an orientation to icd 10 · diagnosis and procedure code sets (icd-10) under hipaa-as. • the...

An Orientation to ICD 10 A Provider and Payer Perspective

Lee Ratliff Baptist Health South Florida

George Vancore Florida Blue

September 21 2012

930 am ndash 1030 am EST Dial Toll Free 1 (800) 882-3610

Conference Passcode 6829655

900-3139-0912

Session Objectives

1 To increase your understanding of the current state of ICD-10 recent

regulatory decisions and industry perspectives

2 Increase your awareness and understanding of the challenges that

ICD-10 brings to Providers and Payers

3 To provide you with tools techniques best practices and helpful hints that could be used as you begin your ICD-10 preparations

2


bull On February 2 2012 the AMA sent a letter to DHHS requesting that they consider delaying the

implementation of ICD-10 httpwwwama-assnorgresourcesdocwashingtonicd-10-comment-letter-02feb2012pdf

bull On February 16 2012 the DHHS announced its intent to delay ICD-10 httpswwwcmsgovMedicareCodingICD10downloadsHHSPressReleaseICD10final321612pdf

bull On March 15 2012 CMSWEDI issued a summary report on the most recent ICD-10 readiness survey httpwediorgcmsUploadspdfUploadcommentLetterspubWEDI_ICD-10_Progress_Survey_Final_[03-16-2012]pdf

bull On April 9 2012 DHHS announced a proposed rule that would delay the compliance date for ICD-10

from October 1 2013 to October 1 2014 httpswwwcmsgovappsmediapressreleaseaspCounter=4329ampintNumPerPage=10ampcheckDate=ampcheckKey=ampsr

chType=1ampnumDays=3500ampsrchOpt=0ampsrchData=ampkeywordType=AllampchkNewsType=12C+22C+32C+42C+5

ampintPage=ampshowAll=amppYear=ampyear=ampdesc=ampcboOrder=date

bull On June 19 2012 delegates at AMAs Annual Meeting adopted a policy to evaluate ICD-11 as an

alternative to replace ICD-9 The AMA will conduct more research on this issue and will report back to

the House of Delegates in 2013 httpwwwama-assnorgamapubnewsnews2012-06-19-ama-adopts-new-policiespage

bull UPDATE On August 24 2012 the OMB (Office of Management and Budget) approved the DHHS

(Department of Health and Human Services) request to postpone the implementation of ICD-10 from

October 1 2013 to October 1 2014

An Orientation to ICD 10 Current State

3

bull In January 2011 the DHHS announced the final rules for new medical

diagnosis and procedure code sets (ICD-10) under HIPAA-AS

bull The successful implementation of the new electronic transaction standard

(HIPAA 5010) is a pre-requisite to the implementation of ICD-10

bull ICD-10 is intended to improve clinical data reporting improve patient care

quality enhance claim processing and promote increased interoperability

across industry stakeholders

bull Significant impacts to provider billing and payment processing may be

realized across the health care industry if stakeholders fail to collaborate

coordinate and communicate on their ICD-10 initiatives

An Orientation to ICD 10 A Regulatory View ndash Fundamentals

4

bull The ICD-10 CM (Clinical Modifications) and ICD-10 PCS (Procedure Coding Structure)

are the new medical diagnosis and procedure code sets under HIPAA-AS

bull These new code sets represent a fundamental overhaul to the current ICD-9

coding system

bull ICD codes are used to codify medical diagnoses and procedures calculate

and adjudicate coverage compile medical statistics assess quality of care

and help manage clinical quality outcomes for patients

bull The current ICD-9 codes sets are outdated and do not reflect advances in

medical technologies nor are they descriptive enough


5

bull As highlighted in the final rule the new ICD-10 CM and PCS code sets are

intended to

bull Provide greater flexibility to enable future capabilities

bull Provide more descriptive and robust categories for precise coding

bull Enable streamlined reimbursement processes

bull Provide richer medical data with higher degrees of details and

quality for further analysis help enrich clinical care profiles and

patient outcomes

bull Maximize the value of clinical data and the business value of

interoperability of e-health initiatives and the Electronic Health

Record (EHR)

