icd-10 for dme/hme industry
TRANSCRIPT
Wayne BaileyBonafide’s DME Expert
Today’s Goals: 1. Educate you about ICD-10
2. Tell you about what Bonafide is doing to help
3. Get you to assign a project manager to oversee ICD-10 transition
Welcome!
Oct. 1 DeadlineICD-10 goes into effect Oct. 1, 2015
ICD-10 for DME BusinessesAbout ICD-10
Code ExplosionICD-10 will bring the number of diagnostic codes from 14,500 to 69,700, an increase of 55,200 new codes.
Will Impact Cash FlowYou will need to spend more and will likely encounter low cash flow through the transition period.
LateralityLaterality is a major theme in the expansion of codes under ICD-10.
ICD-10 for DME BusinessesCode Explosion
Anatomical LocationIn addition to laterality, providers will be required to specify detail in terms of location of an injury or condition.
CombinationICD-10 includes hundreds of combination codes that link symptoms, manifestations and/or complications with a diagnosis.
Encounter TypeProviders will need to specify whether the encounter is initial, subsequent or sequela.
ICD-10 for DME BusinessesTo-Do List
Assign a ManagerAssign someone within your organization who will manage the ICD-10 transition and work with Bonafide to ensure smooth sailing.
Assess the SituationEach of you will have a different level of complexity in transitioning to ICD-10. Start by conducting a charge summary by primary diagnosis code.
Make a PlanYour plan should map out exactly how you are going to train your staff, prepare your providers, and conduct billing under the new system. Your plan should also account for the cash flow impacts of ICD-10.
ICD-10 for DME BusinessesAssess Your Situation1. Run a charge summary by primary
diagnosis code I.D. top ICD-9 codes used Use General Equivalence Mappings (GEMs) to
I.D. correlating ICD-10 codes Based on the gap, you can determine the size
of the project to recode
2. Identify all systems & work processes that will be affected
Documentation Encounter forms Superbills Contracts Reporting
3. Look at your referring physicians How much time currently spent getting correct
codes from them? How much more time will be required with ICD-
10?
ICD-10 for DME BusinessesThings to ConsiderBecome familiar with the
most commonly used code or codes in ICD-10 in your business
Start obtaining ICD-10 codes from referring providers
Familiarize your staff with the Bonafide tools for ICD-10
ICD-10 for DME BusinessesBonafide’s Promise ICD-10 codes and CMS GEMs are loaded directly into the
Claim Information tab.
All possible scenarios for the ICD-9 to ICD-10 Diagnoses Search are listed in the GEMS Mapping Section.
The DX search contains a tree view for diagnosis that contain multiple matches in ICD-10. The tree view shows a parent-child relationship for the code.
Users have the ability to reverse search from ICD-10 to ICD-9.
The Description field works as a key word search in order to use the search as a stand-alone tool.
ICD-10 for DME BusinessesBonafide’s SolutionBonafide will work with your
assigned Project Manager and conduct a complimentary assessment of your frequently-used codes.
We have customized training and support packages available.
We have optional crosswalk mapping for our customers.
ICD-10 for DME BusinessesCrosswalk MappingBonafide has partnered with
a provider that will conduct complete crosswalk mapping for your business.
Depending on the complexity of the transition for your business, this may be a valuable optional service for you.
Bonafide will work with your Project Manager to determine whether this is a good option.
ICD-10 for DME BusinessesYour Next Step
Assign your Project Manager and let us know so that we can get started on your transition!
ICD-10 for DME BusinessesOur Next Steps
Bonafide will provide the following in the coming months:
Video training
White papers
Articles
Checklists
And more to help you prepare for ICD-10
Kristina V. Akerberg
Sales Executive
Cell:805-906-1698
Office:805-418-1489
Fax:805-777-7661
www.bonafide.com
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