how to plan a smooth transition to icd-10info.brightree.com/rs/brightree/images/brightree... ·...
TRANSCRIPT
![Page 1: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/1.jpg)
How to Plan a Smooth Transition to ICD-10
![Page 2: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/2.jpg)
Today’s Host
Jana Macon, Vice President of Strategic Services
![Page 3: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/3.jpg)
© 2015 Brightree
![Page 4: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/4.jpg)
© 2015 Brightree
Avoid Cash Flow Crunch!
4
![Page 5: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/5.jpg)
© 2015 Brightree
5
![Page 6: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/6.jpg)
© 2015 Brightree
Agenda
ICD-10 Basics
Brightree Product Plans
Brightree Services
Planning Guide
Suggested Resources
Future Brightree Communications
Q & A
6
![Page 7: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/7.jpg)
Today’s Speakers
Diana Dipierro VP, Customer Support HME
Steve Rogers VP, Product Management
![Page 8: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/8.jpg)
ICD-10 Basics
![Page 9: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/9.jpg)
© 2015 Brightree
ICD-10 Basics
International Classification of Disease (ICD), 10th Rev
Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality, Specificity and Severity details
Required for claims with date-of-service (DOS), or From Date, on or after 10/1/2015 Recurring orders Documentation requirements Not all covered entities required to move to ICD-10
9
http://www.cms.gov/ICD10
![Page 10: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/10.jpg)
© 2015 Brightree
ICD-10 Basics
Source: CMS https://implementicd10.noblis.org/understand_comparison/?guide= 10
Clinical Modification (CM) Codes
![Page 11: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/11.jpg)
© 2015 Brightree
ICD-10 Basics
11
![Page 12: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/12.jpg)
© 2015 Brightree
ICD-10 Basics
12
ICD-9-CM ICD-10-CM
Field Length 3 – 5 characters 3 – 7 characters
Code Composition [A = Alpha N = Numeric]
_ _ _ _ _ N N N N N
A
_ _ _ _ _ _ _ A N A A A A A
N N N N N
HME
327.23 – Obstructive sleep apnea
G47.33 – Obstructive sleep apnea (adult) (pediatric)
Home Health 496.0 – Chronic Airway Obstruction not elsewhere
classified
J44.9 – Chronic Obstructive Pulmonary Disease, unspecified
Hospice 162.3 – Malignant neoplasm of upper lobe, bronchus, or lung
C34.10 – Malignant neoplasm of upper lobe, unspecified bronchus
or lung C34.11 – Malignant neoplasm of
upper lobe, right bronchus or lung
C34.12 – Malignant neoplasm of upper lobe, left bronchus or lung
![Page 13: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/13.jpg)
Brightree Product Plans
![Page 14: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/14.jpg)
© 2015 Brightree
Product Updates
Planning and Development well underway Support new CMS 1500 (02-12) form
No additional charge for upgrade Included as part of the release
Cloud platform advantages Support for both ICD-9 & ICD-10 Support OASIS-C1 changes System and Payer level Effective Dates Home Health & Hospice Start and Stop dates for Diagnosis codes
14
![Page 15: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/15.jpg)
© 2015 Brightree
Testing & Release Dates
Payer Testing Brightree is participating in all CMS testing Working with Clearinghouses for non-CMS
Brightree HME / DME / Pharmacy Beta testing in April Generally Available in May
Brightree Home Health / Hospice Beta testing in July Generally Available in August
15
![Page 16: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/16.jpg)
© 2015 Brightree
Brightree HME Tools
Report of Patients not updated with ICD-10 codes Start collecting ICD-10 codes on CMNs & PARs Brightree forms
Form to assist ICD-10 conversation with Physicians ICD-10 Work List Tool to assist in migrating the “whole” patient record Patient, Sales Orders, Sales Order Templates CMNs & PARs
16
These tools will be available for core Brightree HME Customers
![Page 17: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/17.jpg)
© 2015 Brightree
Brightree HME Tools
17
![Page 18: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/18.jpg)
Brightree Services
![Page 19: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/19.jpg)
© 2015 Brightree
Brightree Training
Training will include: New Brightree application functionality as it relates to
ICD-10 Preparedness tasks that can be accomplished using
Brightree application Post 10/1 share findings, such as rejections or payer
activities
ICD-10 series of monthly webinars Additional Training Available
Classroom training (2 days) locations to be determined 19
![Page 20: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/20.jpg)
© 2015 Brightree
Brightree Revenue Cycle Management
