This month we tackle the issue of the real cost to implement ICD-10 at the physician practice level. We are pleased to feature two testimonials from Harbor Oaks Eye Associates and Advance Medical of Naples, LLC. Stanley Nachimson also shares his expertise. Visit floridablue.com/icd-10 for your comprehensive list of resources.
ICD-10: A Payer Update with Aetna & United Health GroupFlorida Blue
Our November 2014 Open Line Friday call brings you updates from three major payers on their ICD-10 testing: Aetna, United, and Florida Blue. Follow our live tweeting of the call @FLBlue, or go to www.floridablue.com/icd-10 for a comprehensive list of resources.
We feature experts Stanley Nachimsom of Nachimsom Associates and Michael Palatoni of Athena Health to review WEDI survey results and share small practice/physician update on ICD-10 implementation. Visit floridablue.com/icd-10, your complete ICD-10 resource.
ICD-10 Readiness: Another Practice Testimonial Florida Blue
Join us as we hear from guest Lori Ann Martell with Advance Medical of Naples, LLC on how their practice is working towards ICD-10 implementation. Our regular panel of experts from Availity, Secure EDI, Mayo Clinic, Florida Blue and others will provide the latest information in this, our monthly Open Line Friday teleconference. How can Florida Blue help you with ICD-10? Visit us at http://floridablue.com/icd-10.
March 2015 ICD10: Preparation for Physicians and Small PracticesFlorida Blue
March: ICD-10 Preparation for Physicians and Small Practices. Covers survey findings from WEDI and PAHCOM and points out the ICD-10 training costs were much lower than previously though.
ICD-10 Open Line Friday Meeting December 2014Florida Blue
Open Line Friday goes social as we invite two esteemed guests to our panel of experts: Joe Lavelle and Steve Sisko. They'll share how social media can help engage more providers in being educated on the issues surrounding ICD-10 implementation. Visit floridablue.com/icd-10 for a complete directory of resources.
Our Open Line Friday panelists discussed how medical practices can use the official ICD-10 compliance date as a target for their preparedness. Remember to visit floridablue.com/icd-10 for a complete list of resources.
ICD-10: A Payer Update with Aetna & United Health GroupFlorida Blue
Our November 2014 Open Line Friday call brings you updates from three major payers on their ICD-10 testing: Aetna, United, and Florida Blue. Follow our live tweeting of the call @FLBlue, or go to www.floridablue.com/icd-10 for a comprehensive list of resources.
We feature experts Stanley Nachimsom of Nachimsom Associates and Michael Palatoni of Athena Health to review WEDI survey results and share small practice/physician update on ICD-10 implementation. Visit floridablue.com/icd-10, your complete ICD-10 resource.
ICD-10 Readiness: Another Practice Testimonial Florida Blue
Join us as we hear from guest Lori Ann Martell with Advance Medical of Naples, LLC on how their practice is working towards ICD-10 implementation. Our regular panel of experts from Availity, Secure EDI, Mayo Clinic, Florida Blue and others will provide the latest information in this, our monthly Open Line Friday teleconference. How can Florida Blue help you with ICD-10? Visit us at http://floridablue.com/icd-10.
March 2015 ICD10: Preparation for Physicians and Small PracticesFlorida Blue
March: ICD-10 Preparation for Physicians and Small Practices. Covers survey findings from WEDI and PAHCOM and points out the ICD-10 training costs were much lower than previously though.
ICD-10 Open Line Friday Meeting December 2014Florida Blue
Open Line Friday goes social as we invite two esteemed guests to our panel of experts: Joe Lavelle and Steve Sisko. They'll share how social media can help engage more providers in being educated on the issues surrounding ICD-10 implementation. Visit floridablue.com/icd-10 for a complete directory of resources.
Our Open Line Friday panelists discussed how medical practices can use the official ICD-10 compliance date as a target for their preparedness. Remember to visit floridablue.com/icd-10 for a complete list of resources.
