1 Rich Flaherty VP of Sales MDeverywhere Revenue Cycle Management for ICD-10

2 Agenda Why ICD-10 Practice implications Partner for success Asking the right questions Key takeaways

33 WHY ICD-10?

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55 Pros and Cons of ICD-10 Delay ICD-10 Delay Creates Headaches Senate Passes One-Year SGR Patch, ICD-10 Delay Bill ICD-10 Delay: Politics Versus Policy

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77 Much Has Changed Since 1979

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9 ICD-10 Is Necessary Greater specificity, improved tracking Longer codes, larger code set Improved monitoring of global health trends ICD-9ICD-10 Pressure Ulcers9 codes150 codes Angioplasty1 code854 code

10 IMPLICATIONS FOR YOUR PRACTICE

11 Implications All aspects of patient encounter will change Disruption in operations and payment streams Loss of productivity Software breaks Staff turnover

12 Sobering Facts 5x HFMA prediction on increase in denials. $50-200K Estimated spend on transitions costs. 80% Practices will need to upgrade software. 6 Months Recommended amount of cash flow in-house.

13 SURVIVING THE TRANSITION

14 Minimizing Impact Don’t underestimate the degree of change Invest in training Assess documentation procedures Engage staff early

15 Consider an RCM Partner Choose and RCM partner invested in ICD-10 Leverage resources and capabilities Leverage operational scale, technical expertise

16 FINDING THE RIGHT PARTNER

17 When Will Your System be Compliant? 1/3 ICD-10 Ready Now 2/3 Not Ready 27% Would not have been ready by Oct. 1, 2014 deadline.

18 Are There Additional Costs?

19 Customer Support & Training

20 GEMs & Crosswalk Supplement with extended search capabilities Natural language parsing Code set selection based on payor readiness 25% ICD-9 codes have an exact match to ICD-10

21 Dual Coding Support simultaneous use of codes for training Benchmark productivity for live implementation Testing with outside organizations

22 External Testing Strategy National Testing Week March 3-7, 2014 Claims tested successfully with 100% accuracy and without rejections.

23 Key Takeaways ICD-10 is inevitable and necessary Keep the pedal to the metal Don’t stop your ICD-10 preparations Partner for success Ask the right questions

24 About MDeverywhere Leader in Revenue Cycle Management MicroMD Strategic Partner Serving 7,000 physicians, 40+ specialties MDe clients increase collections 10-15% Decrease denials by 95% NCQA CVO certified

25 Thank You , option 4