CMS Launches “Road to 10”

Written by on July 1, 2014 in Practice tips - No comments

Helping Small Practices Jump Start the Transition to ICD-10

CMS has released “Road to 10,” an online resource built with the help of providers in small practices. This no-cost tool is intended to help small medical practices jumpstart their ICD-10 transition.

ComputerCoupleWEB“Road to 10” includes specialty references and gives providers the capability to build ICD-10 action plans tailored for their practice needs.

  • Get an overview of ICD-10 by accessing the links on the left
  • Explore Specialty References by selecting a specialty below
  • Build your personal action plan

How will my practice benefit from ICD-10?

Prepping for the compliance date is critical

ICD-10 will provide an enhanced platform for physician practice. As of October 1, 2015, the ICD-10 coding classification will become the new baseline for clinical data, clinical documentation, claims processing, and public health reporting. Understanding patient encounters and preparing for the transition will be critical to the financial sustainability of each practice.

From proper observation and documentation to improved clinical documentation, progress notes, operative reports, and histories, the benefits of ICD-10 begin with enhanced clinical documentation enabling physicians to better capture patient visit details and lead to better care coordination and health outcomes.

Ultimately, better data paves the way for enhanced quality and greater effectiveness of patient care and safety. While the transition to ICD-10 will require work, it is temporary. The benefits of ICD-10 will impact everything from patient care to each practice’s bottom line.

Why prepare for ICD-10?

Reasons to prepare for ICD-10 can be broken down into four categories:

Clinical

Informs better clinical decisions as better data is documented, collected, and evaluated

Provides new insights into patients and clinical care due to greater specificity, laterality, and more detailed documentation of patient diseases

Enables patient segmentation to improve care for higher acuity patients

Improves design of protocols and clinical pathways for various health conditions

Improves tracking of illnesses and severity over time

Improves public health reporting and helps to track and evaluate the risk of adverse public health events

Drives greater opportunity for research, clinical trials, and epidemiological studies

Operational

Enhances the definition of patient conditions, providing improved matching of professional resources and care teams and increasing communications between providers

Affords more targeted capital investment to meet practice needs through better specificity of patient conditions

Supports practice transition to risk-sharing models with more precise data for patients and populations

Professional

Provides clear objective data for credentialing and privileges

Captures more specific and objective data to support professional Maintenance of Certification reporting across specialties

Improves specificity of measures for quality and efficiency reporting

Aids in the prevention and detection of healthcare fraud and abuse

Provides more specific data to support physician advocacy of health and public health policy

Financial

Allows better documentation of patient complexity and level of care, supporting reimbursement for care provided

Provides objective data for peer comparison and utilization benchmarking

 May reduce audit risk exposure by encouraging the use of diagnosis codes with a greater degree of specificity as supported by the clinical documentation

As with major changes in any industry, the transition to ICD-10 will require focused effort and attention. Use of this portal can help you overcome these challenges. Get started today!

On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future with a new compliance date for the use of ICD-10 codes beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.

Resource: http://www.roadto10.org/

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