ICD-10—We are in this together

Dane Laverty, Eyefinity.com Product Manager

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You’ve heard about the changes to expect when the industry transitions to ICD-10. You know that practices will be impacted, and must plan and prepare, but have you considered what needs to happen on the other end to keep the claims process moving?

Solution providers, clearinghouses, insurers, and CMS all must be prepared for ICD-10 before October 1, 2015 to accommodate services and claims when it begins. From every angle, the change to ICD-10 is a really big deal.

I’ve been working hard to ensure Eyefinity.com is prepared to handle the cutover to ICD-10 on October 1. Our team is wrapping up development and it’s come together really well. But what does this mean to you? According to the law, all payers must accept and process claims using only ICD-10 codes on October 1. It’s a hard and fast rule and date, with no exceptions.

You’ve probably used Eyefinity’s eClaim to submit claims to VSP. But did you know that you can use eClaim to submit claims to over a thousand other payers?

Eyefinity.com handles millions of claims each year, every one of which contains diagnosis codes. Suffice to say, the effort to coordinate changes in our systems while monitoring the status of all of the payers that eClaim submits to has kept me up at night, ensuring that it works efficiently and without problems. Eyefinity, VSP, and our partners have worked closely to ensure a seamless transition from ICD-9 to ICD-10, so that on October 1 Eyefinity will be ready to support you.

We’re taking a proactive approach to be sure that we’ll be ready for the change in plenty of time. Will you be ready, too? It may not be easy, but the key to success is taking the time to research and learn now.

What does 2015 hold for meaningful use?

Since the meaningful use program began, there has been an abundance of challenges to successfully demonstrate and attest.  According to CMS, only 4% of eligible professionals (EPs) have successfully attested to Stage 2, and beginning this month, 257,000 EPs will be assessed penalties as a result.

Progressively Tougher RequirementsPROOF_19922DR_fixit_blog
As the program currently stands, beginning this year, the meaningful use demonstration period is required to run for the full 365 days of the year, rather than 90 days as required in previous years. In an effort to mitigate the additional challenge and facilitate successful attestation, Representative Renee Ellmers introduced the Flexibility in Health IT Reporting Act (Flex-It) in 2014.

If passed, Flex-It will reduce the demonstration period in 2015 to 90 days, rather than the full year that is currently required for those attesting for either Stage 1 or Stage 2. Those in their first year of Stage 1 will attest to a three month period regardless of the outcome of the rule. In 2015, EHR solutions must be 2014 certified to qualify for meaningful use attestation.

Though the act was submitted, no decision was made in 2014. Not to be dissuaded, Rep. Ellmers has reintroduced the bill in January, and has the backing of legislators from both the Democrat and Republican parties.  Stay tuned, we’ll keep you posted on the status of the Flex-It Act, when its fate is decided, and all of the latest news on meaningful use.

Do you have questions about meaningful use? We’re here to help! Contact us at meaningfuluse@eyefinity.com.

ICD-10—Coming Soon to YOUR Practice

Michael_OpsteeghBy Michael Opsteegh, Sr. Technical Writer

Were you one of the many providers waiting to see if the ICD-10 compliance date would be postponed beyond 2015? Despite mounting efforts to delay ICD-10, members of Congress refused to include the delay in the “Cromnibus” bill passed in December. Failing to slip the delay into a massive spending bill may prove to be a fatal blow to the delay effort. ICD-10 will be required beginning October 1, 2015. Are you prepared?

For all of the hype around “the big change,” you may be surprised and pleased to find how easy it can be to manage—if you’ve prepared properly.

Preparation is Key
So, how does a busy provider prepare for such a change? Transitioning to ICD-10 can have a huge impact on reimbursements in the form of rejections for incorrect coding or additional time needed to properly code. Take heart—your experience doesn’t have to negative. Simply prepare.  Employ tools, like Eyefinity EHR or ExamWRITER, that will manage the conversion and coding for you. Our EHR products will take on the coding, step you through code selection, manage the transition from ICD-9 to ICD-10 based on service date.  If you want to see when your EHR will be ready, check out our ICD-10 resource page.

With preparation in mind, CMS has identified testing periods in 2015 to ensure that submitting claims using ICD-10 codes will be successful for providers, clearinghouses, and payers. Test groups for each period are limited, and applications must be submitted to be selected to participate. For more information, check out the CMS MLN Matters publication.

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New Year’s Resolution: Understand the Impact ICD-10 has on Your Practice Financials

Cristin_Hollis_webBy Cristin Hollis, Revenue Cycle Management Supervisor

With the New Year comes the realization that ICD-10 is only 10 months away. AHH! Did anyone else’s anxiety just spike? Have no fear! There is still time to plan and prepare for the change. My particular interest is on how ICD-10 may impact your practice financials.

Most change brings associated costs and ICD-10 is no different. You may have already factored in software conversions, training, coding education, and clearinghouse fees, but ICD-10 also has the potential to impact areas you may not have considered.

Here are some questions to think about:

  • How will ICD-10 impact your practice revenue?
  • How will ICD-10 affect your cash flow?
  • Will you need more staff to maintain your current day-to-day operations?

These are difficult questions and even more difficult to answer if you’re dependent on third parties during the transition. Still, you can take steps to prepare yourself for October 1.

Where to Begin
Your first step should be to leverage your current ICD-9 workflow and analyze your historical practice data. Knowing your historical claim volumes, reimbursements, and payer mix will give you a good indication of the impact to expect as a result of the transition to ICD-10.

What areas may be potentially affected?

  • Accounts receivable cycle
  • Cash flow
  • Provider reimbursements
  • Claims submissions
  • Payer processing turnaround

Prepare for delays or adjusted cash flow now to avoid hardships in October. And finally, make sure all doctors and staff are prepared. With proper preparation, additional staff and resources may not be necessary at all.

Do you have an ICD-10 question or topic on your mind? Let us know.