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Open Line Friday: ICD-10
The Importance of Data for ICD-10 Success
Dr. Joseph Nichols, Health Data Consulting

Dec. 20, 20...
Open Line Friday: ICD-10
We are here for you.
Do we have your correct email address?

Register and regularly update your e...
Open Line Friday: ICD-10
Panelists
Gale Scott

Lee Ratliff

EDI Regulatory Compliance
Administrator
Tampa General Hospital...
Open Line Friday: ICD-10
Dec. 20, 2013
Special Guest
Joseph Nichols, MD
Board Certified Orthopedic Surgeon
Principal
Healt...
Open Line Friday: ICD-10
Objectives
1.Increase collaboration, communication and coordination between providers,
payers and...
Open Line Friday: ICD-10
Agenda
Dec. 20, 2013
1. Dr. Nichols addresses the importance of documentation and
coding for impr...
Open Line Friday: ICD-10
Health Care Industry and Regulatory Update:
•The Centers for Medicare & Medicaid Services (CMS) i...
Open Line Friday: ICD-10

Florida Blue Update:
•ICD-10 Provider Pulse Survey #2 – Our survey was scheduled to close Dec. 6...
Open Line Friday: ICD-10

The Importance of Data for ICD-10 Success
Joseph Nichols, MD
(refer to supplemental program pres...
Open Line Friday: ICD-10 Edition
Less than 10 Months to ICD-10
“Indications remain that significant numbers of industry pa...
Open Line Friday: ICD-10
ICD-10 Helpful Resources and Reference Material
Though not inclusive, the following list includes...
Open Line Friday: ICD-10
Next Steps Next Contact Information
and Steps
Join us in our next session, Friday Jan. 17, 2014; ...
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Open Line Friday: The Importance of Data for ICD-10 Success

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ICD-10 is an enormous change for healthcare providers, particularly with all of the mandates we’re now facing. This may be why so many physicians consider the ICD-10 mandate burdensome. In this session of Open Line Friday, Florida Blue meets with our panel of experts and gets insights from special guests, Dr. Joseph Nichols, orthopedic surgeon and WEDI co-chair. With preparation and collaboration, we can overcome the burden. Want to join us for our next Open Line Friday? Details here: http://ow.ly/sEZRe

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Transcript of "Open Line Friday: The Importance of Data for ICD-10 Success"