Latest ICD-10 Readiness Surveys and Testing ResultsFlorida Blue
On this Open Line Friday call with experts from Mayo Clinic, Baptist Health South Florida, Tampa General Hospital and others, we share the results of a survey Florida Blue conducted on the state of readiness for ICD-10 implementation.
ICD-10 Open Line Friday Presentation March 21, 2014Florida Blue
Today's ICD-10 Open Line Friday presentation provides the latest regulatory updates, testing schedules and more. Hear from experts at The Mayo Clinic, Secure EDI, Availity and more. Visit floridablue.com for a complete repository of ICD-10 tools and resources to help with your conversion.
Open Line Friday: The Importance of Data for ICD-10 SuccessFlorida Blue
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
With the vote to delay ICD-10 implementation to 2015, many in the industry are left to wonder whether to continue with plans to implement in 2014 or not. Our Open Line Friday call with panelists from Mayo Clinic, Secure EDI, Availity and more will explore the implications of the recent decision to delay the implementation of ICD-10, and to rethink YOUR options most effectively.
A Provider View on ICD-10 and the 2015 DelayFlorida Blue
How are providers coping with the delay of the ICD-10 implementation to 2015, when many had established budgets and training for being live 2014? Guests from Prime Health Physicians LLC and Harbor Oaks Eye join our Open Line Friday panel to share their experience. Visit floridablue.com/icd10 for a complete repository of tools and information.
We're pleased to present Rhonda Buckholtz, VP of ICD-10 Education and Training for the American Association of Professional Coders (AAPC), as our June Open Line Friday guest. Rhonda will explain the approach the AAPC has taken with the delay of ICD-10 to 2015. Visit http://www.bcbsfl.com/wps/portal/bcbsfl/w/providers/providerdetails/SA_ToolsResources/SA_ICD10 for your comprehensive list of ICD-10 resources.
Seven Months to ICD-10: Useful Guidance for the CountdownFlorida Blue
Twelve months ago, it may have been too early to engage individual physicians and small medical practices in ICD-10 preparations. However, six months from today, it may be too late! Today's session will focus on practical tips for getting your organization ready for the ICD-10 conversion.
Rhonda Buckholtz, VP with the American Association of Professional Coders, shares the results of a survey they conducted on the state of provider readiness for a 2014 ICD-10 implementation. She participated in our June Open Line Friday call. Find more here: www.
The extended deadline for ICD-10 implementation has drawn mixed responses from healthcare providers. The article looks at the Pros and Cons of ICD-10 delay.
On April 2, 2014, the US Senate voted in favor of H.R. 4302, known as Protecting Access to Medicare Act of 2014, soon signed by President Barack Obama. This bill is primarily meant to forestall cuts in Medicare payment rates for physicians, and also contained provisions that called for delaying ICD-10 implementation until 2015 at the earliest. This panel discussion will thresh out the advantages and disadvantages of the delay, and provide insights on how the Healthcare Information Management (HIM) sector in the Philippines should position itself in the midst of the extended implementation.
To learn more about the current state of the HIM sector in the Philippines, visit http://www.teeledevelopment.com.ph.
Icd 10 remediation for provider practices – key challenges and mitigation str...Apoorv S
On October 1, 2014, the U.S. healthcare system will transition from the Ninth Edition of the International Classification of Diseases (ICD-9) set of diagnosis and inpatient procedure codes to the Tenth Edition of those code sets (ICD-10). Provider systems are impacted across the value chain due to ICD-10 remediation and significant changes are required across the value chain and provider business functions. This article focuses on the key challenges being faced by providers in their ICD-10 remediation journey and the mitigation approaches that providers can adopt to address them.
What is the status on ICD-10? In this Infographic I bring you the facts you always wanted to know & 6 foundation blocks for successful ICD-10 implementation
Latest ICD-10 Readiness Surveys and Testing ResultsFlorida Blue
On this Open Line Friday call with experts from Mayo Clinic, Baptist Health South Florida, Tampa General Hospital and others, we share the results of a survey Florida Blue conducted on the state of readiness for ICD-10 implementation.