An Orientation to ICD-10 A Regulatory View ndash Fundamentals

6

An Orientation to ICD 10 A Regulatory View ndash What is Changing

ICD-10 CM is the new medical code sets under HIPAA-AS for diagnosis reporting

and replaces ICD-9 CM in all US health care settings

7

The Challenges of ICD 10 A Regulatory View ndash What is Changing

ICD-10 PCS identifies medical procedures for use in US inpatient hospital settings

only does not replace CPTHCPCS codes for outpatient services

8

In addition to structural and content changes to the code sets there are several medical

terminology changes that are also being implemented A few examples follow

An Orientation to ICD-10 A Regulatory View ndash What is Changing

9

An Orientation to ICD 10 A Regulatory View ndash Implementation Date

The implementation of ICD-10 is ldquoService Daterdquo driven for outpatient

services and ldquoDischarge Daterdquo driven for inpatient services

So how does this impact you

Do you need to co-exist between ICD-9 and ICD-10

after the mandated compliance date

What happens if a pre-authorization is issued under ICD-9

but the Service is not performed until after ICD-10 is implemented

The original compliance date was October 1 2013 on August 24 2012 the OMB and DHHS

approved a delay of one year to October 1 2014

10

An Orientation to ICD 10 A Regulatory View ndash Implementation Challenges

11

Baptist Health South Florida

ICD-10 The Countdown is On

Lee Ratliff

Clinical Business Technology Consultant

September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems

Education amp Training

Coding Review

Budget

Awareness Governance

Testing and Dual Coding Plans 13


ABOUT BAPTIST HEALTH SOUTH FLORIDA

14

Scope of Services

bullBaptist Hospital of Miami bullSouth Miami Hospital bullDoctors Hospital bullHomestead Hospital bullWest Kendall Baptist Hospital bullMariners Hospital (Critical Access) bullBaptist Outpatient Services bullMedical Arts Surgery Centers bullPhysician Practices


15


16


RFP

17

RFP - SUMMARY

bull BHSF seeks an experienced company to provide ICD-10 amp 5010 consulting services for enterprise-wide impact assessment implementation planning and implementation services

Objective

bullBusiness Process Assessment Gap Analysis and Mitigation Plan

bullHealth Plan Payer Vendor and System Readiness

bullTraining Program Development

bullTesting Processes

bull ICD10 Data Mapping and Analysis (translation challenges)

bull Financial Impact Analysis

bull5010 Transition Impact

Scope

bull Achieve compliance with published federal regulations regarding HIPAA standard transactions and code sets including ICD10 amp 5010 requirements

bull Develop Project Plan (Schedule)

bull Develop Enterprise Budget

Goals

RFP Process

18

RFP ndash DECISION MAKING TEAM

HIM Management

Patient Financial Services Management

PFS ndash Billing

PFS ndash Government Collections

Revenue Pricing Integrity

IT ndash Data Warehouse

IT ndash Corporate Business Systems

Managed Care

Physician Representative

Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released

022111 Responses Due

030711 Semi- Finalists Selected

032111 Oral Presentations Completed

032811 Final Vendor Selected

Scheduled Meetings 30311 9a-11a Determine RFP Semi-Finalists

31711 9a-1p Oral Presentations

32411 9a-11a Final Decision Making Meeting

RFP Process

20

RFP - VENDORS

Challenges Sources

Limited Gartner information on ICD105010 consulting services vendors Lack of historical experience with ICD105010 services in the United States

WEDI ICD10 Workgroup Resources

Magazine Articles ndash ICD10WATCHCOM

Google

18 vendors identified ndash reviewed

RFP Process

21

RFP ndash SELECTION CRITERIA

Company

Personnel

Service Offering

Business Offering

Ability to provide a complete solution for ICD105010 services within scope of RFP Ability to meet requirements in the Business Requirements Consulting Services list

Size of workforce Availability of resources Skill level Training and Experience of staff

Vendorrsquos profile strength and stability Previous experience with this type of project History of delivering to like sized accounts References

