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An Eye for ICD-10s. Jaye Benson Marketing Manager MEDITECH. Overview of ICD-10 Impact of ICD-10 Planning and Preparing for ICD-10 MEDITECH's Road Map. Competing Initiatives. ARRA ACOs 5010/HIPAA Payment Restructuring. Why Move to ICD-10s.
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An Eye for ICD-10s Jaye BensonMarketing ManagerMEDITECH
Overview of ICD-10 • Impact of ICD-10 • Planning and Preparing for ICD-10 • MEDITECH's Road Map
Competing Initiatives • ARRA • ACOs • 5010/HIPAA • Payment Restructuring
Why Move to ICD-10s • Improved understanding of health conditions • Improved patient outcomes • Improved data for disease management (nationally and worldwide) • Reduced need for additional documentation from payers Greater Level of Specificity Provides:
Myths About ICD-10 • It's an I.T. project • It's a HIM project • They will be revenue neutral
I.T. Impact • Providers • Vendors • Clearinghouses and Payers
User Impact • HIM/Coders • Physicians • Patient Access and Ancillary Staff • Case Managers and Utilization Review • Patient Financial Services • Contract Management • Quality Reporting • Decision Support
Cumulative Impact of ICD-10s • Decreased productivity • Increased coder demand • UR/AR increase • Decreased cash flow
How has MEDITECH been preparing for ICD-10s? • Recommendations and Best Practices • What's still to come?
MEDITECH's Road Map • Preparation Began in 2009 • ICD-10 Committee • Updated all ICD-10 Touch Points in our Systems • Dual Coding Functionality Introduced • General Equivalency Maps (GEMS) • MEDITECH Staff Education • Customer Education • Best Practice • Future Changes
Industry Best Practices • Identify Your Needs • Steering Committee • Budget Planning • Training/Staffing • Reporting • Interfaces • Financial/Payers • Medical Necessity • Encoder Interfaces
More to Come... • Problem List enhancements • Physician Documentation enhancements • Coder worklist • Notices • Nomenclature mapping • Natural language processing
MEDITECH Resources • Customer training sessions • ICD-10 Resource Center • Periodicals, portals, people • Your story