A/R clean-up - Improve cash reserves
20
![Page 21: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/21.jpg)
© 2015 Brightree
Brightree Services for HME - Dashboard
ICD-10 Readiness Dashboard Summary and detail data on Provider Effort Required
Build actionable project plan to complete migration
Monthly “refresh” to manage project
Initial expert consultative review
21
![Page 22: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/22.jpg)
© 2015 Brightree
Brightree Services for HME - Prototype
22
![Page 23: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/23.jpg)
© 2015 Brightree
Brightree Services for HME – Work Effort
5000 total patients that need to be update 2000 have a 1 to 1 exact match 3000 require review 3 minutes for migration tool in Brightree 10 minutes to conduct the research
5000 * 3 = 15,000/60 = 250 hours – update codes 3000 * 10 = 30,000/60 = 500 hours – research
TOTAL 750 hours =1 person - 5 months
23
![Page 24: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/24.jpg)
© 2015 Brightree
Brightree Services for HME
Best Practices Cash Flow Protection Consulting Develop an ICD-10 migration timeline with milestones Monthly or weekly meetings to keep tasks ON TRACK
Code-Matching Tool Import Provider Requested ICD-10 codes into patient
charts
24
![Page 25: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/25.jpg)
© 2015 Brightree
Brightree Services for HME - Custom Forms
Custom Forms – CMNs, PARS’s, Delivery Tickets, Quotes, PO’s, Facility Bills
Will automatically populate with either ICD9 or ICD-10 codes as per cut-off date in Payer record
State Custom forms will do so as well
If there is a redesign, then an SOW will be required
25
![Page 26: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/26.jpg)
© 2015 Brightree
Brightree Services for HME
If interested in these tools and services: email: [email protected]
For continuous information on anything related to ICD-10 for Brightree HME Join the Brightree Community Subscribe to the ICD-10 board
26
![Page 27: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/27.jpg)
Planning Guide For Providers
![Page 28: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/28.jpg)
© 2015 Brightree
Preparing for ICD-10
“… a common estimate put forth by WEDI (Workgroup for Data Interchange) and others is that about 35 percent of the ICD-10 work will be handled by technology department workers…”
Why Y2K was no ICD-10 October 23, 2013 | Tom Sullivan, Editor
28
![Page 29: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/29.jpg)
© 2015 Brightree
Multiple Areas of Impact
29
![Page 30: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/30.jpg)
© 2015 Brightree
Planning Guide
30
OCTOBER 1, 2015
![Page 31: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/31.jpg)
© 2015 Brightree
Planning Guide
31
![Page 32: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/32.jpg)
© 2015 Brightree
Planning Guide
32
![Page 33: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/33.jpg)
© 2015 Brightree
Planning Guide
33
correlating ICD-10 codes
![Page 34: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/34.jpg)
© 2015 Brightree
Planning Guide
34
![Page 35: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/35.jpg)
© 2015 Brightree
Planning Guide
35
![Page 36: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/36.jpg)
© 2015 Brightree
Planning Guide
36
![Page 37: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/37.jpg)
© 2015 Brightree
Planning Guide
37
![Page 38: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/38.jpg)
© 2015 Brightree
Planning Guide
38
OCTOBER 1, 2015
![Page 39: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/39.jpg)
Suggested Resources
![Page 40: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/40.jpg)
© 2015 Brightree
Suggested Resources
ICD-10 Website http://www.cms.gov/ICD10
Implementation Guides https://implementicd10.noblis.org
General Equivalence Mappings (GEMs) http://www.cms.gov/Medicare/Coding/ICD10/2015-ICD-10-CM-and-
GEMs.html
Reimbursement Mappings http://www.cms.gov/Medicare/Coding/ICD10/Downloads/Reimburse
ment_Mapping_dx_2015.zip
40
![Page 41: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/41.jpg)
Future Communications on ICD-10
Apr 28 – HME Product Webinar May 19 – Home Health and Hospice Product Webinar
![Page 42: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/42.jpg)
© 2015 Brightree
Questions?
42
![Page 43: How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... · Effective Date: October 1, 2015 A new standard for diagnosis codes More Laterality,](https://reader033.vdocuments.us/reader033/viewer/2022052012/602946c6c453a46e37335210/html5/thumbnails/43.jpg)
© 2015 Brightree
43
Thank you for attending!
For more information:
call 844.GET.BRTE (844.438.2783)
email [email protected]