More Related Content Similar to Impact Assessment for ICD10 Implementation (20) Impact Assessment for ICD10 Implementation1. 1 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information. MY ICD10 POSSE WEBSITE
Please go to our website http://myicd10.advancedmd.com/ and
download our Impact Assessment Tool if you didn’t receive it via
email.
3. 1. Understand the basics of completing an Impact
Assessment
2. Understand how to use the tools to complete an
Impact Assessment
3. Answer questions and get your feedback
Complete Survey – Price of today’s admission
3 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
4. 4 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
ICD-9
Technology
Processes
People
ICD-10
Technology
Processes
People
Current State of your Office
Identify
Assess
Plan
Budget Future State of your Office
Who When $$$$
5. 5 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IDENTIFY AND LIST ALL OF YOUR OFFICE WORKFLOW PROCESSES THAT USE ICD-9
CODES TODAY
Office Workflows
Patient Financial Flow
Patient Demo
Appointment Scheduling
Appt Confirmation
Pt Check-in
(Pre-Auth/Referral)
Patient Clinical Flow
Problem List
History and physical
Medications
Patient Assessment-Documentation
Orders (Lab/x-ray)
Results Processing - Inbound/outbound
Patient Education
Health Maintenance-(Health Watcher)
Charge Capture
Charge slip/encounter form/super bill
Coding the Charge Slip
Claims generation
Clearinghouse claims rejections
Carrier claims rejections
Track and Analyze success and failures
Client perform reimbursement analysis
A/R Follow-up/Decision Support
Workflows can be found on the tab labeled -
1) Project Master tab
6. 6 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IDENTIFY AND LIST ALL OFFICE STAFF AND PROVIDERS WHO CURRENTLY WORK
WITH ICD-9 CODES
PHYSICIAN/OWNER
NURSE
MA
MANAGER – ICD PROJECT TEAM
BILLER – ICD PROJECT TEAM
CODER – ICD PROJECT TEAM
FRONT DESK
Office staff members can be found on the tab labeled –
1) Project Master tab – Row 1
Physician/Owner
Nurses
OtherClinicalStaff
Manager
BillingStaff
Coding
FrontDesk
7. 7 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IDENTIFY AND LIST CURRENT ELECTRONIC SYSTEMS (E.G., PRACTICE MANAGEMENT
SYSTEM, IN-HOUSE LAB, EHR, ETC.) THAT USE ICD-9
PartnerType
Vendors/Partners
ContactName
ContactEmail
ContactPhone
PM/EHR ADP AdvancedMD ICD10 Posse icd10posse@advancedmd.com 801-984-9500
Ancillary Lab Corp
Ancillary Radiology
Technology Systems on the tab labeled –
2) Vendors Partners tab
8. Family Practice Office
• 984 Unique ICD-9 Codes 2012
• Top 10 ICD-9 Codes make up 33%
• Top 20 ICD-9 make up 50%
8 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IDENTIFY YOUR MOST FREQUENTLY USED ICD-9 CODES
Diagnosis
Code
Diagnosis Description Total Cumulative % % of Total
V70.0 ROUTINE GEN MED EX@HLTH CARE FACL 2356 7% 7%
780.79 OTHER MALAISE AND FATIGUE 1747 12% 5%
257.2 OTHER TESTICULAR HYPOFUNCTION 1420 17% 4%
V04.81 NEED PROPH VACCINATION&INOCULAT FLU 1015 20% 3%
314 ADD CHLD WITHOUT MENTION HYPERACTV 870 22% 3%
272.2 MIXED HYPERLIPIDEMIA 830 25% 3%
268.9 UNSPECIFIED VITAMIN D DEFICIENCY 734 27% 2%
244.9 UNSPECIFIED HYPOTHYROIDISM 663 29% 2%
401.9 UNSPECIFIED ESSENTIAL HYPERTENSION 654 31% 2%
784.1 THROAT PAIN 638 33% 2%
Can be found on the tab labeled –
3) Most Frequently Used DX 2012
9. 9 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IDENTIFY AND LIST ALL OF YOUR OFFICE WORKFLOW PROCESSES THAT USE ICD-9
CODES TODAY
IDENTIFY AND LIST ALL OFFICE STAFF AND PROVIDERS WHO CURRENTLY WORK
WITH ICD-9 CODES
IDENTIFY AND LIST CURRENT ELECTRONIC SYSTEMS (E.G., PRACTICE MANAGEMENT
SYSTEM, IN-HOUSE LAB, EHR, ETC.) THAT USE ICD-9
IDENTIFY YOUR MOST FREQUENTLY USED ICD-9 CODES
10. 10 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
ASSESS POSSIBLE WORK FLOW CHANGES YOU WILL NEED TO MAKE TO
IMPLEMENT ICD-10 (E.G., DATA COLLECTION FORMS, ENCOUNTER FORMS,
SUPERBILLS, ETC.)
