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ICD-10 for DME/HME Industry

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Wayne Bailey
Wayne Bailey

Wayne Bailey, Bonafide's DME expert, aims to educate attendees about ICD-10, what Bonafide is doing to help with the transition, and get attendees to assign a project manager to oversee the transition. ICD-10 goes into effect on October 1, 2015 and will bring many changes including a large increase in the number of diagnostic codes, requirements for specifying anatomical location and encounter type, and impacts to cash flow during the transition period. Bonafide promises tools to help with the ICD-10 transition and searching between ICD-9 and ICD-10 codes, and recommends attendees assign a project manager and contact Bonafide for a needs assessment.

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Wayne Bailey Bonafides DME Expert Todays Goals: 1. Educate you about ICD-10 2. Tell you about what Bonafide is doing to help 3. Get you to assign a project manager to oversee ICD-10 transition Welcome!
Oct. 1 Deadline ICD-10 goes into effect Oct. 1, 2015 ICD-10 for DME BusinessesAbout ICD-10 Code Explosion ICD-10 will bring the number of diagnostic codes from 14,500 to 69,700, an increase of 55,200 new codes. Will Impact Cash Flow You will need to spend more and will likely encounter low cash flow through the transition period.
Laterality Laterality is a major theme in the expansion of codes under ICD-10. ICD-10 for DME BusinessesCode Explosion Anatomical Location In addition to laterality, providers will be required to specify detail in terms of location of an injury or condition. Combination ICD-10 includes hundreds of combination codes that link symptoms, manifestations and/or complications with a diagnosis. Encounter Type Providers will need to specify whether the encounter is initial, subsequent or sequela.
ICD-10 for DME BusinessesTo-Do List Assign a Manager Assign someone within your organization who will manage the ICD-10 transition and work with Bonafide to ensure smooth sailing. Assess the Situation Each of you will have a different level of complexity in transitioning to ICD-10. Start by conducting a charge summary by primary diagnosis code. Make a Plan Your plan should map out exactly how you are going to train your staff, prepare your providers, and conduct billing under the new system. Your plan should also account for the cash flow impacts of ICD-10.
ICD-10 for DME BusinessesAssess Your Situation 1. Run a charge summary by primary diagnosis code I.D. top ICD-9 codes used Use General Equivalence Mappings (GEMs) to I.D. correlating ICD-10 codes Based on the gap, you can determine the size of the project to recode 2. Identify all systems & work processes that will be affected Documentation Encounter forms Superbills Contracts Reporting 3. Look at your referring physicians How much time currently spent getting correct codes from them? How much more time will be required with ICD-10?
ICD-10 for DME BusinessesThings to Consider Become familiar with the most commonly used code or codes in ICD-10 in your business Start obtaining ICD-10 codes from referring providers Familiarize your staff with the Bonafide tools for ICD-10
ICD-10 for DME BusinessesBonafides Promise ICD-10 codes and CMS GEMs are loaded directly into the Claim Information tab. All possible scenarios for the ICD-9 to ICD-10 Diagnoses Search are listed in the GEMS Mapping Section. The DX search contains a tree view for diagnosis that contain multiple matches in ICD-10. The tree view shows a parent-child relationship for the code. Users have the ability to reverse search from ICD-10 to ICD-9. The Description field works as a key word search in order to use the search as a stand-alone tool.
ICD-10 for DME BusinessesBonafides Solution Bonafide will work with your assigned Project Manager and conduct a complimentary assessment of your frequently-used codes. We have customized training and support packages available. We have optional crosswalk mapping for our customers.
ICD-10 for DME BusinessesCrosswalk Mapping Bonafide has partnered with a provider that will conduct complete crosswalk mapping for your business. Depending on the complexity of the transition for your business, this may be a valuable optional service for you. Bonafide will work with your Project Manager to determine whether this is a good option.
ICD-10 for DME BusinessesYour Next Step Assign your Project Manager and let us know so that we can get started on your transition!
ICD-10 for DME BusinessesOur Next Steps Bonafide will provide the following in the coming months: Video training White papers Articles Checklists And more to help you prepare for ICD-10
Kristina V. Akerberg Sales Executive Cell:805-906-1698 Office:805-418-1489 Fax:805-777-7661 Kvolarik@bonafide.com www.bonafide.com Contact Info
1. Open your GoToWebinar Control Panel on the right side of your screen 2. Type in your question 3. Click Send Questions

