This document outlines Avery Partners' ICD-10 readiness program to help medical practices transition to ICD-10 coding by October 2015. The program includes an initial readiness survey, data analysis of practices' most used codes, training providers on documentation for accurate ICD-10 coding through scenario-based exercises, and ongoing support after the transition through claims monitoring and additional education. The goal is to ensure accurate ICD-10 coding and billing to minimize revenue loss during and after the transition deadline.
2. The focus is
on what
YOUR
practice
needs.
We work with
real cases
that YOUR
providers
see.
We provide
targeted
services
designed to
help make
a smooth
transition
to ICD-10.
3. Getting Down to Brass Tacks
• There is agreement that the migration to
ICD-10 will affect the bottom line of a
significant number of practices.
• Most agree that one of the weak links in
the chain is going to be getting the proper
documentation in place so that the
proper codes can be assigned and billing
performed in an efficient manner.
Our goal is to keep your cash flow moving!!!
4. Avery Partners ICD-10 Transition
Support Overview
Perform
Readiness
Survey
Gather Data
Regarding Your
Billing Profile
Provide On-
site Education
and Training
6. Data Gathering and Analysis
In order to target the work which needs to be
done, we analyze three sets of codes which we
extract from your EHR:
• Most frequently used diagnosis & procedure
codes
• “at risk” – high rejection/denial rate under
ICD-9
• “high-value” – procedures that are significant
revenue generators
Step
2
7. Data Gathering & Analysis
Phase
DataGathering&Analysis
Most Frequently
Used Codes
“High Risk” Codes
“High Value”
Codes
Focus Plan
Target List of
Codes
Develop
Scenarios using
Your Codes
Dual Coding
Exercises
Step
2
8. Educational Services
• We work to help your staff understand how to document
better, not document more. Better documentation leads to
better coding and more consistent and timely
reimbursement.
• We use “scenario based” training and dual coding
exercises.
• The goal is to reduce coding risks and inefficiencies.
• We will review your templates and favorites lists and provide
education and advice to maximize efficiency and achieve
accurate results.
Step
3
.
9. • We work with your providers by running
through a series of scenarios designed to
increase their awareness of the clinical
documentation needs due to the more
specific ICD-10 codes.
• It is simply a fact that the more practice
providers get in documenting various
scenarios, the better they will do on 1
October.
Scenario-Based Education
.
10. Moving Beyond the
1 October 2015 Transition
Date
• Because the ICD-10 transition does not
magically end on 1 October, we have a
program which will help ensure that you
continue to keep your cash flow where you
want it.
• The next slide provides more information
about our “ICD-10 Survival” program.
11. ICD-10 Survival Program
Monthly Coding & Documentation Monitoring
On-Going Support to help with ICD-10 Questions
Continued Education/Training
Follow-up directly with Insurance Companies
to Ensure Receipt and Processing of claims
12. Don’t Delay
Call today. Let’s put you on the road to a
successful ICD-10 transition.
Contact Ed Taylor – 770-642-6100, Ext. 333
ed.taylor@averypartners.com