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1 Industry leading Education Certified Partner Program Please ask questions For todays & past webinars go to: webinar/ Get Involved. #cgwebinar HIPAA
2 Meaningful Use Stage 2 and ICD-10: What Lies Ahead Rebecca Wiedmeyer CEO of Vela Consulting Group, LLC
3 Meaningful Use Stage 2 CMS says: Measures focused on more rigorous health information exchange (HIEs) Additional requirements for e-prescribing and incorporating lab results
4 Meaningful Use Stage 2 CMS says: Electronic transmissions of patient care summaries across multiple settings Increased patient and family engagement
5 MU Stage 2 Requirements 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
6 Core Measures CPOE e-prescribing Demographics Vital signs Smoking Status Clinical Decision Support
7 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
8 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
9 Attestation - MDs Must Make the Numbers for 90 days Example: CPOE 60% of Medications 30% of Labs 30% of Imaging Studies
10 Attestation 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)
11 ICD-10: History 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.
12 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
13 ICD-10: Current State 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.
14 ICD-9 Versus ICD-10 ICD-9 =13,000 CM codes ICD-10 = 68,000 CM codes ICD-10 = 72,000 PCS codes
15 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.
16 ICD-10: Pros More specificity Less gratuitous procedures ordered Tracking and reporting for grants and public health initiatives Globalization: other countries are already using ICD-10
17 ICD-10: Cons Loss of productivity Coders, MDs, Billing, IT Revenue impact Some healthcare facilities are predicting up to a 70% revenue loss
18 Risk Mitigation Electronic system readiness - work with vendors Update paper processes and content Communicate across organization or clinic
19 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
20 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
21 Questions? For further information, go to
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