Office Workflows Process Step Questions
LevelofImpact
ACTION PLAN
Charge slip/encounter form/super bill Look at the current Superbill and
identify how many codes this will
translate into using ICD10 codes.
How large with this make the ICD10
charge slip? Will that size charge
slip be feasible using a printed/hard
copy? Evaluate the current charge
slip for currently used codes vs.
outdated codes. Map remaining
codes from ICD9 to ICD10.
H
After evaluating the current printed superbill, the
project team determined that the new ICD10 superbill
would be over 8 pages long. The ICD10 project team
suggest that we start using an electroning format of a
Charge slip.
Workflows can be found on the tab labeled -
1) Project Master tab
11. HOW WILL THE LEVEL OF SPECIFICITY
AFFECT
• HOW THE PHYSICIAN DOCUMENTS
• SITE
• SPECIFICITY
• LATERALITY
• TIMING
• MANIFESTATIONS
• STAGE
• STATUS
• DRUG/ALCOHOL/TOBACCO
DEPENDENCE
11 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
USING ICD-10 CODE BOOK OR SOFTWARE TOOL TO LOOK UP YOUR MOST
FREQUENTLY USED CODES AND IDENTIFY WHAT THE BEST POTENTIAL ICD-10
MATCH WOULD BE
12. 12 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
ASSESS YOUR VENDORS READINESS
PartnerType
Vendors/Partners
ContactName
ContactEmail
ContactPhone
W
illyou
be
changingor
upgradingforICD10
com
pliance?
Are
you
on
trackto
m
eetthe
OCT
2014
com
pliance
date?
W
illyou
be
testing
in
preparation
for
ICD10?
W
hen?
How
?
How
m
uch
w
illthis
costourpractice
to
upgrade?
PM/EHR ADP AdvancedMD ICD10 Posse icd10posse@advancedmd.com 801-984-9500 Using ADP ADVANCEDMD’s
cloud based system, our clients
have already benefitted from a
year ofdevelopment, which we
have completed behind the
scenes, to build the foundation
that will give upgraded
functionality. ADP
ADVANCEDMD Users will
continue to see these
enhancements throughout the
next two years.
We are on track to a fully
functional and tested ICD-
10 product by the
October 2014 deadline.
Yes Last Quarter 2013 As with most
enhancements, ICD-10
functionality is included
in with your monthly
subscription fee.
Changes to functionality
will be included in our
general releases and all
ofour clients will be able
to process their claims
using the ICD-10 codes.
Ancillary Lab Corp No 2nd Quarter 2014
Ancillary Radiology Yes 2nd Quarter 2014
Technology Systems on the tab labeled –
2) Vendors Partners tab
13. 13 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
ASSESS YOUR PAYERS READINESS
Payers 2012RevenueDollars
2012%ofRevenue
ContactName
ContactEmail
ContactPhone
W
illyou
be
prepared
to
m
eettheICD-10
Deadline?
W
hen
w
illyou
be
ready
to
test?
W
hatare
yourplansfortestingclaim
scontaining
ICD-10
codes?
How
w
illyou
involve
individualofficesin
that
process?