Price Invoicing Risk acceptance

RFP Process

22


PROCESS

23

Overview of ICD-10 Process

Education

and training program

System remediationupgrades

Testing design and

management

Design amp implement dual-

processing

environmentmapping amp

translation strategy

Clinical

documentation

improvement program

Contingency Planning

End-state measurement

and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program

Phase 1 July ndash December 2011

Identification of business impact areas

ICD-10 impact assessment kick-off and

educational session with key stakeholders

People Process amp System Assessment

Education amp Training (Staffing) needs

assessment

Coding and documentation assessment

Communication PlanAwareness Campaign

VendorPayer Readiness Assessments

ICD-10 reimbursement and coding riskimpact

analysis

Road Map to ICD-10 Readiness

Refinement of ICD-10 Budget

Phase 2 Jan 2012 - Sept 2013

Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25

System and Vendor Readiness

Objectives bull Determine Vendor Remediation Plans amp Timeline

ndash Version release information (timeline hardwaresoftware requirements associated cost and work effort)

ndash Features amp functionality including support for dual-processingparallel environment

ndash Testing amp training plans bull Determine Payer Remediation Plans amp Timeline (surveys

being conducted by BHSF) ndash System remediation plans ndash Impacts to contracts and medical policy (mapping amp

translation) ndash Support for dual-processingparallel environment ndash Testing plans and timelines

Surveys

(email andor

phone)

Interviews

26

System Vendor Surveys

Consultant provided surveys required to be completed by vendors

Consultant worked with IT system owners (CBTCs) to communicate with vendors

Consultant gathered responses and documented in Report of Findings and Recommendations (VendorSystem Dashboard)

Surveys

(email andor

phone)

Interviews


27

66

The Number of ApplicationsDatabases that Produce

Process andor Store Diagnosis Information


28

ldquoAt Riskrdquo primarily related to bull Unknown ICD10 version and upgrade plan

ldquoOff Track rdquo primarily related to bull Awaiting vendor ICD10 details

bull Vendor with uncertain ICD10 plan

NOTE Have identified

selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop

IP Pharm201201 Q4 2011Q1 2012 Upgrade Yes No TBD

2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge

InstructionsTBD Q4 2011Q1 2012 Upgrade Yes No TBD

5 AmbulatoryOP clinicals

and PMv110 Q2 2012 Upgrade Yes No No

6 Acute Perinatal

7 AncillaryRenal

TransplantTBD TBD Code Load Yes TBD TBD

8 AcuteCoding and

ComplianceTBD TBD TBD TBD TBD TBD

9 OtherCoding and

ComplianceAvailable now Upgrade Yes No No

10 OtherClaims

AuditingBy 112012 Upgrade

Yes but not dual-

mappedNo No

11 OtherMgmt

DashboardBy 112012 Upgrade

Yes but not dual-

mappedNo No

12 OtherChargemaster

Mgmt

13 OtherABN

ManagementTBD TBD Hosted

Yes if mandated

by CMSNo No

14 AncillaryCase Mgmt

and Denials FUTBD Q3 2011

IF Mod

OverlayYes v72 or higher No

15 Ancillary

Home Care

(clinicals and

billing)

TBD TBD Upgrade Yes TBD TBD

16 Other Clearinghouse TBD TBD Hosted Yes TBD TBD

17 Other DictationTranscription

18 OtherDictation

TranscriptionTBD TBD Upgrade Yes TBD TBD

19 Other Clinical Data Mgmt TBD TBD TBD TBD TBD TBD

Version Prerequisite

for Release

Upgrade

Hardware

PrerequisitesNo Vendor

Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions

Documents vendor and payer readiness based on

information collected during vendorpayer readiness

surveys

All readiness plansmaterials provided by vendors

and payers will be provided with final deliverables


30

Example (Information Technology) outlines major

system remediationupgradetesting effort


31


EDUCATION AND TRAINING

32

Education and Training

63

The Number of Workflows and Processes that Use Codified

Diagnosis Information

33

19790 The Projected Number of Education amp Training Hours

Required Across Baptist Health South Florida


34

Level 1 Overview

Level 2 Job

ImpactKnowledge-Based

Level 3 On-the-JobSkill Transfer

Learner Categories Education Levels

Identify Train

Maintain

Coders

Providers Nurses CDI Specialists

IT and BIDS Managed Care Revenue Cycle


35

IT and BIDS Managed Care Nursing Revenue Cycle

2012 2013 2014

Quarter Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Level 1

Level 2

Level 3

bull Business Impact Areas ndash Awareness Campaign

bull Level 1 ndash Impact of ICD-10 Overview ndash Clinical (web-based)

