Diagnostic Code Set

  2. Workshop Agenda - June 23rd 2014 • Highlights of the Previously Shared ICD10 CM Presentation • http://www.shafafiya.org/Dictionary/Workshops/20140320_ICD_10_Presentation.pptx • Stakeholder Preparation for Transition • Phases: Transition to ICD 10 CM • http://www.shafafiya.org/Dictionary/Workshops.html • Establishing ICD 10 Transition Working Group.

  3. Workshop Minutes -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 http://www.shafafiya.org/Dictionary/Workshops.html

  4. Stakeholders’ Transition Working Group Representatives (pending contact emails*) Payers: • Public Payers: • Daman • Private Payers • ADNIC • TPA • NAS 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?? • Vendors and others • 3M • Accumed • Abu Dhabi Police • Contact emails for the above representatives are required to be sent to CCSC@haad.ae by July 7th, to be published in order for Abu Dhabi facilities and payers to contact regarding their issues with ICD 10 transition.

  5. Highlights • 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 • ICD-10-CM (Diagnosis) • Will affect inpatient and outpatient • ICD-10-PCS ( Procedures) • Will only affect inpatient in the U.S. • NOTUAE -We have CPT for outpatient & inpatient reimbursement

  6. 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. • 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

  7. Upgrade to ICD 10 CM

  8. Is it a big change?Comparison ICD-10-CM Mechanical complication of other vascular grafts 156 codes, including T82.310 – Breakdown (mechanical) of aortic (bifurcation) graft (replacement) T82.311 – Breakdown (mechanical) of carotid arterial graft (bypass) T82.312 – Breakdown (mechanical) of femoral arterial graft (bypass) T82.318 – Breakdown (mechanical) of other vascular grafts T82.319 – Breakdown (mechanical) of unspecified vascular grafts T82.320 – Displacement of aortic (bifurcation) graft (replacement) T82.321 – Displacement of carotid arterial graft (bypass) T82.322 – Displacement of femoral arterial graft (bypass) T82.328 – Displacement of other vascular grafts • ICD-9-CM • Mechanical complication of other vascular device, • implant and graft • 1 code (996.1)

  9. Comparisons ICD-10-CM 68,069 ICD-9-CM 14,025 Diagnosis Codes ICD-9 Code Format ICD-10 Code Format X X X X X X X X X X X X extension category etiology,anatomic site,manifestation category etiology,anatomic site,severity

  10. Comparisons

  11. Tentative Timeline

  12. Make Your Plan to ICD 10 CM • 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

  13. 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

  14. 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 http://www.cms.gov/Medicare/Coding/ICD10/2014-ICD-10-CM-and-GEMs.html Any Questions Please Contact • ccsc@haad.ae

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