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Wayne Bailey
Bonafide’s DME Expert
Today’s Goals:
1. Educate you about ICD-10
2. Tell you about what Bonafide
is doing to help
3. Get you to assign a project
manager to oversee ICD-10
transition
Welcome!
Oct. 1 Deadline
ICD-10 goes into effect Oct. 1, 2015
ICD-10 for DME BusinessesAbout ICD-10
Code Explosion
ICD-10 will bring the number of diagnostic codes
from 14,500 to 69,700, an increase of 55,200 new
codes.
Will Impact Cash
Flow
You will need to spend more and will likely
encounter low cash flow through the transition
period.
Laterality
Laterality is a major theme in the expansion of codes under
ICD-10.
ICD-10 for DME BusinessesCode Explosion
Anatomical Location
In addition to laterality, providers will be required to specify
detail in terms of location of an injury or condition.
Combination
ICD-10 includes hundreds of combination codes that link
symptoms, manifestations and/or complications with a
diagnosis.
Encounter Type
Providers will need to specify whether the encounter is initial,
subsequent or sequela.
ICD-10 for DME BusinessesTo-Do List
Assign a Manager
Assign someone within your organization who will
manage the ICD-10 transition and work with Bonafide
to ensure smooth sailing.
Assess the Situation
Each of you will have a different level of complexity in
transitioning to ICD-10. Start by conducting a charge
summary by primary diagnosis code.
Make a Plan
Your plan should map out exactly how you are going to
train your staff, prepare your providers, and conduct
billing under the new system. Your plan should also
account for the cash flow impacts of ICD-10.
ICD-10 for DME BusinessesAssess Your Situation
1. Run a charge summary by primary
diagnosis code
 I.D. top ICD-9 codes used
 Use General Equivalence Mappings
(GEMs) to I.D. correlating ICD-10 codes
 Based on the gap, you can determine the
size of the project to recode
2. Identify all systems & work processes
that will be affected
 Documentation
 Encounter forms
 Superbills
 Contracts
 Reporting
3. Look at your referring physicians
 How much time currently spent getting
correct codes from them?
 How much more time will be required with
ICD-10?
ICD-10 for DME BusinessesThings to Consider
 Become familiar with the
most commonly used
code or codes in ICD-10
in your business
 Start obtaining ICD-10
codes from referring
providers
 Familiarize your staff with
the Bonafide tools for
ICD-10
ICD-10 for DME BusinessesBonafide’s Promise
 ICD-10 codes and CMS GEMs are loaded directly into the
Claim Information tab.
 All possible scenarios for the ICD-9 to ICD-10 Diagnoses
Search are listed in the GEMS Mapping Section.
 The DX search contains a tree view for diagnosis that
contain multiple matches in ICD-10. The tree view shows a
parent-child relationship for the code.
 Users have the ability to reverse search from ICD-10 to
ICD-9.
 The Description field works as a key word search in order
to use the search as a stand-alone tool.
ICD-10 for DME BusinessesBonafide’s Solution
 Bonafide will work with
your assigned Project
Manager and conduct a
complimentary assessment
of your frequently-used
codes.
 We have customized
training and support
packages available.
 We have optional
crosswalk mapping for our
customers.
ICD-10 for DME BusinessesCrosswalk Mapping
 Bonafide has partnered
with a provider that will
conduct complete
crosswalk mapping for your
business.
 Depending on the
complexity of the transition
for your business, this may
be a valuable optional
service for you.
 Bonafide will work with
your Project Manager to
determine whether this is a
good option.
ICD-10 for DME BusinessesYour Next Step
Assign your Project
Manager and let us
know so that we can
get started on your
transition!
ICD-10 for DME BusinessesOur Next Steps
Bonafide will provide the following
in the coming months:
 Video training
 White papers
 Articles
 Checklists
And more to help you prepare for
ICD-10
Kristina V. Akerberg
Sales Executive
Cell:805-906-1698
Office:805-418-1489
Fax:805-777-7661
Kvolarik@bonafide.com
www.bonafide.com
Contact Info
1. Open your GoToWebinar
Control Panel on the right
side of your screen
2. Type in your question
3. Click “Send”
Questions

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DME Expert's Guide to ICD-10 Transition

  • 1. Wayne Bailey Bonafide’s DME Expert Today’s Goals: 1. Educate you about ICD-10 2. Tell you about what Bonafide is doing to help 3. Get you to assign a project manager to oversee ICD-10 transition Welcome!
