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Transitioning to ICD-10-CM


The American Recovery and Reinvestment Act included an investment of at least $19 billion for health information technology (HIT) initiatives. A new Health Information Exchange (HIE) will facilitate the mobilization and centralization of electronic health care information across organizations. ICD-10 changes support a new standard of care, one that is patient-centered, collaborative and technologically advanced. ICD-10 is the basic foundation for preparing for this transition involving HIT and HIE.

The key to a successful conversion from ICD-9-CM to ICD-10-CM or ICD-10-PCS is in planning ahead of the implementation date. ICD-10 and Version 5010 changes will impact people, processes and technology across the entire payer organization. This mandatory implementation change will be the most challenging transition since the inception of coding. The number of diagnostic changes advances from the 13,500 currently with ICD-9 to 69,000 codes with ICD-10. For inpatient procedures, the number advances from 4,000 to 72,563 codes.

Be sure your organization is prepared in advance of these change — register today.

T O P I C S   I N C L U D E
Overview of ICD-10
  • HIPAA code sets
  • Data uses
  • Impact of the transition
  • Training requirements for staff and personnel
  • Impact on information systems
  • Impact on budgeting and reimbursement
  • Impact assessment
  • Target audience
  • Organization-wide implementation strategy
  • Documentation improvement
  • Go-live phase
  • Post-implementation
Standards of Privacy
  • Managing paper and electronic records
  • Procedures for securing records properly
  • Controlling access
  • Information sharing
  • Contracting with outside providers
Security Standards
  • Understanding security procedures
  • Required vs. addressable implementation specifications
  • Security concerns for electronic records
Gap Analysis and IHS Forms
  • Assessing current systems and practices
  • Identifying gaps and problem areas
  • Using new IHS-approved forms
Privacy Requirements
  • Outline of HIPAA privacy standards, including:
    • Privacy of individually identifiable health information
    • Notice of privacy practices for protected health information
    • Access of individuals to protected health information
    • Accounting of disclosures of protected health information
  • Existing policies and procedures

Administrative Requirements
  • Roles and responsibilities of a privacy officer
  • Writing a scope of work
  • Consent and requirement standards
  • Authorization for use and disclosure standards
  • Minimizing risk of incidental disclosures
Additional Considerations
  • American Recovery and Reinvestment Act (ARRA)
  • “Meaningful Use”
  • Using IHS technical support to meet electronic transfer standards
  • New IHS recommended policies
  • Use of policies as a model
  • Next steps for implementing change and achieving compliance
Focused Group Work
  • Your privacy and security policies and procedures
  • Possible discussion topics:
    • Administrative requirements
    • Scope of privacy officer’s duties
    • Consent requirement standards
    • Authorization for use and disclosure standards
    • Minimizing the risk of incidental disclosures
    • Physical safeguards
    • Technical security services
  • Identifying medical records privacy problem areas in your policies and procedures
  • Brainstorming solutions and revisions to rectify problems and meet requirements
  • Possible discussion topics:
    • Psychotherapy note disclosure
    • Core elements of a valid authorization
    • Applying the HIPAA Privacy Requirements Checklist

*Topics subject to change.

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