HIMSS Virtual Briefing: Minimizing Risk and Exposure during the ICD-10 Conversion: Lessons from the Trenches

Date: October 12, 2011

There is no doubt that the conversion to ICD-10 on October 1, 2013 will impact virtually every aspect of your organization. As a health IT professional, your organization depends on you to ensure that the transition is successful. But do you have the tools, resources, and the knowledge to ensure that your organization’s risks are minimized? Are you ready to report to your Board of Directors that your exposure to the many financial and administrative impacts of this system-wide transformation will be negligible?

This HIMSS ICD-10 Virtual Briefing will provide critical information to assist health IT professionals, ambulatory center leaders, practitioners, project managers, and others in understanding the many facets of risk and exposure to the ICD-10 conversion. By knowing what may go wrong in the conversion process, attendees will be better prepared to focus beyond the theory with the information needed today. But don’t jeopardize your transition efforts…be ready with actionable information today to address the ICD-10 conversion proactively and with confidence.

The 3 part session includes the following:

Time	Session
9AM-10AM CST	Prepare Your Staff: Planning for the ICD-10 Implementation Medical Coder Shortage
	Abstract: The implementation of the ICD-10 conversion in your organization is going to affect the daily activities of many of your organization’s employees. No groups of employees are going to be affected more than your medical coders. The potential for risk with the conversion is only increased by the continuing industry-wide shortage of certified medical coders. This session will explore the work force issue, discuss the psychological and demographic profile of medical coders and identify practical ways to minimize work force shortage and its potential risks in light of your organization’s ICD-10 conversion.

Learning Objectives:

• Provide overview of work force issues and strategies on work force solutions
• Discuss medical coders/billers role in ICD10 and how to keep work flow processes in tact during transition
• Identify staffing strategies during testing, remediation and post implementation

 

Speakers:
Kenn Beckwith Director, Strategic Accounts Experis IT/Manpower Group	Kimberly Reid, CPC, CPMA, CEMC, CPC-I Director, ICD-10 Development and Training at American Academy of Professional Coders

11AM-Noon CSTEngage Your Bottom Line: Understanding the Financial Implications of ICD-10 Abstract: The conversion to ICD-10 is going to have wide ranging financial implications on all types of healthcare provider organizations, health systems large and small, ambulatory facilities like physician practices, and more. Your organization needs to be prepared to effectively incorporate your ICD-10 implementation into your budgeting process, understand how it is going to affect your cash reserves, identify worst case scenarios and explore how to avoid them. This session will provide you with an overview of the financial implications for the ICD-10 conversion, tools and resources to assist you in your budgeting process, and identify best practices to ensure a smooth transition for not only your staff, but your bottom line as well.

Learning Objectives:

• Identify financial implications of ICD-10 on small and large systems as well as individual and small providers
• Examine the ICD-10 impact on cash reserves and how to protect and manage reserves
• Review the status of the physician industry in terms of financial readiness and identify options for providers for funding ICD-10

Speakers:
Denise Hall, RN Principal Pershing Yoakley and Associates	June St. John  SVP, CTP – Healthcare Product Manager Wells Fargo Bank, N.A.

1PM-2PM CSTEducate Your Providers: Mitigating Risk of Fraud, Waste and Abuse through Effective Training Abstract: Fraud, waste, and abuse. Sometimes unintentional, sometimes not, these are risks your organization faces whenever a claim is submitted for payment. What are the implications of these risks for your organization and how does the ICD-10 conversion apply to those risks? This session will explore the implications of fraud, waste and abuse on your organization, discuss the role of CMS’s RAC audits in the effort to challenge overpayments, and provide a wide range of practical strategies to effectively assist providers in avoiding these potential risks.

Learning Objectives:

• Describe examples of fraud, waste and abuse and discuss the implications of these actions
• Examine strategies on how to avoid fraud issues
• Identify potential red flags in 837s/835s and other transactions

Speakers:
Bill Fox, JD, MA Senior Director Healthcare LexisNexis Risk Solutions	Sydney Ross-Davis, MD Medical Director of Special Investigations Blue Cross Blue Shield Illinois

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