  1. 1. Open Line Friday: ICD-10 The Importance of Data for ICD-10 Success Dr. Joseph Nichols, Health Data Consulting Dec. 20, 2013 9:30 a.m. – 10:30 a.m. EST Dial Toll-Free: (800) 882-3610 Conference Passcode: 6829655# 900-4167-1213 900-3571-0213
  2. 2. Open Line Friday: ICD-10 We are here for you. Do we have your correct email address? Register and regularly update your email address with us. • You can add, update or delete your email address and contact information at any time using Availity's secure website. Log on to Availity®1 at www.availity.com, select Payer Resources, Florida Blue and Update My Email Information with Florida Blue, then follow the prompts. • ICD-10 Open Line Friday email list: Send us your email by contacting us at floridablueopenlinefriday@floridablue.com 1 Availity, LLC is a multi-payer joint venture company. For more information or to register, visit Availity’s website at www.availity.com. 2
  3. 3. Open Line Friday: ICD-10 Panelists Gale Scott Lee Ratliff EDI Regulatory Compliance Administrator Tampa General Hospital Clinical Business Technology Consultant Baptist Health South Florida Laurie Darst Deborah Stewart, MD Revenue Cycle Regulatory Advisor Mayo Clinic (MN) Medical Director Florida Blue Mary Rita Hyland Matthew Ketterman CPO and VP Regulatory Affairs The SSI Group, Inc. Director, Business Solutions Availity® Joseph Gonzalez VP of Business Development Secure EDI Diana Brijbag, CMM, CPC, CCP, CMSCS George Vancore Office Manager The Springs Family Medical Center Senior Manager, Delivery Systems Mandates Florida Blue 3
  4. 4. Open Line Friday: ICD-10 Dec. 20, 2013 Special Guest Joseph Nichols, MD Board Certified Orthopedic Surgeon Principal Health Data Consulting Edmonds, WA Note: Florida Blue is planning to include the above special guest(s) in this program. However, our clinical guests are always subject to reschedule due to an unforeseen clinical or other emergencies. Should our guest(s) lack availability at the time of our program, Florida Blue will attempt to reschedule guest(s) for a future session. 4
  5. 5. Open Line Friday: ICD-10 Objectives 1.Increase collaboration, communication and coordination between providers, payers and electronic trading partners. 2.Expand your understanding of the current state of ICD-10, recent regulatory decisions and industry perspectives. 3.Raise your awareness and understanding of the unique challenges that ICD-10 brings to the entire health care industry including providers, payers and electronic trading partners. 4.Provide you with tools, techniques, best practices and helpful hints from your peers that can be used as you begin and continue your ICD-10 journey. **** Please remember that during the call all attendees must be on “mute” except for any guest speakers and all panelists. If you have a question, please email it to FloridaBlueOpenLineFriday@FloridaBlue.com. 5
  6. 6. Open Line Friday: ICD-10 Agenda Dec. 20, 2013 1. Dr. Nichols addresses the importance of documentation and coding for improved patient outcomes in ICD-10. 2. Panelist’s/Dr. Stewart’s comments 3. Next Steps 6
  7. 7. Open Line Friday: ICD-10 Health Care Industry and Regulatory Update: •The Centers for Medicare & Medicaid Services (CMS) is the “source of truth” for all things ICD-10. Visit www.cms.gov/ICD10 to get the most recent communication and training material. Subscribe for regular email CMS ICD-10 updates by clicking here. Online ICD-10 Implementation Guide CMS has released a new recording of an ICD-10 training webinar conducted for the National Association of Community Health Centers. The video is available on CMS ICD10 Provider Resources page. •WEDI's ICD-10 Industry Readiness Survey Results and Update (click here). •HIMSS/WEDI National ICD-10 Pilot Program Update (click here) 7
  8. 8. Open Line Friday: ICD-10 Florida Blue Update: •ICD-10 Provider Pulse Survey #2 – Our survey was scheduled to close Dec. 6, however, we are keeping it open through today so you may answer our 12 questions if you haven’t already done so. If you have completed our questions, we thank you greatly for your input. Our findings will allow us to realign our ICD-10 provider outreach efforts where necessary. We will share out results with you in our Jan. 17 Open Line Friday session. •Our overall ICD-10 initiative is proceeding on plan. We are currently in our initial phase of internal (Level 1) testing. Florida Blue is deploying a full remediation strategy to implement ICD-10. •ICD-10 Testing with Providers – Currently, engaging providers in Phase I testing - an ICD-9 and ICD10 codes comparison and validation process of clinical scenarios. Phase II and III is anticipated to begin in our first quarter of 2014. •Florida Blue’s ICD-10 Provider Toolkit (In one convenient location, access reliable ICD-10 facts, tips, guides, timelines, education and more) is accessible from www.floridablue.com/icd-10. This tool is for YOU! Recently revised! 8
  9. 9. Open Line Friday: ICD-10 The Importance of Data for ICD-10 Success Joseph Nichols, MD (refer to supplemental program presentation *) * If applicable, supplemental program material can be accessed at www.floridablue.com/ICD-10 under Open Line Friday located in right margin within 48 hours prior to teleconference. 9
  10. 10. Open Line Friday: ICD-10 Edition Less than 10 Months to ICD-10 “Indications remain that significant numbers of industry participants have a ICD-10 Internal Testing Strategies (continued) considerable amount of work to do in a very short time.” (Stanley Nachimson, (An Open Panel Discussion) Director of the NCHICA/WEDI timeline initiative) •More testing content here The runway to ICD-10 is getting shorter and shorter and shorter …with less than 10 months to take-off! Are you getting ready? 2013 2014 10/1/2014 10 900-3571-0213 10
  11. 11. Open Line Friday: ICD-10 ICD-10 Helpful Resources and Reference Material Though not inclusive, the following list includes several public websites that can help increase general awareness and understanding of the ICD-10 mandate and its impact to the health care industry: The links below were referenced during this presentation. The actual URLs below are provided for your convenience: For regular CMS ICD-10 email updates, subscribe at: https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_608 WEDI's Survey on Industry ICD-10 progress: http://www.wedi.org/docs/comment-letters/2013-wedi-icd-10-survey-results-letter.pdf?sfvrsn=0 FREE CMS and WEDI ICD-10 End-to-End Testing Webinars available for download: http://www.wedi.org/forms/meeting/MeetingFormPublic/view?id=220AC00000156 HIMSS/WEDI National ICD-10 Pilot Program Update: http://www.himss.org/library/icd-10/national-pilot-program?navItemNumber=13477 11
  12. 12. Open Line Friday: ICD-10 Next Steps Next Contact Information and Steps Join us in our next session, Friday Jan. 17, 2014; topics to include WEDI and Florida Blue’s ICD-10 Provider Readiness Survey Results and What You Should Be Doing Now. Access Florida Blue’s ICD-10 Provider Toolkit and more at www.floridablue.com/ICD-10 Visit the Availity®1 ICD-10 Webinar Series: FREE, ICD-10 Webinars (live & recorded) offered Oct. Dec. 2013 . Availity archived a four-part “ICD-10 Webinar Series” that is available for download. For more information, simply visit www.availity.com/learningcenter. Add/update your email address so we can keep you informed via email (Bluemail) • Add, update or delete your email and contact information at any time using Availity's secure website. Log on to Availity at www.availity.com, select Payer Resources, Florida Blue and Update My Email Information with Florida Blue then follow the prompts. • ICD-10 Open Line Friday email list: send us your email by contacting us at floridablueopenlinefriday@floridablue.com Test ICD-10 with us. If you are interested in testing with us, visit www.floridablue.com/icd-10 and select our “Test ICD-10 icon” for more information. Your testing questions may be emailed to ICD-10Testing@floridablue.com. Send general ICD-10 questions and comments to floridablueopenlinefriday@floridablue.com. Follow us on Twitter @FLBlue 1 Availity, L.L.C. is a multi-payer joint venture company. For more information or to register, visit Availity’s website at www.availity.com 12
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