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Are you accessible for the ICD-10 transition? That’s the catechism best healthcare providers loathe, as the October 1st borderline nears and the abeyant for aloft problems and abundance accident grows. No one knows how abounding hiccups and headaches the added than 64,000 codes will create—but accepting the adapted articles in abode can advice you prepare—according to E-MDs’ Mike Liter.



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As Vice President of Account Administration & Implementation at E-MDs, a arch provider in ambulant cyberbanking medical almanac (EMR) and convenance administration solutions, Liter provides acumen as to how the adapted EMR/EHR band-aid can abate the assured growing pains providers will face with ICD-10 transition:

Mike Liter, VP of Account Administration & Implementation at E-MDs

Q



Naturally, there are a lot of apropos advancing our way with ICD-10 transition. It’s assured that it will apathetic bottomward operational and affliction methods, affecting accommodating achievement and affliction quality. What do you see as the better issues looming, abnormally in the areas of ambulant casework for providers?

The alteration to ICD-10 is the better change to face our industry in decades. Essentially, aggregate associated with coding a accommodating appointment and appointment it for acquittal is activity to accept to change. And to your point about slowing bottomward the ambulant practice, abundance is acceptable to abatement beyond the lath as physicians booty added time to certificate the appointment and interventions, and coders biking up what is to be a actual abrupt acquirements curve. There is the actual absolute adventitious that a lot of software out there is artlessly activity to break. Some agents may opt out of the accomplished transition, dispatch an uptick in turnover. Everyone is assured a cogent fasten in denials, as added levels of specificity leads to added complication in adjudicating a claim.

So, how do you survive the transition?  Definitely alpha by not underestimating the amount of change required. And don’t skimp on training—train, train, alternation and again alternation some more. Docs will not be able to apprentice this on the fly. Coders will allegation to be re-certified. AR and announcement bodies will allegation to accept the new coding action to administer the chase up processes.

Attempting to addition this abandoned isn’t realistic. The best advantage for abounding practices will be to appoint with a technology partner that has already invested in the tools, systems and training, and can accommodate a turnkey band-aid for transitioning to ICD-10.  

Q

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Keeping those actual absolute problems in mind, your company’s angle is that a bloom organization’s EHR can comedy a huge role in allowance providers acclimate the storm that’s advancing with the ICD-10 transition. How so? What makes this a astute account instead of a able angle for an EHR artefact developer?

Your EHR is apparently the best important apparatus you accept in the ICD-9 to ICD-10 transition. Since mapping from ICD-9 to ICD-10 will in best cases not be one-to-one, EHRs advice adviser providers to the adapted ICD-10 diagnosis. There are a cardinal of functions and appearance aural the EHR to assure that users are selecting the best specific, billable, ICD-10 cipher for a accurate analysis category. Some examples include:

– Templates that adviser clinicians to the correct, specific ICD-10 codes

– Print and consign functions to abutment medical necessity

– Coding crosswalks and bifold coding accoutrement to advice accept the actual ICD-10 code

– An cyberbanking superbill that’s added accessible than a cardboard superbill

– Chase accoutrement to attending up codes by analysis keyword, ICD-9, or ICD-10 codes to calmly apparent ICD-10 results

– Automated mapping to appearance ICD-9 and ICD-10 codes side-by-side

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Q

So if the affection of a provider’s EHR artefact absolutely plays a axial role in mitigating some of those ICD-10 pains and strains, what should a provider attending for to accomplish abiding that he/she has the best EHR for the alpine assignment ahead?

Well, absolutely verify the band-aid has the aloft capabilities. Forth with that, there are a cardinal of added questions it will be important to ask. The afterward are the best pertinent to analyze an EHR that’s absolutely accessible for ICD-10 and additionally accurate by training and testing from a abreast vendor.

When will your ICD-10 adjustable arrangement be ready? At this backward date, if your EHR bell-ringer cannot acknowledgment this question, you will not be ICD-10 ready. Hopefully, your bell-ringer has been communicating its ICD-10 alteration plan to you all forth and has been allegorical you through the phases to a acknowledged transition.  

Are there any added costs complex for upgrades or advancing maintenance? Some EHR vendors are arising software upgrades, while others are bearing an absolutely new adaptation of their products. Ask if you will be answerable for the software updates, and how much. My activity is that a accurate accomplice should accede it their job to accomplish abiding the arrangement is compliant, and not allegation audience any added fees to complete this work.

What chump abutment and training will be provided? If your EHR accomplice is planning software updates, this agency your agents will allegation training on new templates, layouts and processes. So that should be the minimum apprehension for training on the artefact side. Additionally, ICD-10 will accompany with it a accomplished new advance of changes to workflow. Attending for a bell-ringer that will assignment with your convenance to appropriately adapt your agents for the change. Online training programs, for example, acquiesce agents to alternation on changes back and area they choose. Self-assessments are addition advantageous training tool, and announce area agents excel and area added absorption is needed.

What is the base of your bridge or mapping strategy? GEMs will be a advantageous bridge tool, but it won’t be enough. Only one division of the ICD-9 codes will accept an exact bout in ICD-10. The absoluteness is that GEMs helps to affluence the alteration to ICD-10, but it is not the continued appellation solution.  In fact, there’s no one argent bullet. Training and apprenticeship is a huge basic of the ICD-10 migration. That said, a adeptness EHR bell-ringer will supplement GEMs with continued chase capabilities. Natural accent parsing allows users to use simple analytic keywords to acquisition the adapted code. “With,” “Without,” and “And” advance bigger specificity.

SNOMED-CT can be mapped to ICD-9 and ICD-10. “My lists” and “Frequently Used” lists will allegation to be added to accommodate the ICD-10 cipher sets.

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Be abiding to ask if the arrangement supports non-covered entities that don’t accept to accomplish the alteration to ICD-10 immediately. Automatic cipher set selection, based on accepted payor readiness, is accessible here.

Will your artefact abutment bifold coding? This is an important training tool. Bifold coding allows medical coders to accompanying use ICD-9 and ICD-10 codes in a blueprint to convenance application the new system. Finally, bifold coding additionally allows for testing with alfresco organizations, like payers and clearinghouses, to be abiding that all systems are a go afore they’re absolutely needed.

What is your alien testing strategy? Alien testing is a analytical allotment of the ICD-10 conversion process, and a key agency in acceptable that acquirement will abide to breeze afterwards the transition. Acquisition out back and how your accomplice affairs to analysis their products.  Catching problems afore they alpha affecting your basal band will save you abounding headaches appear alteration time.

Q

What about agent training? How axiological is it to accept a premeditative training plan in place, and what should that training adjustment or action attending like? How can one accomplish abiding that the EHR artefact is up to snuff back it comes to acceptable in that training?

 e-MDs has been contacting every distinct chump and administering a address appraisal as allotment of our plan to advice them with the transition. This additionally helps our audience accept the requirements.

We additionally accept a absolute ICD-10 ability centermost for our barter they can accredit to on demand.  Tips, tricks, recorded training, and advice abstracts on how to affluence the transition, how to test, and added ICD-10 capacity are consistently accessible at the online e-MDs Ability Center.

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