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.

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2. Meaningful Use Stage 2
and ICD-10:
What Lies Ahead
Rebecca Wiedmeyer
CEO of Vela Consulting Group, LLC
Sponsored by:

3. CMS says:
● Measures focused on more rigorous
health information exchange (HIEs)
● Additional requirements for e-prescribing
and incorporating lab results
Meaningful Use Stage 2

4. CMS says:
● Electronic transmissions of patient care
summaries across multiple settings
● Increased patient and family engagement
Meaningful Use Stage 2

5. 17 Core objectives (opposed to 13 in MU
Stage 1)
3 of 6 Menu objectives (opposed to 5 of 10
in MU Stage 1)
=20 Total + CQM
MU Stage 2 Requirements

6. ● CPOE
● e-Prescribing
● Demographics
● Vital signs
● Smoking Status
● Clinical Decision Support
Core Measures

7. ● Ability for patients to see certain aspects
of their health record (portal or PHR)
● Protected EHR/Secure technology
● Integrated lab results
● Patient lists by conditions
Core Measures

8. ● Analytics for preventative and follow-up
care
● Patient Education materials
● Medication Reconciliation
● Summary of care per transfer or referral
● Immunization registries
● Bilateral communication tool for MDs/
patients
Core Measures

9. Example: CPOE
● 60% of Medications
● 30% of Labs
● 30% of Imaging Studies
Attestation - MDs Must Make the
Numbers for 90 days

10. Begins in 2014
Runs until 2016
Must use a certified EHR
Must complete attestation form and submit
(e.g. simply running reports will not
suffice)
Attestation

11. ● International Classification of Diseases
(ICD) has been used since 1979
● Current code set is ICD-9, consisting of
diagnosis codes (ICD-9 CM)
● In 1994, the World Health Organization
approved ICD-10.
ICD-10: History

12. ICD-10 consists of two code sets:
● ICD-10 CM codes - Diagnosis
● ICD-10 PCS codes - Procedures
In 2008, the Department of Health and
Human Services determined that the US
was ready to adopt ICD-10
ICD-10: History

13. ● Recent legislation has delayed
compliance until the end of 2015, no
firm date has been announced.
● ICD-10 compliance is a requirement for
Meaningful Use Stage 2.
ICD-10: Current State

14. ICD-9 =13,000 CM codes
ICD-10 = 68,000 CM codes
ICD-10 = 72,000 PCS codes
ICD-9 Versus ICD-10

15. ICD-9 codes are 3-5 characters in length
ICD-10 codes are 5-7 characters in length
*ICD-10 CM codes will be used in the
Inpatient and Outpatient spaces, but PCS
codes will only be used in the IP space.
ICD-9 Versus ICD-10

16. ● More specificity
● Less gratuitous procedures ordered
● Tracking and reporting for grants and
public health initiatives
● Globalization: other countries are
already using ICD-10
ICD-10: Pros

17. ● Loss of productivity
Coders, MDs, Billing, IT
● Revenue impact
Some healthcare facilities are
predicting up to a 70% revenue loss
ICD-10: Cons

18. ● Electronic system readiness - work with
vendors
● Update paper processes and content
● Communicate across organization or
clinic
Risk Mitigation

19. ● Test, test, test!
● Train and retrain staff and clinicians
● Confirm coders are certified in ICD-10
● Create and leverage a strong project plan
Risk Mitigation

20. ● Create/run reports both before and after
ICD-10 to monitor areas of weakness
● Plan for and utilize a strong support model
for the time of ICD-10 “go-live”
● Engage Legal and Compliance
● Select project “champions”
Risk Mitigation

21. For further information, go to
www.cms.gov
Questions?

22. www.compliancy-­‐group.com
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