As of October 5, 2015 Superbill will only allow ICD-10 codes to be selected for dates of service on or after October 1, 2015. If you need further assistance or have any inquiries regarding this implementation, please call the ICD-10 Support Center at 646-NYP-9-2-10, or e-mail ICD-10Help@nyp.org. You can find additional information on the hospital’s transition from ICD-9 to ICD-10 on the ICD-10 AnTENna website.
As the transition heads into the week 2, Day 5 the rewards of preparation, teamwork, dedicated effort, and responsiveness continue to pay off. Many small but nonetheless, nagging items have been remedied and a combination of fixes and workarounds for our most significant item to be resolved have been placed into production and communicated. The Support Center’s monitoring and reconciliation activities appear to have adequately prepared NYP for successful ICD-10 inpatient and outpatient billing runs on October 6 and October 12 respectively. 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 in patient care/patient experience activities. Financial and operating metrics remain largely stable indicating that the transition to ICD-9 has not necessarily impacted our or the insurance industry’s ability to continue processing in ICD-9.
ITEMS RESOLVED
Items of significance to be resolved include the application of error messaging and removal of Allscripts Health issues for which there is no applicable ICD-10 code. This will minimize if not eliminate patient encounters from NYP clinics from being coded with only ICD-9 codes. The OR Manager team has also expedited a fix to ensure our colleagues in the Cornell and Columbia Faculty Practice Organizations book surgical cases with ICD-10 codes. A minor issue with an Admitting Diagnosis field in our Eagle registration system similarly was identfieid and resolved within 30 minutes. An updated issues log can be found here.
SUPPORT CENTER ACTIVITY
The Support Center revised its operating hours for the week of October 5. Revised hours are now from 7:00 AM – 7:00 PM. It received 1 phone call and 4 additional e-mail inquiries while it continues a massive monitoring, auditing, and reconciliation effort at the encounter, transaction, and even data element level. In total the Support Center has logged 62 issues and 7 remain open. The ICD-10 AnTENna website recorded close to an additional 200 hits. Though, it appears as individuals stabilize in their understanding of ICD-10 and the practical idiosyncrasies of the transition, there is less need for material support. The Support Center continues to work with HIM experts to convert ICD-9 codes to ICD-10 on select population of patient encounters in advance of outpatient billing on October 12.
NEW & UPDATED RESOURCES
The Support Center has added an Allscripts reminder aid on adding Health Issues.
REMEMBER
HELP
For continued assistance and inquiry, please call the ICD-10 Support Center at 646-NYP-9-2-10 (646-697-9210), e-mail ICD-10Help@nyp.org, or visit the ICD-10 AnTENna webiste.
The second day of ICD-10 came with more rain, less inquiries to the ICD-10 Support Center and the same positive sense that NYP and the rest of the industry will navigate this transition successfully. With a full day of registration activity under our belts, staff and providers are beginning to see the results of the efforts. Although some new items have been identified, NYP is prepared to address them in real time and proactively remedy situations that place patient flow, billing, and payment at risk. 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
The ICD-10 Support Center is monitoring sporadic yet continued assignment of ICD-9 codes on October dates of service. This includes physician practices booking surgical cases in OR Manager, electronic superbill enabled areas, and paper orders and requisitions. Remedies and workarounds vary from reinforcement and education to systemic changes required in applications to prevent ICD-9 selection. One vendor fix is being applied and expected to be resolved by Monday. Research is being conducted to confirm one potential interface issue and the Support Center is working with HIM experts to convert ICD-9 codes to ICD-10 in advance of outpatient billing on October 12. An updated implementation issues log can be found here.
Support Center Activity
The ICD-10 Support Center continued its 6 AM operating hours and fielded 7 additional phone calls and a 4 e-mail inquiries 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 52 issues and 2 remain open. The ICD-10 AnTENna website recorded an additional 250 hits with many departments taking advantage of the two code conversion tools available. The Support Center team has initiated robust monitoring activities at the encounter and even the data element level to ensure the efficacy the cases prior to billing. Where necessary, code conversion activities have started to minimize the financial and operational impacts. An updated issues log can be found here.
New & Updated Resources
ICD-10 AnTENna will be adding an FAQ and job aid for Allscripts problem lists and an aid for the Eagle therapy record assignment on Saturday, October 3.
Reminders
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.
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
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.