ICD-10: Change is the One Thing No One Can Avoid

By Marsha Vaughn

Sr. Eyefinity Education Consultantpix

Change is the one no one can avoid. In fact, the only thing you can be sure won’t change is “that things will change”.

How you manage that change to benefit your practice is up to you. Let’s look at how you can handle up-coming ICD-10 code changes.

First order of action is to understand why the change is happening.

With ICD-9 we are running out of codes to effectively communicate patient diagnoses and care. ICD-9 was first implemented more than 30 years ago – I was carrying a bag phone then and the cost of gas was about a buck.

Today, many strides have been made to improve the care, reporting, and sharing of health data through technology. The transition to ICD-10 is the next step. Instead of general codes with lengthy explanations, there will be specific definition in the used code itself. You may be asking will this really simplify things or only make it more complicated as new technology being used for the first time often does? There’s good news, you won’t be the first one trying it. Other countries went to ICD-10 coding years ago, thus it’s an international standard that has been tried, tested, and is actively in use.

Still, change management is challenging.

It is a big change for everyone who diagnoses and bills from the large hospitals to the one doctor towns and specialized practices, such as eyecare. Some of these businesses will suffer if payments were delayed.  And it is a big change for all of the software developers and insurance companies. But, as a patient, as a parent, and as a child of aging parents, I don’t want anyone’s health care compromised, medical coding confused, or billing delayed. Which means I’m committed to making this change a success.

 Sure, ICD-10 is a government mandated change, but I prefer to look on the bright side.

As an employee of VSP Global, Software Division, I work hard with my team to develop the underpinnings of coding and billing. Luckily, we’ve already had a jump on ICD-10, when the year delay was announced. This additional year to prepare makes me certain that the entire medical and insurance communities are at high levels of development and readiness.

Furthermore and specific to our industry, an internal analyst told me that the top ten codes billed through VSP claims comprised 91% of all vision claims and nine out of ten of those ICD-9 codes have a one-to-one match with an ICD-10 code. This means the new codes we will have to learn might not be as difficult as some people make it out to be. How long did it take us to get the ICD-9 codes stuck in our heads? Once the change is made, we will do the same with ICD-10.

Check back with us weekly for more ICD-10 stories from the front line.

Eyefinity EHR and ICD-10

By Phernell Walker, II, BSB, ABOM IMG_3522

Sr. Eyefinity EHR Product Manager

Master in Ophthalmic Optics

 At this very moment I’m typing from an airplane at 35,000 feet above the ground, on my way to visit another client to discuss the monumental change headed our way in just a matter of months, ICD-10.

As the Sr. Product Manager for Eyefinity EHR, I believe the best way to know and understand the pulse of my clients is to work with them up close and personal.  Therefore, much of my time is spent on the road traveling to work with optometrists across the entire country. One thing I’ve recently found is that hundreds of optometrists are expressing their concern about ICD-10. Hearing this feedback led me to conclude that in order to meet my clients needs, Eyefinity EHR would not only have to include a feature that supported ICD-10, but that it also needed a feature that handled it seamlessly in effort to lessen complications for my clients.

So, you might be thinking what I have done to liberate optometrists concerns about ICD-10?

  • Eyefinity’s engineering team took all of the ICD-10 Codes and built them into Eyefinity EHR.
  • We use a complex algorithm that automatically takes the exam information doctors have documented in Eyefinity EHR and then correctly calculates the correct ICD-10 Code for them.
  • Not only does Eyefinity EHR render the correct ICD-10 Code, it also allows optometrists to view the corresponding cross-mapped ICD-9 code in real time next to the ICD-10 Code.

Optometrists can rest assured that Eyefinity EHR makes the transition to ICD-10 hassle and worry free. I know because I see the results in the practices I visit. I see Optometrists who have benefitted from Eyefinity EHR and now use their time and attention to meet their patient’s needs.

You can get a free one-on-one demo of Eyefinity EHR by visiting http://www.eyefinity.com/ehr-efficiency.

ICD-10 Basics

IMG_3522By Phernell Walker, II, BSB, ABOM

Sr. Eyefinity EHR Product Manager

Master in Ophthalmic Optics

ICD-10 is scheduled to replace ICD-9 on October 01, 2015. This affects every health care provider in the entire country, not just Eye Care Professionals (ECPS’s). Think of the significance of expanding the Diagnosis Code count from 14,000 plus codes to a staggering approximate 71,000 plus codes and growing.  That’s definitely a monumental change.  A great example of this exponential change is a basic singular diagnosis code such as myopia, is now expanded to 5 codes.

