ICD-10 Resources for Home Health Agencies

A Training Program Designed Just for You.

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Phone: Toll Free (888) 606-9482

Fax (248) 457-9307
Email info@icd10coachalex.com

900 Wilshire Drive
Suite 351
Troy, MI, 48084

The Coaching Program includes:

 

  • Step-by-step Home Health ICD-10 Implementation Answers Guide (written by Alex Morganti and published by DecisionHealth) that navigates through the entire ICD-10 transition process
  • Customized Transition Timeline based on current progress
  • ICD-10 Budget Assessment Tool
  • 10 semi-private Webinar Sessions to discuss strategies and answer questions
  • 9-5, M-F email support available for when issues arise
  • Email blasts of relevant industry news

 


Course Overview

 

Establish the ICD-10 Transition Team

The first step is to establish the ICD-10 Transition Team. This will be your agency’s home base of ICD-10 operations, and will ideally include representatives from each affected department (i.e. every department). The Team will be responsible for disseminating tasks to the staff, assessing the progress of individual departments, and ensuring adherence to timelines—among many other duties.

Development of a Personalized ICD-10 Timeline

Based on how much your agency has already prepared for ICD-10, we’ll construct a timeline chart that outlines the remaining necessary steps, how much time to devote to each one, and when to begin and end each phase.

Identify and analyze the workflow and processes of each department

The next step will be to compose a list of every department, staff member, and system that is currently involved with ICD-9 in any way. The adage you should remember is, “If a person or process is involved with ICD-9 now, he/she/it will be affected by ICD-10 changes come October 1, 2015.” Once you’ve complied an inventory, scrutinize each item. Note that any hiccups, bottlenecks, and weak links that existneed to be fixed before implementation—otherwise these problems will quickly snowball as you move through the process.

We’ll also discuss what kind and how much training each staff position will require.

Budget Evaluation

In the program we’ll conduct a budget assessment and go item by item through potential transition costs. In doing so we will be able to construct a realistic budget tuned to your agency’s attributes. ICD-10 will cost you in many ways: training, software updates, staff overtime or process outsourcing, and that’s all just in the short-term. In the long run, you’ll have to contend with decreases in productivity that will not recover overnight.

Vendor and Payer Readiness Assessment

An important thing to remember is that no agency exists in a vacuum. You and your vendors rely on each other for mutual success, and thus both parties should elect to keep each other informed as to their ICD-10 preparation progress. There is a persistent myth that ICD-10 is a “software problem”. Your vendors are not going to “take care of ICD-10” for you; in fact, they don’t even have the ability to do so fully. If you use an EMR or other practice management software, there are several things you’ll need to consider and a host of questions you’ll need your software companies to answer. While your relationships with your payers are less flexible than those with vendors, there are ways that you should keep yourself informed and optimize your partnership with the insurance companies.

Internal Testing

Internal Testing is a vital component of the Implementation Process. Once you have made changes to various processes, updated documentation, trained staff members, and upgraded or installed new practice management software, you must give yourself plenty of time to test everything. In the program we’ll talk about distinguishing true erroneous changes from benign byproducts of a new system, what obstacles you could face, and how to make a new software installation run as smoothly as possible.

External Testing

Once internal testing has reached a level of basic operability, your agency will want to test the final components of the entire process—filing the claims. In the coaching program we’ll cover how to talk to the insurance companies, what to ask, and what you and your payer should be confirming through the testing process.

Plan Validation and Tracking

In order to confirm the effectiveness of the preparations you have implemented, you will need to put them to the test. You’ll want to test your staff, from coders to clinicians, as well as the workflows you’ve created. Use our ICD-9 and ICD-10 Sample Coding Scenario Quizzes to assess your staff’s readiness and identify specific strengths and weaknesses. And remember that your efforts are not over come October 1, 2015; your agency will need to track staff abilities, claims denials, use of unspecified codes, and much more well past the implementation date.

Contingency Planning

In the ICD-10 Coaching program we’ll develop backup plans: how to avoid a potential coder exodus, and how to prepare for software vendor failures and negative cash flow problems.