ICD-10 is Coming Ready or Not Dr. Thomas Ayoub Norwalk Hospital ICD-10 is NOT 2 Punishment …of doctors …by the government …for purposes of lowering reimbursements This is not part of “Obama-care”. 10/1/2013 ICD-10 3 • Derives from the World Health Organization. – CMS is acting on behalf of the US government • Links to quality of care – Primary purpose is epidemiologic tracking of illness and injury; worldwide outcomes data is important • Long overdue – ICD-9 has been in use since 1979 and medicine has changed 10/1/2013 ICD-10 adoption by other Countries UK 1995 Nordic Countries 1994-7 France 1997 Australia 1998 Belgium 1999 Germany 2000 Canada 2001 United States Oct 1st, 2013 2014 4 Another delay will not occur 10/1/2013 ICD-10 5 U.S. will be the only country to use ICD-10 for reimbursement. 10/1/2013 The Cost 6 For a typical practice the total cost depends on the size: • Small $83,290 • Medium $285,195 • Large $2.7 million 10/1/2013 IT Issues 7 Much worse than Y2K; effects include: • Clinical documentation/EHR systems • Encounter forms/Superbills • Practice management systems • Contracts • Public health and quality reporting protocols 10/1/2013 Other Office Issues 8 Staffing: ½ of billers are expected to retire or change jobs Productivity: may drop as much as 50% Dual systems: required from several months prior to several months after…maybe longer Delayed Payments: the industry is expecting significant delays Cash Flow: CMS & Insurers will not accept bills after Oct 1, 2014 in ICD-9 format 10/1/2013 What Lies Ahead 9 • An opportunity to bring physicians together • I'll be more than happy to assist you in finding the help you need to tackle this project. 10/1/2013 Resources 10 • You can use our new website www.norwalkhospital/icd-10 with links to resources (try our QR logo on your invitation) • You can contact Susan Herson, MD at susan.herson@norwalkhealth.org 10/1/2013 How Can Physicians Prepare Susan Herson, MD Hospitalist Documentation Improvement ICD-10 12 You’ve heard there will be a vast expansion in the number of codes but… • 60% of the new code volume pertains to musculoskeletal system • New coding system is logical 9/26/2013 Coding Classifications 13 The new coding is logical because it relates to treatment decisions. 9/26/2013 Most Common ICD-9 14 CMS recommends that offices start by listing their most commonly used ICD-9 codes and becoming familiar with corresponding ICD10 codes The best resource is www.CMS.gov/icd10 “Understanding the Basics” 9/26/2013 Majority Rules 15 Start with highest volume codes The vast majority of practices use very few codes… 5% of codes account for 70% of the volume 9/26/2013 Example: GI Most Common Codes ICD-9 Code & Description # of Encntrs % of Activity 4695 41% V12.72 Prsnl hst colonic polyps 1214 11% 530.81 Esophageal Reflux 670 6% 569.3 Rectal & Anal Hemorrhage 451 4% 787.91 Diarrhea 396 3% V76.51 Screen malig neop-colon 16 ICD-10 Code & Description Z12.11 Encounter for screening for malignant neoplasm of colon Z86.010 Personal history of colonic polyps K21.9 Gastro-esophageal reflux disease without esophagitis K62.5 Hemorrhage of anus and rectum K52.2 Allergic and dietetic gastroenteritis and colitis K52.89 Other specified non-infective gastroenteritis and colitis R19.7 Diarrhea, unspecified Top 5 ICD-9 codes cover 64% of the Encounters 9/26/2013 Top GI Diagnosis in ICD-9 17 Principal Diagnosis ICD-9 Screen Malig Neop-Colon V76.51 Prsnl Hst Colonic Polyps V12.72 Esophageal Reflux 530.81 Rectal & Anal Hemorrhage 569.3 Diarrhea 787.91 9/26/2013 Translate ICD-9 to ICD-10 18 Use free internet sites like http://www.icd10data.com or download free apps 9/26/2013 19 Start typing the ICD-9 text here A broad search occurs; all yellow highlights are possible matches. 9/26/2013 20 Or choose “Convert” to use the code instead of the text 9/26/2013 21 As you start typing the code here, a list of options appear below 9/26/2013 Top GI Diagnosis now in ICD-10 22 Principal Diagnosis ICD-10 Encounter for Screening for Malignant Neoplasm of the Colon Z12.11 Personal history of Colonic Polyps Gastro-Esophageal Reflux Disease without Esophagitis Z86.010 Hemorrhage of Anus and Rectum K62.5 K21.9 Allergic and dietetic gastroenteritis and colitis K52.2 Other specified non-infective gastroenteritis and colitis K52.89 Diarrhea R19.7 9/26/2013 23 What we learned from the conversion process 3 out of 5 codes were direct conversions / perfect matches 2 out of 5 codes required more documentation • GERD requires with or without esophagitis The default will likely be “without” • Diarrhea requires etiology - due to infectious or non-infectious process - due to diet - due to allergy We learned not only which diagnoses require more documentation but exactly what type of documentation is required. 9/26/2013 Unspecified Codes still exist. However… 24 Not all ICD 9 unspecified codes exist in ICD 10 e.g. CAD, unspecified the provider must choose native & graft vessel Unspecified codes cause shifts in reimbursement Unspecified codes may not capture relevant data reporting and improved patient care. 9/26/2013 General Documentation Improvement Tips 25 • Document Initial or Follow-up encounter for every visit • Use adjectives like acute, chronic, or acute on chronic, and mild, moderate, or severe, early onset, diffuse • Link cause and effect with words like "due to" • Specify anatomic site particularly left, right, bilateral • Use exact dates of injury or disease onset ICD-10 is like learning a new language it is not intuitive but it is logical 9/26/2013 Resources 26 Specialty Societies for guidance & billing forms Internet tools and apps www.CMS.gov/icd10 http://www.icd10data.com Norwalk Hospital: • 3M videos in 18 subspecialties • 1-hour training sessions in April with HC-Pro • Quarterly ICD-10 meetings 9/26/2013