April 2014 Webinar
Preparing for ICD-10
Heidi Jannenga PT, MPT, ATC/L
WebPT COO and Co-Founder
Mike Manheimer
WebPT Marketing Director
Delay of Game: Congress Votes to
Push Back ICD-10 Deadline
•  Go-live date moves from October 1, 2014, to
October 1, 2015 (at the earliest)
•  Provision for the delay was part of the
Sustainable Growth Rate “fix”
•  Estimated cost of the delay: $1 billion to
$6.6 billion.
What You Need to Know Now About ICD-10
1.  ICD-10 applies to all HIPAA-covered entities.
2.  ICD-10 consists of two parts: ICD-10-CM and ICD-10-PCS
3.  ICD-9 and ICD-10 differ big time.
4.  Crosswalking is difficult.
5.  The transition is necessary.
6.  Time is still of the essence.
Strategy for Attacking ICD-10
1.  Accept the change: Today
2.  Designate a lead (or a team): Within the next three months
3.  Make a plan: Within the next six months
4.  Start training: Within the next year
5.  Test, test, test, and test some more: Next year
Your ICD-10 Checklist
•  Compile educational resources
•  Assess your current diagnosis coding processes
•  Pinpoint ways ICD-10 will affect your practice
•  Ensure all external partners will be ready
•  Assign specific tasks and deadlines
•  Establish a budget
•  Get your finances in order
How to Test Internally
Before you test, determine:
•  Who in your clinic touches your codes (billers, front office
personnel, clinical staff, etc.)
•  What ICD-9 codes you use most frequently and their ICD-10
equivalents
•  Where and how your staff locate correct ICD-9 codes and where
and how they’ll locate ICD-10 ones
•  Whether your coding processes will still make sense after the
codes change
How to Test Internally
1.  Test that your staff can competently use the new
codes
a.  Practice dual-coding
2.  Test that each redesigned process or workflow
actually works
a.  Review and tweak your current processes
How to Test Externally
Proper external testing will help you:
1.  Verify that your practice can submit, receive, and
process data containing ICD-10 codes.
2.  Understand the impact that clearinghouse and payer
policies will have on transactions.
3.  Identify and address specific problems.
How to Test Externally
External testing plan:
1.  Identify (and prioritize) the stakeholders with
whom you need to test.
2.  Submit test data to your clearinghouse, billing
service, and/or payers.
3.  Review test results for the data you submitted.
4.  Update your processes based on the results of
your tests.
Preparing for ICD-10
Special Offer
New Members
Sign up with WebPT by May 31 and receive $100 off the initial
sign-up cost.
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Thank you for attending.

Preparing for ICD-10

  • 1.
  • 2.
    Heidi Jannenga PT,MPT, ATC/L WebPT COO and Co-Founder Mike Manheimer WebPT Marketing Director
  • 3.
    Delay of Game:Congress Votes to Push Back ICD-10 Deadline •  Go-live date moves from October 1, 2014, to October 1, 2015 (at the earliest) •  Provision for the delay was part of the Sustainable Growth Rate “fix” •  Estimated cost of the delay: $1 billion to $6.6 billion.
  • 4.
    What You Needto Know Now About ICD-10 1.  ICD-10 applies to all HIPAA-covered entities. 2.  ICD-10 consists of two parts: ICD-10-CM and ICD-10-PCS 3.  ICD-9 and ICD-10 differ big time. 4.  Crosswalking is difficult. 5.  The transition is necessary. 6.  Time is still of the essence.
  • 5.
    Strategy for AttackingICD-10 1.  Accept the change: Today 2.  Designate a lead (or a team): Within the next three months 3.  Make a plan: Within the next six months 4.  Start training: Within the next year 5.  Test, test, test, and test some more: Next year
  • 6.
    Your ICD-10 Checklist • Compile educational resources •  Assess your current diagnosis coding processes •  Pinpoint ways ICD-10 will affect your practice •  Ensure all external partners will be ready •  Assign specific tasks and deadlines •  Establish a budget •  Get your finances in order
  • 7.
    How to TestInternally Before you test, determine: •  Who in your clinic touches your codes (billers, front office personnel, clinical staff, etc.) •  What ICD-9 codes you use most frequently and their ICD-10 equivalents •  Where and how your staff locate correct ICD-9 codes and where and how they’ll locate ICD-10 ones •  Whether your coding processes will still make sense after the codes change
  • 8.
    How to TestInternally 1.  Test that your staff can competently use the new codes a.  Practice dual-coding 2.  Test that each redesigned process or workflow actually works a.  Review and tweak your current processes
  • 9.
    How to TestExternally Proper external testing will help you: 1.  Verify that your practice can submit, receive, and process data containing ICD-10 codes. 2.  Understand the impact that clearinghouse and payer policies will have on transactions. 3.  Identify and address specific problems.
  • 10.
    How to TestExternally External testing plan: 1.  Identify (and prioritize) the stakeholders with whom you need to test. 2.  Submit test data to your clearinghouse, billing service, and/or payers. 3.  Review test results for the data you submitted. 4.  Update your processes based on the results of your tests.
  • 11.
  • 12.
    Special Offer New Members Signup with WebPT by May 31 and receive $100 off the initial sign-up cost.
  • 13.
  • 14.
    Thank you forattending.