Transforming ICD-10 Regulatory Compliance into Strategic Advantage

1. Transforming ICD-10 Regulatory Compliance into Strategic Advantage
Eduardo Porras CPC, CPMA
AHIMA Certified ICD-10 Instructor
SFACO ALL MEMBERS MEETING Saturday 9/6/2014

2. Agenda
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ICD-10 Regulatory Compliance into Strategic Advantage

3. Why is ICD-9 Going to be Replaced?

4. Why is ICD-9 Being Replaced?
ICD-9-CM is out of date and running out of space
for new codes.
Lacks specificity and detail
No longer reflects current medical practice
ICD-10 is the international standard to report and monitor diseases
and mortality, making it important for the U.S. to adopt ICD-10 based
classifications for reporting and surveillance.
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ICD-10 Regulatory Compliance into Strategic Advantage

5. Worldwide ICD-10 Adoption
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ICD-10 Regulatory Compliance into Strategic Advantage

6. Comparison of ICD-9-CM and ICD-10-CM
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ICD-10 Regulatory Compliance into Strategic Advantage
A - Category of code
B - Etiology, anatomical site, and/or severity
C - Extension
7th character for obstetrics, injuries, and external causes of injury
•A - Category of code
•B - Etiology, anatomical site, and manifestation
ICD-9-CM Code
ICD-10-CM code

7. ICD-10 to ICD-9 Mappings
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ICD-10 Regulatory Compliance into Strategic Advantage

8. Summary of Changes
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ICD-10 Regulatory Compliance into Strategic Advantage

9. Potential ICD-10 Impact on Payor Claims Process

10. ICD-10 Impact on Payor Claims Process
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ICD-10 Regulatory Compliance into Strategic Advantage

11. ICD -10
Impact Assessment

12. ICD-10 Timeline
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ICD-10 Regulatory Compliance into Strategic Advantage

13. ICD-10 Assessment Areas
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ICD-10 Regulatory Compliance into Strategic Advantage

14. ICD-10 Readiness Assessment Process
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ICD-10 Regulatory Compliance into Strategic Advantage

15. Implementing Leading Practices

16. 10 Step Strategy for a Seamless Implementation
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ICD-10 Regulatory Compliance into Strategic Advantage

17. Streamline Operations
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ICD-10 Regulatory Compliance into Strategic Advantage

18. Achieve ICD-10 Benefits

19. Moving Forward to Achieve ICD-10 Benefits
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ICD-10 Regulatory Compliance into Strategic Advantage

20. Closing Thoughts

21. How Prepared are You?
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ICD-10 Regulatory Compliance into Strategic Advantage

22. Thank You
If you would like more information on this topic or other ways to increase your reimbursements, contact us directly.
•Call us: 1-877-AVISENA
•E-Mail: marketing@avisena.com
•Visit us at www.avisena.com
Presenter:
Eduardo Porras CPC, CPMA
Director of Operations
Avisena, Inc
Phone 786-621-3879
Eporras@Avisena.com
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ICD-10 Regulatory Compliance into Strategic Advantage