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ICD-10: A Centricity™ Business Customer Conversation (Technical) April, 2015

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Facilitators Judy Pochowski - Technical Support Engineer – Support Services Kathy Flynn – Technical Support Engineer – Support Services Susan Warren – SLUCare Physician Group 4

ICD-10 Changes Are Coming! 5

New Date 6 ICD-9-CM Diagnosis 3-5 digits, plus decimal point (14,000) Numeric format (except V and E codes) ICD-9-PCS Procedures 3-4 digits, plus decimal point (4,000) Numeric format ICD-10-CM 3-7 digits, plus decimal point (68,000) Alphanumeric format (all codes) ICD-10-CM 7 digits, no decimal point (87,000) Alphanumeric format Changed to October 1, 2015.

This Change Affects EVERYONE! 7 Staff Increased specificity of documentation to support new codes Knowledge of ICD-9 and ICD-10 codes during overlap New reimbursement methods and contracts Process changes Extensive re-education IT Support for new data formats Data handling for old and new data (interfaces, edits, cross-mapping) Reporting with two data sets Training requirements

The ICD-10 Technical Journey 8

Centricity Business ICD-10 Upgrade -Delivery of updated standard ICD related objects (routines, forms, tables, columns, etc. -Capability to upload new ICD-10 codes from CMS -Updates to Dictionary 36 and Dictionary 144 (new and changed dictionary fields) 9

Testing the Diagnosis Lifecycle Charges (manual entry/interface) TES Edits TES Extract/3 rd Party Scrubber Payer Setup Claims Payments Interface 10

Testing the Lifecycle Continues…….. What customizations on the system involve ICD codes Extractions Testing with payers Managed Care Contracts 11

Resources Centricity Business ICD-10 Community Contact your Services Support Analyst Talk with EDI Services Workgroup for Electronic Data Interchange (WEDI): CMS CDC: ICD-10-CM Coding System, Mappings and Guidelines 12

13 Questions ?