  • 2. Oct. 1 Deadline ICD-10 goes into effect Oct. 1, 2015 ICD-10 for DME BusinessesAbout ICD-10 Code Explosion ICD-10 will bring the number of diagnostic codes from 14,500 to 69,700, an increase of 55,200 new codes. Will Impact Cash Flow You will need to spend more and will likely encounter low cash flow through the transition period.
  • 3. Laterality Laterality is a major theme in the expansion of codes under ICD-10. ICD-10 for DME BusinessesCode Explosion Anatomical Location In addition to laterality, providers will be required to specify detail in terms of location of an injury or condition. Combination ICD-10 includes hundreds of combination codes that link symptoms, manifestations and/or complications with a diagnosis. Encounter Type Providers will need to specify whether the encounter is initial, subsequent or sequela.
  • 4. ICD-10 for DME BusinessesTo-Do List Assign a Manager Assign someone within your organization who will manage the ICD-10 transition and work with Bonafide to ensure smooth sailing. Assess the Situation Each of you will have a different level of complexity in transitioning to ICD-10. Start by conducting a charge summary by primary diagnosis code. Make a Plan Your plan should map out exactly how you are going to train your staff, prepare your providers, and conduct billing under the new system. Your plan should also account for the cash flow impacts of ICD-10.
  • 5. ICD-10 for DME BusinessesAssess Your Situation 1. Run a charge summary by primary diagnosis code  I.D. top ICD-9 codes used  Use General Equivalence Mappings (GEMs) to I.D. correlating ICD-10 codes  Based on the gap, you can determine the size of the project to recode 2. Identify all systems & work processes that will be affected  Documentation  Encounter forms  Superbills  Contracts  Reporting 3. Look at your referring physicians  How much time currently spent getting correct codes from them?  How much more time will be required with ICD-10?
  • 6. ICD-10 for DME BusinessesThings to Consider  Become familiar with the most commonly used code or codes in ICD-10 in your business  Start obtaining ICD-10 codes from referring providers  Familiarize your staff with the Bonafide tools for ICD-10
  • 7. ICD-10 for DME BusinessesBonafide’s Promise  ICD-10 codes and CMS GEMs are loaded directly into the Claim Information tab.  All possible scenarios for the ICD-9 to ICD-10 Diagnoses Search are listed in the GEMS Mapping Section.  The DX search contains a tree view for diagnosis that contain multiple matches in ICD-10. The tree view shows a parent-child relationship for the code.  Users have the ability to reverse search from ICD-10 to ICD-9.  The Description field works as a key word search in order to use the search as a stand-alone tool.
  • 8. ICD-10 for DME BusinessesBonafide’s Solution  Bonafide will work with your assigned Project Manager and conduct a complimentary assessment of your frequently-used codes.  We have customized training and support packages available.  We have optional crosswalk mapping for our customers.
  • 9. ICD-10 for DME BusinessesCrosswalk Mapping  Bonafide has partnered with a provider that will conduct complete crosswalk mapping for your business.  Depending on the complexity of the transition for your business, this may be a valuable optional service for you.  Bonafide will work with your Project Manager to determine whether this is a good option.
  • 10. ICD-10 for DME BusinessesYour Next Step Assign your Project Manager and let us know so that we can get started on your transition!
  • 11. ICD-10 for DME BusinessesOur Next Steps Bonafide will provide the following in the coming months:  Video training  White papers  Articles  Checklists And more to help you prepare for ICD-10
  • 12. Kristina V. Akerberg Sales Executive Cell:805-906-1698 Office:805-418-1489 Fax:805-777-7661 Kvolarik@bonafide.com www.bonafide.com Contact Info
  • 13. 1. Open your GoToWebinar Control Panel on the right side of your screen 2. Type in your question 3. Click “Send” Questions