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Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains Stat

Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS ) January 30, 2013, 12:00 PM – 1:00 PM MT Presented by Gervean Williams, Director, Community Health Center Finance and Operations,

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Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains Stat

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  1. Preparing for ICD-10 Transition Teleconference Hosted by Community Health Association of Mountain/ Plains States (CHAMPS) January 30, 2013, 12:00 PM – 1:00 PM MT Presented by Gervean Williams, Director, Community Health Center Finance and Operations, National Association of Community Health Centers (NACHC)

  2. The NACHC Mission To promote the provision of high quality, comprehensive and affordable health care that is coordinated, culturally and linguistically competent, and community directed for all medically underserved populations.

  3. ICD – 10 Myths • It’s not going to happen • My employees are responsible for the changes • It won’t require many operational changes • My software vendor is responsible for the changes • We have plenty of time • We are ready now

  4. ICD-9 History • World Health Organization • National Center for Health Statistics Adopts ICD-9 in 1979 • ICD-9 is the International classification of diseases, 9th revision

  5. Why Change to ICD-10 • ICD-9 is over 30 years old • More specific and accurate capture of data • Improved ability to measure health care services • Alignment with WHO

  6. Timeline

  7. Potential Impact of 5010/ICD - 10 • Information Technology • Finances • Providers and Staff

  8. IT Concerns • Impact of transaction types • IT Staff • Electronic Medical Record(EMR) • Practice Management Software (PMS)

  9. Finances • Budget considerations • Software and Hardware • Upgrades • Testing • Training • Will you be able to send claims electronically?

  10. Budget Considerations • Software and licensing • Hardware • Upgrades • Training • Updating forms • Testing

  11. MGMA Budget Sample

  12. Provider and Staff Training • Who • Providers, Clinical staff, Billing, and Finance • When • Phase training • How much • Varies depending on responsibilities

  13. Planning Needs • Assess your current systems • Identify your internal and external teams • Contact your IT and clearinghouse vendors • Develop an implementation timeline • Train, Test, Train, and Test

  14. Key Steps • Organize project team & resources for project completion • Conduct preliminary impact analysis (mission critical issues) • Create implementation timeline (need vs. nice to have) • Develop ICD-10 Implementation Budget (plan more, not less) • Analyze documentation needs (EMR, dictation, hand-written) • Develop communication plan (special news letter, staff meetings, special sessions, etc.) • Develop training plan (targeted AND integrated training) • Complete information systems design & development • Conduct business process analysis (optimal not perfect) • Conduct needs assessment (Missed anything?) • Complete deployment of system changes (test, test, final) Note: Based on AMA’s “Implementation of ICD-10…;” Chapter 4, page 45

  15. Community Health Center Issues • Billing • UB-04 and 1500 • Uniform Data System • Table 6 • Grant Writing • Registry

  16. Resources • ICD – 10 On Demand Webinar http://www.softconference.com/nachc/slist.asp?C=2761#TID17717 • AAFP http://www.aafp.org/online/etc/medialib/aafp_org/documents/prac_mgt/codingresources/timeline.Par.0001.File.tmp/ICD10Timeline.pdf • CMS Resources http://www.cms.gov/ICD10/02b_Latest_News.asp#TopOfPage

  17. Misc….Medicare Changes • CR 7038 • PAL 2011-04 • Enrollment Application Fee (855 form) • Revalidation

  18. Acknowledgements • CMS ICD-10 Planning • Priority Management Group, Inc. 2011 www.gopmg.com

  19. Contact Information http://www.nachc.com/complete-list-of-trainings.cfm Gervean Williams Director of Finance and Operations NACHC gwilliams@nachc.com

  20. Thank you for your participation! • Please complete the online evaluation questionnaire. You will receive an email with a link to the evaluation. Your feedback is very valuable in helping CHAMPS develop future training programs. • There is no continuing education credit available for this event. • An archive of the event will be made available within one week of the live event on the CHAMPS website at http://www.champsonline.org/Events/DistanceLearning.html#archtele. • Please contact Shannon Kolman at Shannon@champsonline.org or 303-867-9583 with any questions.

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