Ifso,w
hen?
Do
w
e
need
to
re-negotiate
ourcontractsw
ith
thispayer?
Ifw
e
need
to
re
SELECTION HEALTH CARE 180,730$ 27%
BLUE CROSS BLUE SHIELD 122,712$ 18%
UHC STATE 47,397$ 7%
DESERT BENEFIT 47,249$ 7%
EDUCATORS INSURANCE ASSOC 44,234$ 7%
CIGNA 41,403$ 6%
AETNA 35,066$ 5%
ALTIUS 30,654$ 5%
PUBLIC EMPLOYEES HEALTH 26,378$ 4%
UHC 22,920$ 3%
HUMANA 15,026$ 2%
BLUE CROSS BLUE SHEILD OF SOMEWHERE 11,682$ 2%
AARP 9,679$ 1%
Mountain Adminstrators 9,102$ 1%
MEDICARE - PART A 8,347$ 1%
STATE MEDICAID 4,677$ 1%
MANAGED CARE ADMIN 4,373$ 1%
CIGNA of Earth 1,058$ 0%
MEDICARE ADVANTAGE 967$ 0%
MEDICAID 353$ 0%
MAIL HANDLERS BENEFIT PLAN 169$ 0%
CONNECTICUT GENERAL 145$ 0%
Technology Systems on the tab labeled –
4) Payers tab
14. 14 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
ASSESS POSSIBLE WORK FLOW CHANGES YOU WILL NEED TO MAKE TO
IMPLEMENT ICD-10 (E.G., DATA COLLECTION FORMS, ENCOUNTER FORMS,
SUPERBILLS, ETC.)
USING ICD-10 CODE BOOK OR SOFTWARE TOOL TO LOOK UP YOUR MOST
FREQUENTLY USED CODES AND IDENTIFY WHAT THE BEST POTENTIAL ICD-10
MATCH WOULD BE
ASSESS YOUR VENDORS READINESS
ASSESS YOUR PAYERS READINESS
ASSESS THE NEED TO HAVE A CONSULTANT TO ASSIST YOU WITH TRANSITIONING
TO THE ICD-10 CODE SET (E.G., IDENTIFY SYSTEM CHANGES, IDENTIFY WORK
FLOW CHANGES, AND CONDUCT TRAINING)
15. 15 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
PLAN AND OUTLINE HOW YOU INTEND TO TRAIN YOUR OFFICE STAFF ON THE NEW
ICD-10 PROCESSES
PLAN WHEN TO CONDUCT THE TRAINING
PLAN WHO YOU INTEND ON NEEDING TRAINING AND WHO WILL BE INVOLVED IN
TESTING
Office Workflows Process Step Questions
LevelofImpact
ACTION PLAN
Charge slip/encounter form/super bill Look at the current Superbill and
identify how many codes this will
translate into using ICD10 codes.
How large with this make the ICD10
charge slip? Will that size charge
slip be feasible using a printed/hard
copy? Evaluate the current charge
slip for currently used codes vs.
outdated codes. Map remaining
codes from ICD9 to ICD10.
H
After evaluating the current printed superbill, the
project team determined that the new ICD10 superbill
would be over 8 pages long. The ICD10 project team
suggest that we start using an electroning format of a
Charge slip.
16. 16 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.
IMPLEMENTING A NEW SUPER BILL PROCESS – WHO, WHEN, AND HOW MUCH
Who
•Entire Staff
When
•Project Team Map out
process in their April and
May meetings
•Office will meet to discuss
and give input May 10th
•Bi-Monthly training for
staff starting Jan 2014
•Bi-Monthly training testing
for staff starting Feb 2014
How Much will it
cost
•Tasks-$7,040
•Training-$6,710
•Testing-$3,530
•Technology-$987
Purchase Feb 2014
17. 1. Don’t let this project overwhelm you
2. Start now
3. Answer questions and get your feedback
Complete Survey – Price of today’s admission
17 © Copyright 2011 ADP, Inc. Proprietary and Confidential Information.