ndash Impact of ICD-10 Overview ndash Revenue Cycle (web-based)

ndash Impact of ICD-10 Overview ndash ITReporting (web-based)

bull Level 2 ndash Impact to Nursing Documentation (web-based)

ndash Coding for Non-Coders ndash Financial

ndash Coding for Non-Coders ndash Clinical

ndash Clinical Documentation Improvement for ICD-10 (Body System) (web-based)

bull Level 3 Practice Environment

Leverage Baptist Health University content to be purchased and existing

platform leveraged to deliver and track completion


36


Providers amp Clinical Documentation Management

2012 2013 2014


Level 1

Level 2

Level 3

bull Physician Awareness Campaigns


bull Level 2 ndash Clinical Documentation Improvement for ICD-10 (Body

SystemSpecialty Specific) (web-based)

ndash Supplemental Specialty-SpecificPhysician Champion Onsite Training

ndash Employed Physician Office Coder Training (onsite)

bull Level 3 Ongoing Physician Feedback via CDMP

bull Utilize ICD-10 Reimbursement Analytics and CDMP reports to

focus on Top DRGs High Risk DiagnosesProcedures

Clinical Documentation Management Program

Awareness

Documentation Tools

Workflow Redesign

37

bull Level 1 ndash AampP Medical Terminology PharmacologyPathophysiology

ndash ICD-10-CM Overview Deciphering the CodeICD-10-PCS Overview Deciphering the Code

ndash ICD-10-CMPCS Fundamentals of GEMs

bull Level 2 ndash AHIMA Coder Proficiency Assessments Foundation AampP Focus Online Courses

ndash Approved AHIMA ICD-10 Trainers to deliver education to coders

bull Level 3 ndash Leverage CAC3M HDM for Dual-Coding and Practice Environment

bull ICD-10-CMPCS audit process post ICD-10 (October ndash December 2014)

Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms

bull Web-based Education Modules ndash Characterized by body system

ndash Specialty specific

ndash Leverage Baptist Health University

bull Dedicated Physician Educator ndash Instructor-led

ndash On-site via classroom department meetings other platforms

bull One-on-One Education ndash Leverage CDMPreg - Clinical Documentation Management

Program


39

Coder Productivity

Coding Career Ladder Program


40

bull Dual Screens

bull Computer-Assisted-Coding

bull Coder Career Ladder (in process)

bull Hire Additional Coders

bull Increase Volume of Outsourced Accounts and Vendors

bull Maximize ICD-10 Education amp Training Opportunities

bull Potential to leverage PFS Coders

Coder Productivity Mitigation Plan

Issues that impact coder productivity

Type Based on Current BHSF Productivity

Standard and 8 hour work day

Decrease in records code in

LT

Decrease in records code in ST

of Coders Total decrease in records

coded per week (LT) Total decrease in records

coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560

Critical Success Factor bull Productivity bull Streamline Quality bull Limit Learning Curve bull Enable dual-processing

environment

41

Coding Career Ladder Program ndash Purpose and Summary

PURPOSE

Cultivate a pipeline of experienced coding professionals

Offers existing coding staff an opportunity for personal development and career growth

Delivers an on-the-job training program

Creates an environment that encourages retention of coders

Promotes collaboration with AHIMA approved coding programs in the local community offering internship opportunities to students

42


CODING REVIEW

43

Documentation Coding amp Reimbursement

Objectives bull Identify High ImpactRisk Services

ndash MDC DRG Code amp Documentation Level

ndash Hospital Inpatient Identify the Potential Impact to Reimbursement

ndash Hospital Outpatient Identify High Impact Codes moving from ICD-9 to ICD-10

bull Conduct Chart Review

ndash Select high impacthigh volume records to review Facility 50 inpatient amp 50 outpatient records per Acute Care

Facility (Baptist Hospital South Miami Hospital Doctors Hospital Homestead Hospital)

Baptist Outpatient Services 50 encounters

Professional (Physician Office) 100 professional encounters

ndash Identify how claims translate from ICD-9 to ICD-10 ndash how do the codes and guidelines change

ndash Identify how documentation will need to be enhanced to support ICD-10

Remote Chart

Review

Analytics

44

Potential Financial Impact of ICD-10 Review of Results of Analytics

bull As part of the coding amp documentation review we coded and grouped 100 of the 200 inpatient charts reviewed in ICD-10 These charts were selected based on high impact DRGs identified in the reimbursement analytics The goal was to validate and identify the root cause of riskopportunity

bull 26 charts experienced a shift in reimbursement 19 due to changes in ICD-10 and 7 due to an error in current state ICD-9 coding

bull Of those that experienced a shift in reimbursement due to ICD-10 the riskopportunity can be categorized into four major categories

1 Change in DRG Definition (40)

2 Change in Coding Guideline (16)

3 Need for enhanced physician documentation (8)

4 Perceived error in CMS MappingDRG Definition (8)

Hospital Total

Claims MS-DRG Claims

Total Negative Financial Impact

Total Positive Financial Impact

BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11

Total (T) Average (A)

82366 (T) 17782 (T) -05 (A) 195

Recommendations

bull Leverage results of analytics for ICD-10 Communication amp Awareness

bull Resolve current state accuracy issues

bull Focus provider education

bull Focus on the indirect reimbursement impacts

bull Review managed care contracts

45

bull Inadequate physician documentation in both inpatient and outpatient settings to support the extra level of specificity required by ICD-10

bull Symptoms signs andor working diagnoses were coded when a definitive diagnosis has been established (outpatient)

bull Physician scriptsorders lack level of specificity necessary for ICD-10 (outpatient)

bull All secondary diagnosis documented by physician are not being reported (outpatient)

bull Unspecified diagnosis codes and specified diagnosis codes of a condition or injury were reported

bull Illegible physician handwriting

bull All inpatient procedure codes not being reported

Coding amp Documentation Review Example Results of Chart Review

Audit Report separate reports for each hospital and inpatientoutpatient

Baptist Outpatient Services and Baptist

Health Medical Group

Reoccurring trends amp summary results outlined

in the Report of Findings amp Recommendations

Example Account physician documents partial small bowel resection with no further specificity

To code the appropriate root operation ICD-10 for the procedure being performed physician documentation needs to identify the exact portion of the small intestine that was removed If the physician documents removal of an entire portion of ileum or jejunum for example this would then be coded to resection instead of excision

MS-DRG Reimbursement Impact ($626127)

46


BUDGET

47

ICD10 Project Budget

Capital Budget

SystemsVendors

Training and Education ndash Content

Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48


bullMappingTranslation Tool

bullSiemens Custom Interfaces

bullRelayHealth Bridgetable Claims and Remits

bullMModal

bullAHCA

SystemsVendors

bull ICD10 Training Course Content Education and Training

49


bullAHIMA ICD10 Trainer Academy and Training Materials

bullCoding Career Ladder Program Training Content Development

bullCoding Career Ladder Program Training Materials

bullOutsourced Coding

bull ICD10 Project Contracted Resources

bullPhysician Champions

ExternalOther

bullParticipantLearner Training Hours

bullExcluding Provider Training Hours Training and Education

bullDualParallel ICD9ICD10 environment - workflow redesign effort

bullData assessmentredesign

bullMapping and Translation

bullCoding Career Ladder Program Resources

Work Effort

bullDesignbuild leveraged to capture level of specificity to support ICD-10

bull Support dualparallel environment for application and integrated testing

bullCommitment to speech recognition with development of templates to guide physician documentation