 

Example:

 

ICD-9 ICD-10
367.1 Myopia H52.11 Myopia, right eyeH52.12 Myopia, left eye

H52.13 Myopia, bilateral

H52.10 Myopia, unspecified eye

 

365.11 Primary Open

Angle Glaucoma

H40.11X0 POAG. Stage unspecified

H40.11X1 POAG, mild stage

H40.11X2 POAG, moderate stage

H40.11X3 POAG, severe stage

H40.11X4 POAG, indeterminate stage

 

 

Meaningful Use Incentives and Penalties Made Simple

oct1It’s October 1, and meaningful use is a hot topic. Here are the scenarios that you can expect:

First time Medicare providers who did not attest on October 1, 2014 will be assessed a 1% penalty in Medicare reimbursements beginning January 1, 2015. That penalty will increase by 1% every year, up to a maximum of 5% reimbursement adjustment.

What are your options?

  • Providers can stop the penalty by using a meaningful use CEHRT.
  • Providers who exercised the hardship exemption, which was available earlier this year, will NOT be assessed the penalty in 2015.
    • Those providers can start their attestation in 2015 and still receive an incentive.
      • Up to $8,000 in 2015
      • Maximum of $12,000 for their last two years of meaningful use participation

 

For more information, visit www.eyefinity.com/mu2

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Get out of the fog Stay safe in the cloud – Part 1

Andrew H. Lee, Senior Product Manager fogblog_security_150px

How much risk of a security breach is there in maintaining personal health records?
“A data breach on par with last year’s retail sector calamity is a possibility for the health care industry…” according to a recent article on data security by The American Optometric Association.  Unfortunately these prophecies are coming to fruition. CNNMoney has just reported a major hospital network security breach, in which 4.5 million patients’ records were stolen, leaving patients at risk for fraud and identity theft.

Clearly the risk of a security breach is real.  Paper, laptops, and thumb drives can be stolen from your practice.  Network connections can be hacked into if you do not secure your Wi-Fi Hotspot.  However can you trust your cloud vendor? You need to know what to look for in a cloud-based solution to further mitigate your risk.

Stay tuned for Part 2 of Security in the Cloud.  We’ll tell you five key factors to consider when selecting a solution to fit your needs and stay safe in the cloud.

Shape the future of practice management!
See what’s up and coming, and let us hear from you about your vision for your practice. Learn more.

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Cloud Technology in a Flash

blog_stopwatchThe second installment in our series of posts about cloud technology. Now let’s look at speed and bandwidth.

by Eyefinity Senior Product Manager Andrew Lee

Better Use of Time
A cloud-based system can save you time, by removing hardware issues from your practice and providing readily accessible records, but what’s required?

The Need for Speed
Internet speed can be a significant factor. Before taking the leap to the cloud, ask providers about bandwidth requirements for their solutions. This is important when evaluating the cost of a practice management solution. If you’re required to subscribe to a very high-speed internet service, that’s a red flag. This could add hundreds of dollars every month, and suddenly what seemed like a low monthly cost for the practice management system, is drastically inflated.

We recommend a minimum of 3 Mbps (Megabits per second) download and 1.5 Mbps upload speeds. For optimal performance, you’ll want 3 – 6 Mbps, depending on the number of doctors and staff in your office.   Check your current speeds at www.speedtest.net.

Ask the Right Questions
Some practice management solutions require speeds up to 20 mbps, and have response times up to 30 seconds, so be sure to ask what’s required, and how fast the system will respond. A web-based system should respond within a couple of seconds, and an optimized system should average less than one second.

Up next, unlocking the secret to security in the cloud.

We want to hear from YOU.
With your input, the next level of practice management solutions will be everything you want and need it to be. Learn more.

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Engage your Patients

scheduler

Your most important marketing tool just got better. See how eWebExtra™, your Eyefinity® website solution, integrates seamlessly with OfficeMate® v10+ to make you more available to your customers.

Patients want the ability to view appointment times and schedule appointments directly from your website. And the best part is that you can now accept these appointments with just a click. OfficeMate automatically captures and pre-populates all of your patient’s data without any additional work for you.

Simplify your workflow and eliminate:

• Manual entry

• Appointment scheduling conflicts

• Additional appointment scheduling negotiations

• Missed appointment opportunities

Once your patient schedules an appointment through your website, all you have to do is approve the time and the appointment information will automatically be added to OfficeMate. You still have the power to approve or deny all appointments scheduled online.

To take advantage of this new feature, you will need to upgrade your eWebExtra OfficeMate driver. Log on to http://www.eyefinity.com, click on the eWeb tab. Click on the “manage OfficeMate Integration” button. Once there, you will be able to update your “Schedule Sync” and “Patient Info Inbox” with the new installers.

We are committed to being your business partner and keeping your online presence cutting edge. We have many more great updates coming soon. Make sure to keep an eye out for future updates!

Update Now

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