ICD-10 Overview
ICD, the International Classification of Diseases, is published by the World Health Organization (WHO) and used worldwide for morbidity and mortality statistics, reimbursement systems, and automated decision support in health care. On October 1, 2015, the ICD-9 code sets used to report medical diagnoses will be replaced by ICD-10 code sets. This is a significant change that affects all HIPAA covered entities. The change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.
EPIC Management LP’s ICD-10 Project
EPIC Management, L.P. is committed to a successful transition and our ICD-10 project is well underway. EPIC’s ICD-10 Transition Project team’s process includes but is not limited to: 1) Planning phase, 2) Risk and Readiness Assessments Phase, 3) Education and Testing Phase, and finally 4) Implementation Phase. At EPIC, we have completed upgrades to our major systems impacted by this change.
As you can see, it is important that everyone be prepared for this transition. Adequate preparation consists of planning, assessment, communication, education and training, clinical documentation improvement, work flow modifications, testing and finally implementation. It is imperative that each Care Partner develop their own implementation plan to prepare for a successful transition. Some of the benefits of this change include more precise documentation, and improved coding that will lead to accurate claims, and timely payments.
EPIC is currently working to establish a training program and in collaboration with OPTUM beginning in the second quarter of 2015. We’ve also secured CME qualified provider education through AAPC, the American Academy of Professional Coders.
EPIC has assembled a toolkit to help our care partners. The toolkit consists of links to industry resources including CMS implementation plans, a vendor readiness questionnaire, a simplified project plan and checklist of key activities for getting started. Download a copy of the toolkit here:
https://www.hightail.com/download/ bXBiS3haQk5lcEo3czhUQw
OR
EPIC is available to review this toolkit with you at your practice.
The sooner you get started, the more prepared you’ll be for a successful transition to ICD-10!
ICD-10 Links
Information Resources
CMS
http://www.cms.gov/Medicare/ Coding/ICD10/index.html
AAPC
http://www.aapc.com/
WEDI
http://www.wedi.org/
HIMSS
http://www.himss.org/asp/ topics_icd10playbook.asp
California Medical Association
http://www.cmanet.org
Conversion Widgets
http://www.icd10data.com/
http://www.aapc.com/ICD-10/ codes/index.aspx
ICD-10 Codes and GEMs (General Equivalency Mappings)
https://www.cms.gov/Medicare/Coding/ICD10/2016-ICD-10-CM-and-GEMs.html
ICD-10 CM code books:
https://www.optumcoding.com/Product/ 39510/?bid=464&bn=Category2-1/&fg=1/
ICD-10 specialty specific workbooks:
https://www.optumcoding.com/Category/ 100091/100276/
ICD-10 Toolkit
Download a copy of the toolkit here: https://www.hightail.com/ download/ bXBiS3haQk5lcEo3czhUQw
OR
The checklist below, included in the ICD-10 toolkit, provides a summary of key ICD-10 implementation activities.
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Task |
Completed (Y/N) |
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1. |
Determine who in the office will follow through on the process (e.g. physician, office manager, etc.) |
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2. |
Familiarize yourself with ICD-10
· Review EPIC’s ICD-10 Intro PowerPoint presentation
· Explore CMS ICD-10 Information
http://www.cms.gov/ Medicare/ Coding/ ICD10/index.html
· Review other information resources |
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3. |
Review CMS Checklist, Implementation Guides, and Timeline
http://www.cms.gov/ Medicare/Coding/ ICD10/ ProviderResources.html |
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4. |
Make a list of all software systems that contain and/or exchange diagnosis information (e.g. practice management/billing, EMR, etc.) |
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5. |
Contact the software vendors and ask them to complete the readiness questionnaire |
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6. |
Make a list of all business workflow processes that utilize diagnosis information (e.g. Superbills, cheat sheets, etc.) |
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7. |
Identify all staff in your offices that will need training (e.g. biller/coders, physicians, etc.) |
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8. |
Develop a project plan and schedule based on the information from #5, 6 & 7 |
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9. |
Order ICD-10 code books
https://www.optumcoding.com/ Product/ 39510/?bid=464 &bn=Category2-1/&fg=1/
ICD-10 specialty specific workbooks:
https://www.optum coding.com/ Category/100091/ 100276/ |
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10. |
Begin using specificity for ICD-10 in order to improve clinical documentation now
( e.g.
http://www.aapc .com/ ICD-10/ icd-10-documentation -example.aspx ) |
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11. |
Schedule and complete system upgrades. Coordinate with the vendor and your IT support team. |
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12. |
Conduct Internal testing |
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13. |
Conduct External testing with payers and others that get diagnostic information
(e.g. claims clearinghouses, etc.) |
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ICD-10 Training
Education and training is essential for a successful ICD-10 implementation. To get more information about Epic Management LP’s training program, please contact:
ICD-10 Testing
In order to insure all systems are ready prior to October 1, 2015, extensive testing will be required. To coordinate and collaborate with EPIC Management, L.P. in your testing efforts, please contact:
