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
- 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
- Scroll to the right of health issues in Superbill to see the corresponding ICD-10 code
- Review the match direction when reviewing code conversions with multiple options to narrow down appropriate selectionsInpatient 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.