ICD-10 Open Line Friday Presentation March 21, 2014Florida Blue
Today's ICD-10 Open Line Friday presentation provides the latest regulatory updates, testing schedules and more. Hear from experts at The Mayo Clinic, Secure EDI, Availity and more. Visit floridablue.com for a complete repository of ICD-10 tools and resources to help with your conversion.
Open Line Friday: The Importance of Data for ICD-10 SuccessFlorida Blue
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
With the vote to delay ICD-10 implementation to 2015, many in the industry are left to wonder whether to continue with plans to implement in 2014 or not. Our Open Line Friday call with panelists from Mayo Clinic, Secure EDI, Availity and more will explore the implications of the recent decision to delay the implementation of ICD-10, and to rethink YOUR options most effectively.
A Provider View on ICD-10 and the 2015 DelayFlorida Blue
How are providers coping with the delay of the ICD-10 implementation to 2015, when many had established budgets and training for being live 2014? Guests from Prime Health Physicians LLC and Harbor Oaks Eye join our Open Line Friday panel to share their experience. Visit floridablue.com/icd10 for a complete repository of tools and information.
We're pleased to present Rhonda Buckholtz, VP of ICD-10 Education and Training for the American Association of Professional Coders (AAPC), as our June Open Line Friday guest. Rhonda will explain the approach the AAPC has taken with the delay of ICD-10 to 2015. Visit http://www.bcbsfl.com/wps/portal/bcbsfl/w/providers/providerdetails/SA_ToolsResources/SA_ICD10 for your comprehensive list of ICD-10 resources.
Seven Months to ICD-10: Useful Guidance for the CountdownFlorida Blue
Twelve months ago, it may have been too early to engage individual physicians and small medical practices in ICD-10 preparations. However, six months from today, it may be too late! Today's session will focus on practical tips for getting your organization ready for the ICD-10 conversion.
Rhonda Buckholtz, VP with the American Association of Professional Coders, shares the results of a survey they conducted on the state of provider readiness for a 2014 ICD-10 implementation. She participated in our June Open Line Friday call. Find more here: www.
The extended deadline for ICD-10 implementation has drawn mixed responses from healthcare providers. The article looks at the Pros and Cons of ICD-10 delay.
On April 2, 2014, the US Senate voted in favor of H.R. 4302, known as Protecting Access to Medicare Act of 2014, soon signed by President Barack Obama. This bill is primarily meant to forestall cuts in Medicare payment rates for physicians, and also contained provisions that called for delaying ICD-10 implementation until 2015 at the earliest. This panel discussion will thresh out the advantages and disadvantages of the delay, and provide insights on how the Healthcare Information Management (HIM) sector in the Philippines should position itself in the midst of the extended implementation.
To learn more about the current state of the HIM sector in the Philippines, visit http://www.teeledevelopment.com.ph.
Icd 10 remediation for provider practices – key challenges and mitigation str...Apoorv S
On October 1, 2014, the U.S. healthcare system will transition from the Ninth Edition of the International Classification of Diseases (ICD-9) set of diagnosis and inpatient procedure codes to the Tenth Edition of those code sets (ICD-10). Provider systems are impacted across the value chain due to ICD-10 remediation and significant changes are required across the value chain and provider business functions. This article focuses on the key challenges being faced by providers in their ICD-10 remediation journey and the mitigation approaches that providers can adopt to address them.
What is the status on ICD-10? In this Infographic I bring you the facts you always wanted to know & 6 foundation blocks for successful ICD-10 implementation
[Webinar] Re-Strategezing for a Successful ICD-10 / 2015 TransitionPhoenix Health Systems
In this 45-minute webinar, You will hear from top members of our ICD-10 team, Thomas Grove, Principal and D’Arcy Guerin Gue, Executive Vice President, as they discuss how to ensure the smoothest possible conversion, by restructuring your strategy in eleven critical areas.