System Remediation

50


AWARENESS and GOVERNANCE

51

Awareness Campaign

bull Status Reports HIM (weekly)

bull Status Reports IT (weekly)

bull ICD-10 Steering Committee (quarterly)

bull Updates to Senior Leadership (as needed)

ICD-10 Awareness Campaign

Phase Objectives

Communication Channels

Timeframe

Inform (Awareness)

ldquoTelling me whatrsquos going on and who to contactrdquo

Communication of ICD-10 Governance Structure and key contacts

Build awareness around the transition to ICD-10

o What is it

o Why the change

o Timeline

o A Walk Through ICD-10 ndash High-level pictorial demonstrating the use of diagnosis information throughout BHSF

Monthly Email-blasts

Posters throughout BHSF entities

Dedicated ICD-10 Newsletter

Medical Memo (physician-only)

January - June 2012

Clarify (Understanding)

ldquoHow will this change affect my job roles and responsibilitiesrdquo

The Sell ndash Why Does This Matter to Me

Education and training requirements and timeframes

Systems upgrade plans

Workflow redesign (if applicable)

Email-blasts



Department-level meetings

June 2012 ndash December 2012

Convince (Acceptance)

ldquoHow do I use the new process andor system in my jobrdquo

Real-life examples of the application of ICD-10 codes examples include

Complexities of mapping and translation

Physician documentation (high impacthigh volume diagnoses)

Reimbursement under ICD-10

Email-blasts




November 2012 ndash October 2013

Involve (Commitment)

ldquoHow did we ever do business without itrdquo

How ICD-10 and the increased level of specificity will be leveraged to provide better care better data = better patient care

Email-blasts




October 2013 ndash December 2014

Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n

Project Status Communication

52

ICD-10 Project Governance

53


54


TESTING AND DUAL CODING

55


Invision PA 270

1212

HIM Dual Coding

313

Activate PRCLF in Test

Test Coding Interface to Invision PM

Test Coding from Invision

PM to PA

Enable ICD10 to Invision Production

Enable Coding

Interface to Production

Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56

An Orientation to ICD-10 Helpful Tools

There are several publicly available websites that can help increase general

awareness and understanding of the ICD-10 mandate and its impact to the

health care industry some recommendations include

bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg

bull wwwahimaorgicd10

bull wwwcdcgovnchsicdicd10htm

bull wwwfmaonlineorgHomePageaspx

bull wwwfhaorg

bull wwwFloridaBluecom

bull wwwAvailitycom

57

An Orientation to ICD-10 Next Steps

bull Florida Blue ICD-10 Pulse Survey

bull Availityreg ICD-10 Webinar Series The Availityreg Health Information Network presents a four-part ldquoICD-10 Webinar

Seriesrdquo to deliver FREE education in response to impending diagnosis and

procedure code changes ndash a value of $129 per participant through sponsorship

with Scrubin Uniforms and Florida Blue National experts will directly address the

necessary steps in transitioning to the new health code sets One-hour seminars

started Aug 23 and run through Nov 8 so register now

For more information including CEU Credit and to register simply visit

wwwavailitycomlearningcenter

bull Florida Blue Open Line Friday Sessions Our next session will be held Friday October 19 2012 beginning at 930 am ET

Topic and special guest TBA

58


Questions and Discussion (Time Permitting)

Thank You

59

Session Objectives

1 To increase your understanding of the current state of ICD-10 recent

regulatory decisions and industry perspectives

2 Increase your awareness and understanding of the challenges that

ICD-10 brings to Providers and Payers

3 To provide you with tools techniques best practices and helpful hints that could be used as you begin your ICD-10 preparations

2

















3












4




coding system







5


intended to






patient outcomes



Record (EHR)


6




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59
















3












4




coding system







5


intended to






patient outcomes



Record (EHR)


6




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59












4




coding system







5


intended to






patient outcomes



Record (EHR)


6




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




coding system







5


intended to






patient outcomes



Record (EHR)


6




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


intended to






patient outcomes



Record (EHR)


