1. ICD-10 General Awareness
MU Health Care

2. 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

3. 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.

4. What is an ICD-10 code ?

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

6. 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

7. 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

8. 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

9. 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

10. UMHC Employee Training Plan
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

11. Helpful resources for ICD-10
MUHC ICD-10 Web site:
CMS ICD-10 Web site:
Association of Clinical Documentation Improvement Specialists Web site:
AHA Central Office ICD-10 Web site:
AHIMA ICD-10 Matters Web site:
AAPC Web site:

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