Find the recording here - http://landing.phoenixhealth.com/icd-10-2015-webinar
ICD-10 Is Really Here: What Does That Mean To Compliance Officers?PYA, P.C.
PYA Principal Denise Hall presented “ICD-10 Is REALLY Here: What Does that Mean to Compliance Officers?” at the THA 2015 Fall Compliance Conference. The presentation helps providers get “in tune” with the latest in ICD-10 compliance:
* A brief discussion of ICD-10 and its impact on healthcare.
* Compliance risks with the transition to the ICD-10 system.
* Mitigation of compliance risk and denial activities during and post-implementation.
* ICD-10’s impact on value-based purchasing and quality-based payment models.
ICD-10-CM is the United States’ clinical modification of the World Health Organization’s (WHO) International Classification of Diseases (ICD) Tenth Revision. It is used to classify diseases and causes of illness recorded on health records, claims, and other vital information.
The U.S. Department of Health and Human Services (HHS) will require covered entities (i.e., health plans, health care providers, and health care clearinghouses) that conduct electronic HIPAA standard transactions to move from ICD-9 to the next generation ICD-10 code sets by October 1, 2015.
The recent extension of the ICD-10 deadline was greeted with mixed reactions throughout the healthcare industry. Some favored an extension, while others preferred to move ahead with the change. In this webinar, we look at the pros and cons of the delay and how it will affect providers and patients. Reactions from other vendors are also presented.
Attend this hard hitting session where Rebecca Wiedmeyer, President of Vela Consulting Group will share her experiences helping hundreds of covered entities understand and address MU 2. In addition she will provide answers to the complexity of addressing ICD 10.
Panelists:
Rebecca Wiedmeyer, President of Vela Consulting Group
Moderator:
Marc Haskelson, President, The Compliancy Group LLC.
United Health Care ICD-10 Testing Results November 2014Florida Blue
Shirley Reynolds, Senior Product Manager with United Health Group, shared testing results and lessons learned for ICD-10 on our November 21 Open Line Friday call. Be sure to visit www.floridablue.com/icd-10 for a comprehensive list of ICD-10 resources and archived content.
Aetna icd 10 collaborative testing Nov 2014Florida Blue
Mr. Brian Parkany, Senior Director of Strategic Initiatives at Aetna, shared their testing results for ICD-10 on our November 21, 2014 Open Line Friday call. For a complete list of ICD-10 resources, visit www.floridablue.com/icd-10
5 Real World Non-Profit Challenges Solved through Social MediaFlorida Blue
Social media can solve non-profits' five most common challenges, including:
Ensuring your mission and brand is accurately depicted.
Creating advocates.
Fundraising.
Keeping volunteers engaged.
Doing more with less money and less time.
This presentation was shared during the Florida Blue Foundation's 2014 Sapphire Awards and Symposium at the World Golf Village Renaissance Resort by Annie Erstling and Kate Warnock.
Focus on 2014: A Tampa Bay Economic ForecastFlorida Blue
Carl Patten, director of the Florida Blue Center for Health Policy, presented a forecast of the health policy environment in Florida, and how it impacts Pinellas businesses in particular. His presentation included the current state of the Affordable Care Act, and its ongoing implications for employers. For more information, visit http://ow.ly/sNeN7.
