just the facts- meaningful use stage 2 & icd 10
DESCRIPTION
Attend this hard hitting session where Rebecca Wiedmeyer, President of Vela Consulting Group will share her experiences helping hundreds of covered entities understand and address MU 2. In addition she will provide answers to the complexity of addressing ICD 10. Panelists: Rebecca Wiedmeyer, President of Vela Consulting Group Moderator: Marc Haskelson, President, The Compliancy Group LLC.TRANSCRIPT
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Meaningful Use Stage 2 and ICD-10:
What Lies Ahead Rebecca Wiedmeyer
CEO of Vela Consulting Group, LLC
Sponsored by:
CMS says: ● Measures focused on more rigorous
health information exchange (HIEs) ● Additional requirements for e-prescribing
and incorporating lab results
Meaningful Use Stage 2
CMS says: ● Electronic transmissions of patient care
summaries across multiple settings ● Increased patient and family engagement
Meaningful Use Stage 2
17 Core objectives (opposed to 13 in MU Stage 1) 3 of 6 Menu objectives (opposed to 5 of 10 in MU Stage 1) =20 Total + CQM
MU Stage 2 Requirements
● CPOE ● e-Prescribing ● Demographics ● Vital signs ● Smoking Status ● Clinical Decision Support
Core Measures
● Ability for patients to see certain aspects of their health record (portal or PHR)
● Protected EHR/Secure technology ● Integrated lab results ● Patient lists by conditions
Core Measures
● Analytics for preventative and follow-up care
● Patient Education materials ● Medication Reconciliation ● Summary of care per transfer or referral ● Immunization registries ● Bilateral communication tool for MDs/
patients
Core Measures
Example: CPOE ● 60% of Medications ● 30% of Labs ● 30% of Imaging Studies
Attestation - MDs Must Make the Numbers for 90 days
Begins in 2014 Runs until 2016 Must use a certified EHR Must complete attestation form and submit (e.g. simply running reports will not suffice)
Attestation
● International Classification of Diseases (ICD) has been used since 1979
● Current code set is ICD-9, consisting of diagnosis codes (ICD-9 CM)
● In 1994, the World Health Organization approved ICD-10.
ICD-10: History
ICD-10 consists of two code sets: ● ICD-10 CM codes - Diagnosis ● ICD-10 PCS codes - Procedures In 2008, the Department of Health and Human Services determined that the US was ready to adopt ICD-10
ICD-10: History
● Recent legislation has delayed compliance until the end of 2015, no firm date has been announced.
● ICD-10 compliance is a requirement for
Meaningful Use Stage 2.
ICD-10: Current State
ICD-9 =13,000 CM codes ICD-10 = 68,000 CM codes ICD-10 = 72,000 PCS codes
ICD-9 Versus ICD-10
ICD-9 codes are 3-5 characters in length ICD-10 codes are 5-7 characters in length *ICD-10 CM codes will be used in the Inpatient and Outpatient spaces, but PCS codes will only be used in the IP space.
ICD-9 Versus ICD-10
● More specificity ● Less gratuitous procedures ordered ● Tracking and reporting for grants and
public health initiatives ● Globalization: other countries are
already using ICD-10
ICD-10: Pros
● Loss of productivity Coders, MDs, Billing, IT
● Revenue impact
Some healthcare facilities are predicting up to a 70% revenue loss
ICD-10: Cons
● Electronic system readiness - work with vendors
● Update paper processes and content ● Communicate across organization or
clinic
Risk Mitigation
● Test, test, test! ● Train and retrain staff and clinicians ● Confirm coders are certified in ICD-10 ● Create and leverage a strong project plan
Risk Mitigation
● Create/run reports both before and after ICD-10 to monitor areas of weakness
● Plan for and utilize a strong support model
for the time of ICD-10 “go-live” ● Engage Legal and Compliance ● Select project “champions”
Risk Mitigation
For further information, go to www.cms.gov
Questions?
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