Addressing
Your Findings
The
lefts
for Medicare
&
Medicaid
Services
(CMS)
released
a new
infographic based
on the Next
Steps
Toolkit to
help you
analyze
your ICD-10
progress. By
developing
a feedback
system,
you can
improve
the accuracy
of your
clinical
documentation
and code
selection,
check
for any
systems
issues,
and resolve
system
problems
with payers.
Today,
we will
explore
how to
address
your findings.
Develop
a Feedback
System
Create
processes
to
gather
feedback
and
questions
from
your
staff
and
to
share
insights
throughout
your
organization. Create
an
issues
list
where
staff
can
document
new
issues
in
one
location
as
they
arise.
Track
the
system
or
payer
with
the
issue,
steps
taken
to
resolve
it,
and
the
current
status.
Check Clinical
Documentation
and Code
Selection
Look
at
clinical
documentation
for
services
provided
before
and
after
the
October
1,
2015,
transition
date.
Issues
with
documentation
might
result
from
insufficient
clinician
training
on
ICD-10
coding
concepts
and
guidelines.
Any
lag
times
in
responses
to
coder
questions
can
further
affect
related
key
performance
indicators
(KPIs)
such
as
days
to
final
bill
and
rates
of
claims
denied
due
to
lack
of
medical
necessity. Understand
your
organization’s
processes
for
selecting
diagnosis
codes
and
applying
coding
guidelines
to
help
identify
the
sources
of
issues
and
to
target
remediation
efforts. Provide
educational
resources
for
your
clinicians
and
coders. Identify
a
physician
champion
to
act
as
a
liaison
and
offer
best
practices.
Check
for Systems
Issues
Verify
that
all
of
your
systems
have
implemented
available
upgrades. Check
for
technical
problems
with
your
systems. Be
sure
your
system
is
set
to
generate:
•
ICD-10
codes
and ICD-10
qualifiers
for services
provided
on or
after
October
1, 2015.
•
ICD-9
codes
and ICD-9
qualifiers
for services
provided
before
October
1, 2015.
Some
providers
who
experience
ICD-10
challenges
because
of
system
issues
could
benefit
from contracting
with
a
clearinghouse to
process
claims. Work
with
your
vendor
to
resolve
any
systems
issues
affecting
productivity.
Resolve
Any Issues
with Payers
The Medicare/Medicaid
Provider
Contact
List can
be
useful
if
you
are
experiencing
issues
with
KPIs
that
are
specific
to
Medicare
Fee-For-Service
(FFS)
or
Medicaid. For
other
issues
with
KPIs,
contact
your
payer,
clearinghouse,
or
billing
service.
Keep Up
to Date
on ICD-10
Visit
the CMS ICD-10
website and Roadto10.org for
the latest
news and
official
resources,
including
the Next
Steps
Toolkit, ICD-10
Quick
Start
Guide, and
a contact
list for
provider
Medicare
and Medicaid
questions.
Sign up
for CMS
ICD-10
Email
Updates and follow
us on
Twitter.
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