ICD-10 Presentation to Bays Medical Society January 2014Florida Blue
Collaboration between physicians, payers and others across the health care industry is critical to a successful ICD10 implementation. Florida Blue is here with resources and expertise as you begin your ICD-10 journey, but the time to act is now! Visit our site to get started: http://ow.ly/sGVfF
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
1. 900-3571-0213
Open Line Friday: ICD-10 Edition
The Cost of ICD-10 Implementation:
Testimonials
Jan. 16, 2015
9:30 a.m. – 10:30 a.m. EST
Dial Toll-Free: (800) 882-3610 or (412) 380-2000
Conference Passcode: 6829655#
900-733-0115
2. Open Line Friday
Panelists*
Deborah Stewart, MD
Medical Director
Florida Blue
Gale Scott
EDI Regulatory Compliance
Administrator
Tampa General Hospital
Laurie Darst
Revenue Cycle Regulatory Advisor
Mayo Clinic (MN)
Matthew Ketterman
Director, Business Solutions
Availity®1
Jackie Griffin
VP, U.S. Operations
Secure EDI
Lee Ratliff
Clinical Business Technology Consultant
Baptist Health South Florida
Mary Rita Hyland
RN, BS, MBA, CHP
Healthcare Industry Consultant
Diana Brijbag
CMM, CPC, CCP, CMSCS, HITCM-PP
Office Manager
The Springs Family Medical Center
George Vancore
Senior Manager, Delivery Systems
Mandates and Compliance
Florida Blue
*Panelists are subject to availability.
1 Availity, L.L.C. is a multi-payer joint venture company. For more information or to register, visit www.availity.com
2
Joseph Nichols, MD
Principal,
Health Data Consulting
3. Speakers
3
Note: Practitioner guests are subject to 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.
Open Line Friday
Stanley Nachimson
Principal
Nachimson Advisors, LLC
Lori Ferguson
Billing Manager
Harbor Oaks Eye Associates
Open Line Friday Panelists
Lori Ann Martell, LPN,
CMP, Practice Administrator
Advance Medical of Naples, LLC
4. Open Line Friday
4
Agenda
1. Objectives
2. Healthcare Industry Regulatory Update
3. The Cost of ICD-10 Implementation: Testimonials
4. Next Steps
Follow us on Twitter @FLBlue
5. Objectives
1. Promote 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 opportunities and 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 continue (or begin) your ICD-10 journey.
**** Please remember that during the call all attendees will be placed on “mute”
except for any guest speakers and all panelists. If you have a question, please
email it to FloridaBlueOpenLineFriday@FloridaBlue.com.
5
Open Line Friday
6. Open Line Friday
Health Care Industry & Regulatory Update
• Medicare announced two rounds of ICD-10 testing with physicians/provider:
• Functional Acknowledgement Testing: this is where you test the “chain of trust” partners from the
provider to the payer (Medicare) using an ICD-10 coded claim; Medicare will edit and compliance check the
claim and return a response to the sender; there is no claim adjudication or ERA is being generated during this
round of testing; test claims can be sent to Medicare anytime up to the October 1, 2015 implementation date;
• Special Functional Acknowledgement Testing Weeks: Medicare submitters will have access to
real-time help desk support during the weeks of November 17th through the 21st, 2014; March 2nd through the
6th, 2015 and June 1st through the 5th, 2015.
• End-to-end testing: this is where ICD-10 coded claims are sent to the Medicare (the payer), adjudicated
and an ERA is generated back to the provide; participation in Medicare’s end-to-end testing requires enrollment
and selection by your MAC; on a national basis, Medicare is limiting the number of testing providers to 2550.
• For additional details, please see the following:
• http://medicare.fcso.com/ICD-10/267332.pdf
• www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-
MLN/MLNMattersArticles/Downloads/SE1409.pdf
• http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-
MLN/MLNMattersArticles/Downloads/MM8858.pdf
6
7. Health Care Industry & Regulatory Update (cont’d)
• NUCC changed the CMS 1500 professional paper claim form to accommodate ICD-10
(see www.nucc.org); the transition to this new form began in January 2014 and continues
across the health care industry.
• Partial code freeze continues until one year after the implementation of ICD-10:
• Only codes for new diagnosis or new technologies will be considered for exception inclusion.
• Last regular updates to ICD-9-CM and ICD-10 occurred on October 1, 2011.
