By most definitions, the first day of ICD-10 proved to be just another rainy Thursday offering little in the way of resistance and generally angering most of the vocal critics of the transition. That being said, the true impact of ICD-10 remains several days, if not weeks away as NYP begins to submit ICD-10 claims to insurance carriers next week and awaits its rightfully due payment. A summary of yesterday’s events is listed below and the full presentation from yesterday’s Daily Transition Update can be found here.
Overall Impact
Though early in the implementation, the ICD-10 transition has generated minimal to no disruption to patient care/patient experience activities. Financial and operating metrics remain stable.
Items to be Resolved
There are two open items. EPIC, the Cornell managed EMR and practice management system was observed to be generating unusual output on its electronic referrals instead of the appropriate ICD-10 code and is being investigated and a single report was observed to be producing some ICD-10 codes instead of ICD-9 codes. Both issues are with their respective technical expertise and are expected to be resolved today. An updated log of implementation issues can be found here.
Support Center Activity
The ICD-10 Support Center opened at 6 AM and fielded 17 phone calls and a single e-mail over the course of the day. The majority of inquiries related to code conversion activities and questions about idiosyncrasies in the Allscripts SCM electronic medical record including certain superbill presentations, health issues favorites, and its recently deployed documentation assistance widget, ICDx. In total the Support Center has logged 40 issues with all but 2 being resolved within a day. The ICD-10 AnTENna website recorded more than 300 hits with many departments taking advantage of the two code conversion tools available. Close coordination with our Faculty Practice Organization counterparts resulted in the identification and sharing of two issues, one at each campus respectively.
New & Updated Resources
ICD-10 AnTENna now includes some additional resources including two provider reference materials related to DSM-V, the classification system for behavioral health that maps to ICD-10 and a short video aid on how to add a family history from personal favorites health issues using ICDx. A training aid on proper medical necessity screening using First Comply Mediquant is also available.
Reminders
- ICD-10 is date of service/date of discharge sensitive.
- DO NOT enter decimal points when entering ICD-10 codes in Eagle
- ICD-10 diagnosis codes are 3 – 7 characters, alpha-numeric, and ALWAYS begin with a letter
- Remind providers of the documentation assistance tools available to them in SCM (ICDx), EPIC (Diagnosis Calculator), and Crown
- Inpatient claims for October dates of service begin to generate starting October 6, 2015
- Most outpatient claims for October dates of service begin to generate starting October 12, 2015
Providers and staff experiencing any issues related to ICD-10 should continue to call the ICD-10 Support Center today during the hours of 6 AM and 10 PM (subject to change) or e-mail at ICD-10Help@nyp.org.