How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... ·...

How to Plan a Smooth Transition to ICD-10

Today’s Host

Jana Macon, Vice President of Strategic Services

Avoid Cash Flow Crunch!

Agenda

ICD-10 Basics

Brightree Product Plans

Brightree Services

Planning Guide

Suggested Resources

Future Brightree Communications

Today’s Speakers

Diana Dipierro VP, Customer Support HME

Steve Rogers VP, Product Management

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

http://www.cms.gov/ICD10

ICD-10 Basics

Source: CMS https://implementicd10.noblis.org/understand_comparison/?guide= 10

Clinical Modification (CM) Codes

ICD-10 Basics

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 N A A A A A

N N N N N

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

Brightree Product Plans

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

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

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

These tools will be available for core Brightree HME Customers

Brightree HME Tools

Brightree Services

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

Brightree Revenue Cycle Management

A/R clean-up - Improve cash reserves

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

Brightree Services for HME - Prototype

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

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

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

Brightree Services for HME

If interested in these tools and services: email: ICD10@brightree.com

For continuous information on anything related to ICD-10 for Brightree HME Join the Brightree Community Subscribe to the ICD-10 board

Planning Guide For Providers

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

Multiple Areas of Impact

Planning Guide

OCTOBER 1, 2015

Planning Guide

correlating ICD-10 codes

Planning Guide

OCTOBER 1, 2015

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

Future Communications on ICD-10

Apr 28 – HME Product Webinar May 19 – Home Health and Hospice Product Webinar

Questions?

Thank you for attending!

For more information:

call 844.GET.BRTE (844.438.2783)

email ICD10@brightree.com

How to Plan a Smooth Transition to ICD-10info.brightree.com/rs/brightree/images/Brightree... ·...

Documents

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[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF …Due to the acquisition of Brightree LLC (“Brightree”) in April 2016, our operations now include the supply of business management

Conduit Office / Brightree My Forms Fax Permissions

Conduit Office / Brightree My Forms Uploading and Building Forms

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Brightree MyForms™ - Amazon Simple Storage Service · Add / Edit Insurance in My Forms Interface follows Brightree format Updates the patient record just like in Brightree Link-Back

Common Radiology Diagnoses: ICD-9 to ICD-10 Mappingahsrcm.com/assets/Radiology-ICD-9-ICD-10-Mapping.pdf · ICD-9 DIA ICD-10 DIA 14,000 69,000 PERFORMANCE THAT MATTERS Common Radiology

Kamus ICD-10 & ICD-9

Laterality of fetal self-touch in relation to maternal …eprints.lancs.ac.uk/69916/1/AALateralized_touch_in_the...Fetal laterality and maternal stress 1 Laterality of fetal self-touch

CROSSED LATERALITY - BMJ

Spatial MEG Laterality Maps for Language: Clinical ... · Spatial MEG Laterality Maps for Language: ... 8Department of Pharmacology, Dalhousie University, ... We argue that the laterality