1. GETTING STARTED Physician Office ICD-10 Preparation Karen Prescott Norwalk Hospital

2. 9/26/2013 2 1. Assign Responsibility 2. Assess your Practice Risks 3. Training & Communication 4. Systems & Payer Readiness 5. Review Super-Bills 6. Anticipate Cash Flow Disruption 7. Final Preparation 8. Implement and Beyond Physician Office Preparation

3. 9/26/2013 3 Physician Office ICD-10 Time Line #Task Name Oct-Dec 2013 Jan-Mar 2014 Apr-Jun 2014 Jul-Sep 2014 Oct – Dec 2014 1Assign Resource 2Office Assessment 3Training & CommunicationPLAN 4Systems and VendorsPLAN 5Super Bill and FormsPLAN 6Anticipate Cash FlowPLAN 7Final Preparation 8Post ICD10 Monitoring ICD-10 Go Live!!

4. 9/26/2013 4 #Task NameTask Details to Consider 1Assign ResourceIdentify Individual to be Point Person (Project Manager) 2Office AssessmentHow will ICD10 impact your particular office / specialty? Review Critical Factors 3Training & CommunicationFirst develop plan of who will be trained and how the training will be done Establish a budget Execute on plan 4Systems and PayersDevelop plan for all systems and payers related to ICD10 Establish plan based on feedback from system vendors and payers Establish internal and external testing plan Establish a budget Execute on plan Task Step Details #1-4

5. 9/26/2013 5 #Task NameTask Details to Consider 5Super Bill and FormsIdentify Super Bills and any other forms that currently include ICD9 Develop plan to update to ICD10 Establsih a budget (my include printing costs) Execute on plan 6Anticipate Cash Flow DisruptionsExpect delays with initial payer processing Your office may be ready, but others may not be ready 7Final PreparationEstablish weekly communication in last 90 days prior to ICD10 Mitigate any remainig risks 8Post ICD10 MonitoringMonitor process Monitor payor denials Re-train where necessary Task Step Details #5-8

6. Do you employ certified coders? If so, they will require extensive ICD10 Training Do you have an EMR? If so, the vendor should have a plan for ICD10 and system will require testing External billing company? Testing with top Payers and/or Clearinghouse? Plan for paper process? Physicians need to know specificity that is required for their specialty. Find the right training. May need to coordinate with Meaningful Use or Electronic Health Record Projects Cash flow may be impacted during initial months after ICD10 Critical Factors to Consider 6

7. 9/26/2013 7 Helpful Links CMS Links: Very helpful link to Implementation Guide for Small and Medium Practices – gives more detailed steps to consider: http://www.cms.gov/ICD10 Look for Resources for Providers, then Implementation Guides Link to CMS Provider Resources – additional reference items: http://www.cms.gov/Medicare/Coding/ICD10/ProviderResources.html Link to CMS Video reviewing overall Implementation http://www.medscape.org/viewarticle/766192 AHIMA Links: Physician Office ICD10 Plan based on individual roles. Another look at detailed project steps: http://www.ahima.org Look for HIM Trends and Topics, then Implementing ICD-10