• Regular ICD-10 updates will begin on October 1, 2016.
• Miscellaneous health care industry and regulatory updates will be provided from our
panelists when applicable and when time permits.
7
Open Line Friday
8. 8
Visit www.floridablue.com/icd-10 and select the Test ICD-10 Icon:
ICD-10 Provider Testing
Testing ICD-10 is one of the more critical success factors in achieving ICD-10 compliance and managing
your revenue interruption risk. Florida Blue is recommending ICD-10 provider testing in the three phases
below. Links to testing instructions and other important details are available below for initiating testing with
us. Questions? Email us at ICD-10Testing@floridablue.com.
Testing Results may be accessed following Phase III Instructions below.
ICD-10 Testing Phase
Start
Date(s)
Instructions for Test Phase
Phase I
“Code Validation”
Now
Phase I testing (click here for overview) involves coding a selection
of clinical diagnosis scenarios developed by Florida Blue Nurse
Coders. You can print out the scenarios for your staff to code in both
ICD-9 and ICD-10 for you to compare. This is a manual process and is
available for you on a self-service basis. Clinical Scenarios are
available in the instructions below.
Phase I Instructions: (click here)
ICD-10 Testing Phase
Start
Date(s)
Instructions for Test Phase
Phase II
“Internal End-to-End”
Now
Phase II testing (click here for overview) consists of electronic
receipt and internal processing of ICD-10 coded claims transactions
that were previously processed by Florida Blue with ICD-9 codes.
The instructions contain contact information for a Florida Blue ICD-10
testing coordinator in order to initiate Phase II testing
Phase II Instructions:
Providers (click here)
Vendors (click here)
ICD-10 Testing Phase
Start
Date(s)
Instructions for Test Phase
Phase III
“Round-Trip”
Now
Phase III testing (click here for overview) pertains to the “Round-
trip” processing of ICD-10 coded electronic claim and remittance
advice transactions. Phase II testing is a prerequisite.
(click here)
Phase III Instructions:
Providers (click here)
Vendors (click here)
Open Line Friday
A Florida Blue Update
9. .
Send ICD-10 questions, comments or feedback to
floridablueopenlinefriday@floridablue.com.
9
Open Line Friday
11. Next Steps
Next Steps
Build your ICD-10 action plan now with the CMS “Road to 10” tool. Visit www.roadto10.org
Access our Open Line Friday podcasts at www.floridablue.com/icd-10
ICD-10 Open Line Friday email list: send us your email by contacting us at
floridablueopenlinefriday@floridablue.com
Test ICD-10 with us. Visit www.floridablue.com/icd-10 and select our “Test ICD-10 icon”
for details. Testing questions? Email us at ICD-10Testing@floridablue.com
Access Florida Blue’s ICD-10 Provider Toolkit and more at www.floridablue.com/ICD-10
Visit the Availity Learning Center (www.availity.com/learningcenter) to access live and webinars
including information about Ready10 - a popular ICD-10 project management tool (see “There’s
Ready and There’s Ready10”).
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.
Follow us on Twitter @FLBlue
11
Open Line Friday: ICD-10
12. Addendum
ICD-10 Helpful Resources and Reference Material
• www.cms.gov/ICD10
• www.wedi.org
• www.ama-assn.org
• www.ahima.org/icd10
• www.availity.com
• www.fha.org
• www.hbma.com
• www.mgma.com
• www.floridablue.com/ICD-10
• www.fmaonline.org/HomePage.aspx
• www.cdc.gov/nchs/icd/icd10.htm
• www.AAPC.com
For regular CMS ICD-10 email updates, subscribe at:
https://public.govdelivery.com/accounts/USCMS/subscriber/new?topic_id=USCMS_608
WEDI's 2014 Survey on Industry ICD-10 Readiness:
http://www.wedi.org/news/press-releases/2014/08/04/WEDI-Releases-ICD10-Readiness-Survey
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:
12
Open Line Friday: ICD-10