ICD-10 General Awareness MU Health Care

What is ICD-10 ? ICD-10 is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD-9, which was developed by WHO in the 1970s. In the US, ICD-10 has two designations: ICD-10-CM - clinical modification (diagnoses) ICD-10-PCS – procedural coding system

When will ICD-10 be implemented ? The U.S. Department of Health and Human Services (HHS) issued a rule finalizing Oct. 1, 2015, as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases.

What is an ICD-10 code ?

All major countries have adopted ICD-10 Some are already preparing for ICD-11

Comparison of ICD-9-CM to ICD-10-CM -Code structure 3-5 characters in length First digit is numeric or alpha Digits 2 – 5 are numeric Decimal point after third digit No “x” placeholder for expansion ICD-10-CM 3-7 characters in length First digit is alpha All letters used except U Digits 2 and 3 are numeric, digits 4 – 7 are alpha or numeric Decimal point after third character Allows “x” placeholder for code expansion Alpha characters are NOT case sensitive

Organizational Monitoring Today’s data needs are dramatically different than they were 36 years ago when ICD-9 was introduced. The expected benefits will impact many areas of healthcare. Organizational Monitoring and Performance Enhanced ability to identify and resolve problems and ability to differentiate payment based on performance   Quality Measurement Data availability to assess quality standards, patient safety goals, mandates, and compliance Higher quality information for measuring healthcare service quality, safety, and efficacy Research Better data mining for increased analysis of diagnosis, treatment efficacy, prevention, etc. Recognition of advances in medicine and technology Public Health    Improved disease and outbreak information Improved ability to track and respond to international public health threats

Who will ICD-10 affect ? Physicians Physician Assistants Advanced Practice Nurses Nursing Services Cardiovascular Services Imaging Services Laboratory Services Interventional Radiology Clinics and Urgent Care Pharmacy Care Coordination Dietary Emergency Department Inpatient surgery Outpatient surgery Respiratory Therapy Rehabilitation Services Registration Revenue Cycle Quality Health Information Finance IT Infection Control

How can you prepare? Understand how ICD-10 will impact your area or practice setting Engage in ICD-10 Education Determine which applications and/or processes in your area will be impacted by ICD-10 implementation and establish a plan Assess current documentation for required specificity and detail Communicate concerns to your leadership

UMHC Employee Training Plan https://mymuhealth.org/ICD-10 Online modules by Optum Providers: (Physicians, Physician Assistants, Nurse Practitioners) Nursing Clinical Services/Ancillary : (PT/OT, Dietetics, Business office (Registration, Utilization Review, Out-patient pre-auth IT

Helpful resources for ICD-10 MUHC ICD-10 Web site: https://mymuhealth.org/ICD-10 CMS ICD-10 Web site: http://www.cms.gov/icd10 Association of Clinical Documentation Improvement Specialists Web site: http://www.hcpro.com/acdis/ AHA Central Office ICD-10 Web site: http://www.ahacentraloffice.org/codes/ICD10.shtml AHIMA ICD-10 Matters Web site: http://www.ahima.org/topics/icd10 AAPC Web site: https://www.aapc.com/medical-coding/

Questions ? If you have questions about ICD-10 please contact: Gregory Brown, PMP MU Health Care ICD-10 Project Manager Greg.Brown@Cerner.com