What s Up Wednesday. Together Let s Get ICD-10 Ready. Date: October 16, 2013 Time: 2pm 3pm Phone Number: Pass Code:

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1 What s Up Wednesday Together Let s Get ICD-10 Ready Date: October 16, 2013 Time: 2pm 3pm Phone Number: Pass Code: Presented by the Pennsylvania Blues Plans

2 What s Up Wednesday and ICD-10 Increase collaboration, communication, education and coordination between hospitals, physicians, payers and vendors. Expand understanding of the ICD-10, recent regulatory decisions and industry perspectives. Raise awareness and understanding of the unique challenges that ICD-10 brings to the entire health care industry. Provide tools, techniques, best practices and helpful hints that can support ICD-10 implementation. Please remember that during the call all attendees are on mute except for any guest speakers and all panelists. If you have a question, please it to ICD10ProviderCommunication@capbluecross.com so we can address it during the call. 1

3 Today s Agenda ICD-10 and Training PA Blues Plans o ICD-10 and Training Summit Health o ICD-10 Analytics and Training AAPC o ICD-10 Training Importance Thoughts and Questions o What would you like to talk about next? 2

4 Who is Speaking Today? ICD-10 and Training Kathleen Grabowski o Program Manager, ICD-10 Implementation - Capital BlueCross Deb Cotter o Director, Strategic Programs Highmark Blue Shield John Lucabaugh o Vice President, Health Information Management - Summit Health Amy S. McCreight, CPC, CPCO, CPMA, CEMC, CHAP o Director of Health Plan & Provider Sales -AAPC 3

5 Why ICD-10 Training Is Important

6 ICD-10 Training Key Points ICD-10 training requires time and focus. Plant the seed Simply Build Awareness Remind employees at every opportunity about the conversion Determine who needs trained Coders and billers are not the only staff who need trained How will implementation will affect their operational workflow Study the right material for your specialty Focus on high-frequency/dollar codes 4

7 ICD-10 Training and the PA Blues Plans

8 PA Blues Plans and ICD-10 Testing Internal external training is a priority of the PA Blues Plans. Internal Training Proper training in the Payers infrastructure will lead to timely claim approval Internal awareness campaigns Companywide ICD-10 training broken out by departments Internal webpages and newsletters External Training Talking to the medical community about ICD-10 will lead to increased awareness ICD-10 newsletters, bulletins and brochures Provider training/educational tools Dedicated ICD-10 Websites Coding Exercises Collaboration with other Blues Plans and reputable industry material 5

9 ICD-10 Training Guest Speakers

10 Summit Health

11 Summit Health Parent Organization to: Chambersburg Hospital 248 beds Waynesboro Hospital 62 beds Summit Physicians Services 27 practice sites 28 medical specialties 176 physicians on staff Located in Franklin County 6

12 Summit Health and ICD-10 Training Overall ICD-10 Implementation and Readiness Internal Analytics DRG Shifts Two-pronged training approach Physician Champions Vendors Partners have been selected QuadraMed Nuance Elsevier 7

13 AAPC

14 Impact of ICD-10 US is one of last to implement US has been using ICD-9 for the past 40 years One step at a time With modular learning, each step gets easier Start with the basics and learn at a pace that fits your environment *For more detailed information please view the included deck in the Appendix 8

15 AAPC s Suggested Training Aproach 9

16 Next What s Up Wednesday Call Next What s Up Wednesday Call: o Scheduled for 11/20/13 2:00pm 3:00pm Visit a PA Blue s Plan website for more information: o Blue Cross Northeastern PA o Independence Blue Cross o Highmark Blue Shield o Capital BlueCross We would like to hear from you so please send your feedback to ICD10ProviderCommunication@capbluecross.com 10

17 If You Have A Question If you have a question, please it to ICD10ProviderCommunication@capbluecross.com We will address it during the call. Send your feedback to: o Capital BlueCross: ICD10PC@CapBlueCross.com o Highmark: ICD-10Inquiries@highmark.com o Independence BlueCross: icd10@ibx.com o BCNEPA: Kevin.Quaglia@bcnepa.com 11

18 Questions

19 Appendix The following slides have been prepared by AAPC and are for informational purposes only. The content is the sole responsibility of the vendor.

20 AAPC ICD-10 Educational Trainings

21 Impact of ICD-10 One of the largest challenges to hit healthcare in decades US is one of last to implement US has been using ICD-9 for the past 40 years

22 AAPC s Team In house staff experts Rhonda Buckholtz, Betty Hovey, Peggy Stilley, Shelly Cronin, Jackie Stack AAPC trained trainers Found on our website Very diverse backgrounds, experts in the marketplace

23 AAPC in the Industry Workgroup for Electronic Data Interchange (WEDI) NCVHS CMS MGMA UHG California Medical Society

24 AAPC Clients Over 200 onsite clients McKesson BCBSA-BCBSVT, BCBSKS, BCBSTN, BCBSRI, BCBSNC, CareFirst Bon Secours, Adventist, TeamHealth, Kaiser Over 5000 trained on Implementation

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26 AAPC ICD-10 Trainings Awareness/Essentials Training Implementation Training Anatomy & Pathophysiology for ICD-10-CM Train the Trainer (ICD-10-CM & ICD-10-PCS) ICD-10-CM or ICD-10-PCS Code Set Training ICD-10-CM Specialty Code Set ICD-10 Readiness Audits Documentation Requirements for Providers ICD-10 Mapping File

27 Awareness Training For ancillary staff, management, front office, registration, etc 3 hours online

28 Implementation Provider Goes through all the business areas and how to prepare Focus on clinical documentation strategies Differences between ICD-9-CM and ICD-10-CM

29 Implementation Health Plans Each business area ICD-10-CM ICD-10-PCS

30 Anatomy and Pathophysiology for ICD-10-CM 14 online modules Includes: Webinar Downloadable chapter 10 EOC questions Geared towards ICD-10-CM coding 14 CEU s

31 Train the Trainer Three day intensive course Covers all of ICD-10-CM or PCS Trainer exam Curriculum license Includes PPT with full speaker notes, answer key with rationales

32 ICD-10-CM or PCS Code Set Training Two days General code set training Complete guidelines Hands on exercises/cases Online or in-person and bootcamps

33 Specialty Code Set Online 4 or 8 hours

34 ICD-10-Readiness Audits Focused on current documentation Used to determine where documentation may not be complete enough to assign an ICD-10-CM code Results can help determine where training may be most effective

35 Clinical Requirements for Providers 3 hour online course Designed to teach clinicians the codes as they apply to their specialty Foundation of ICD-10-CM Need for more specific documentation Most commonly coded in specialty and documentation requirements needed to assign the code Can be listened to over and over again

36 Mapping AAPC has created comprehensive mapping ICD-9-CM to ICD-10-CM Excel format