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ICD-10 for DME/HME Industry

  • 1. Wayne Bailey Bonafides DME Expert Todays Goals: 1. Educate you about ICD-10 2. Tell you about what Bonafide is doing to help 3. Get you to assign a project manager to oversee ICD-10 transition Welcome!
  • 2. Oct. 1 Deadline ICD-10 goes into effect Oct. 1, 2015 ICD-10 for DME BusinessesAbout ICD-10 Code Explosion ICD-10 will bring the number of diagnostic codes from 14,500 to 69,700, an increase of 55,200 new codes. Will Impact Cash Flow You will need to spend more and will likely encounter low cash flow through the transition period.
  • 3. Laterality Laterality is a major theme in the expansion of codes under ICD-10. ICD-10 for DME BusinessesCode Explosion Anatomical Location In addition to laterality, providers will be required to specify detail in terms of location of an injury or condition. Combination ICD-10 includes hundreds of combination codes that link symptoms, manifestations and/or complications with a diagnosis. Encounter Type Providers will need to specify whether the encounter is initial, subsequent or sequela.
  • 4. ICD-10 for DME BusinessesTo-Do List Assign a Manager Assign someone within your organization who will manage the ICD-10 transition and work with Bonafide to ensure smooth sailing. Assess the Situation Each of you will have a different level of complexity in transitioning to ICD-10. Start by conducting a charge summary by primary diagnosis code. Make a Plan Your plan should map out exactly how you are going to train your staff, prepare your providers, and conduct billing under the new system. Your plan should also account for the cash flow impacts of ICD-10.
  • 5. ICD-10 for DME BusinessesAssess Your Situation 1. Run a charge summary by primary diagnosis code I.D. top ICD-9 codes used Use General Equivalence Mappings (GEMs) to I.D. correlating ICD-10 codes Based on the gap, you can determine the size of the project to recode 2. Identify all systems & work processes that will be affected Documentation Encounter forms Superbills Contracts Reporting 3. Look at your referring physicians How much time currently spent getting correct codes from them? How much more time will be required with ICD-10?
  • 6. ICD-10 for DME BusinessesThings to Consider Become familiar with the most commonly used code or codes in ICD-10 in your business Start obtaining ICD-10 codes from referring providers Familiarize your staff with the Bonafide tools for ICD-10
  • 7. ICD-10 for DME BusinessesBonafides Promise ICD-10 codes and CMS GEMs are loaded directly into the Claim Information tab. All possible scenarios for the ICD-9 to ICD-10 Diagnoses Search are listed in the GEMS Mapping Section. The DX search contains a tree view for diagnosis that contain multiple matches in ICD-10. The tree view shows a parent-child relationship for the code. Users have the ability to reverse search from ICD-10 to ICD-9. The Description field works as a key word search in order to use the search as a stand-alone tool.
  • 8. ICD-10 for DME BusinessesBonafides Solution Bonafide will work with your assigned Project Manager and conduct a complimentary assessment of your frequently-used codes. We have customized training and support packages available. We have optional crosswalk mapping for our customers.
  • 9. ICD-10 for DME BusinessesCrosswalk Mapping Bonafide has partnered with a provider that will conduct complete crosswalk mapping for your business. Depending on the complexity of the transition for your business, this may be a valuable optional service for you. Bonafide will work with your Project Manager to determine whether this is a good option.
  • 10. ICD-10 for DME BusinessesYour Next Step Assign your Project Manager and let us know so that we can get started on your transition!
  • 11. ICD-10 for DME BusinessesOur Next Steps Bonafide will provide the following in the coming months: Video training White papers Articles Checklists And more to help you prepare for ICD-10
  • 12. Kristina V. Akerberg Sales Executive Cell:805-906-1698 Office:805-418-1489 Fax:805-777-7661 Kvolarik@bonafide.com www.bonafide.com Contact Info
  • 13. 1. Open your GoToWebinar Control Panel on the right side of your screen 2. Type in your question 3. Click Send Questions
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