6




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




7




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




8




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




9











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59











10


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


11



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



Lee Ratliff


September 21 2012

12


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


TOPICS

About Baptist

RFP

Process

Systems


Coding Review

Budget





14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



14

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

Scope of Services



15


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


16


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


RFP

17

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

RFP - SUMMARY


Objective








Scope




Goals

RFP Process

18


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


HIM Management


PFS ndash Billing





Managed Care


Financial Planning

RFP Process

19

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

RFP - TIMELINE

013111 RFP Released








RFP Process

20

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

RFP - VENDORS

Challenges Sources




Google


RFP Process

21


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


Company

Personnel

Service Offering

Business Offering





RFP Process

22


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


PROCESS

23


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


Education



Testing design and

management


processing



Clinical

documentation

improvement program



and documentation

Implement review

and improve process

Customer coaching

Implement

compliance program







assessment





analysis




Phase 3 Oct 2013 - 2014

24


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


SYSTEMS STATUS

25








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59








Surveys

(email andor

phone)

Interviews

26





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59





Surveys

(email andor

phone)

Interviews


27

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

66




28





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59





selected

vendors to re-

survey or follow

up to validate

confirm ICD10

Plan


29

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

1 AcuteEMR Periop


2 OtherCoding and

Compliance

3 Ambulatory HIE

4 AcuteDischarge




6 Acute Perinatal

7 AncillaryRenal


8 AcuteCoding and


9 OtherCoding and


10 OtherClaims


Yes but not dual-

mappedNo No

11 OtherMgmt


Yes but not dual-

mappedNo No


Mgmt

13 OtherABN


Yes if mandated

by CMSNo No



IF Mod


15 Ancillary

Home Care

(clinicals and

billing)




18 OtherDictation




for Release

Upgrade

Hardware


Application

Category

ApplicationModule

Description

Application

Use

ICD-10

Status

(Risk)

ICD-10

Compliance

Version

Release DateRelease

Method

Support for

both ICD-9 and

ICD-10 versions



surveys




30




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




31



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



32


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


63



33




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59




34

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

Level 1 Overview

Level 2 Job




Identify Train

Maintain

Coders




35


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


2012 2013 2014


Level 1

Level 2

Level 3













36



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



2012 2013 2014


Level 1

Level 2

Level 3











Awareness

Documentation Tools

Workflow Redesign

37








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59








Coders

2012 2013 2014


Level 1

Level 2

Level 3

Audit

CAC

1632 HoursCoder


38

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

Multiple Delivery

Platforms







Program


39

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

Coder Productivity



40

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

bull Dual Screens












LT




coded per week (ST)

IP 28 14 21 14 980 490

OPS 56 28 42 8 1120 560


environment

41


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


PURPOSE






42


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


CODING REVIEW

43













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59













Remote Chart

Review

Analytics

44









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59









Hospital Total




BH 39467 9167 -04 21

SMH 19224 3338 -05 23

DH 11608 2684 -05 21

HH 7163 2593 -05 11


82366 (T) 17782 (T) -05 (A) 195

Recommendations






45

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

















46


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


BUDGET

47


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


Capital Budget

SystemsVendors


Operating Budget

ExternalOther

Training

WorkflowRedesign

System Remediation

48





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59





bullMModal

bullAHCA

SystemsVendors


49








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59








ExternalOther







Work Effort




System Remediation

50



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



51

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59

Awareness Campaign






Phase Objectives


Timeframe

Inform (Awareness)




o What is it

o Why the change

o Timeline






January - June 2012







Email-blasts











Email-blasts








Email-blasts





Incre

ase S

pe

cific

ity o

f Me

ssag

e U

sin

g S

imila

r Co

mm

un

icatio

n C

han

nels

th

rou

gh

ou

t cam

paig

n


52


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


53


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


54



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59



55


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59


Invision PA 270

1212

HIM Dual Coding

313




PM to PA


Enable Coding


Use OML to Control

ICD910 on Claims

Test with Claim

Scrubber and Payers

56





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59





bull wwwcmsgovICD10

bull wwwwediorg

bull wwwama-assnorg




bull wwwfhaorg


bull wwwAvailitycom

57













58



Thank You

59













58



Thank You

59



Thank You

59