ICD-10 will mark one of the biggest changes to health care in the United
States in many decades.
ICD-10 Compliance Date
CMS
announced a Final Rule that requires the use of ICD-10 codes effective October
1, 2015
•Claims
for dates of service on or before September 30, 2015 will use
ICD-9 codes
•Claims
for dates of service on or after October 1, 2015
must use ICD-10 codes
•This
change impacts HEDIS 2015 which collects performance information about the 2014
calendar year
What’s Different?
·
Much greater
specificity!
o Diagnosis codes increase from 13K to 68K (92K in our
resource)
o Procedure codes increase from 4K to 87K
·
Changes to
format and structure
·
Concepts added
·
Concepts moved
·
Concepts deleted
Why Change?
·
Feasibility
o ICD-10: An
increase in the number of diagnosis and procedure codes, combined with the need
to list codes individually, makes tables very large.
·
Improvement
o Managing codes
electronically will allow NCQA and customers to manage a large volume of
information more efficiently and more accurately.
o Using Value Sets
standardizes terminology and definitions across measures and products.
Specific Changes
·
Some
HEDIS tables contain codes for a single concept, and any code meets criteria
for reporting
o All codes will
be included in a single Value Set
·
Some
HEDIS tables separate codes by Description
o If different
Descriptions are required for reporting, a Value Set will be created for each
Description
o If different
Descriptions are not required for reporting, a single Value Set will be created
·
Value
Set naming convention
·
Value
Set references in HEDIS Publications
Successful practices will have the right tools in place
to make the transition as smooth as possible. AccuChecker is the RIGHT tool !
AccuChecker is The Complete Tool for Medical Reimbursement.
Questions
FOR MORE INFORMATION PLEASE CONTACT:
HPP Management Group, Corp.
Developers of the AccuChecker Product Line
Phone: (305) 227-2383
Email: sales@accuchecker.com
Website: http://www.accuchecker.com
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