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ICD-10 Implementation Project Webinar 1

Review of Vendor Worksheet Results

Project Update

(2)

2

Agenda

Review

Participating Facilities

Steering Committee Calls

Outstanding calls to be scheduled

Vendor Worksheet results

Timetable / Schedule example

Next Webinar Content

Confirm Dates and Locations for

(3)

Participating Facilities

Clay County Hospital

Fairfield Memorial Hospital

Hamilton Memorial

Kewanee Hospital

Kirby Medical Center

Mendota Community Hospital

Pana Community Hospital

Salem Township Hospital

Sparta Community Hospital

(4)

4

Steering Committee Calls

To date conference calls have taken place with:

Clay County Hospital

Fairfield Memorial Hospital

Sparta Community Hospital

Pana Community Hospital

Goal of the conference calls:

Meet as a committee

Gain additional insights to generate next level of conversation

Discuss vendor relationships

Begin the process of creating hospital specific implementation

schedule through March 2015

Discuss integrated testing

(5)

Revenue Cycle Review

To date we have received information / files from seven out of ten

participants

Meetings will be scheduled with each hospital to review findings

Review is focused on:

Chargemaster components

Pricing

ER / OBS Utilization

Compliance issues, if applicable

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6

Vendor Worksheet Review

To date we have received the vendor worksheets from eight of

ten participants

Overall there is limited overlap of systems

The following slides detail the responses, by hospital, to each

category

Focus will be on:

Integrating specific vendor timetables into the overall project

plan

Creating an integrated test structure and cohort

Leveraging participant abilities and relationships

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Billing System - Hospital

No answer Boyd

Sparta

CPSI Kewanee

HMS Fairfield

HMS Clay

County McKesson Paragon Pana

Meditech Mendota

Meditech\LSS\NEBO Kirby

Nextgen (NGC) Salem

Township Passport Health Hamilton

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8

Billing System - Physician

No answer Boyd

Hamilton Sparta Allscripts Tiger Pana

CPSI Kewanee

Meditech\LSS\NEBO Kirby

Nextgen (NGC) Salem

Township

NextGen EPM Mendota

HMS Clay

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Clearinghouse (scrubber)

No answer Boyd

Fairfield Sparta

BJC Clay

County Claims Administrator/Relay Health Pana

CPSI Kewanee

Nebo Salem

Township

NEBO Systems Kirby

Nebo Systems, Inc. Hamilton

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10

HIM Coder (3M etc.)

No answer Boyd

Clay County Fairfield Sparta

3M Kirby

Mendota Pana

Med Assets Hamilton

Nuance Clintegrity 360 Kewanee Nuance Communications, Inc

(11)

EMR Inpatient

No answer Boyd

Sparta

CPSI Hamilton

Kewanee

HMS Clay County

Fairfield McKesson Paragon Pana

Meditech Kirby

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12

EMR Outpatient

No answer Boyd

Salem Township Sparta

CPSI Hamilton

Kewanee

HMS Fairfield

Clay County McKesson Paragon Pana

Meditech Mendota

(13)

EMR Rehab Services

No answer Boyd

Clay County Salem Township Sparta

CPSI Hamilton

McKesson Paragon Pana

Meditech Mendota

Therapy Source Kewanee

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14

EMR other

No answer Boyd

Clay County Hamilton Salem Township Sparta

Medhost Kewanee

Meditech\LSS Kirby NextGen Ambulatory Mendota

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EMR other – CMC clinic

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16

RIS

No answer Boyd

Salem Township Sparta

CPSI Hamilton

DI PACS Mendota

Mckesson Kewanee

McKesson Paragon Pana

Sectra Fairfield

Kirby Sectra/Electromek Clay

(17)

DRG Calculators:

if separate from HIM system

No answer Boyd

Clay County Fairfield Kewanee Sparta

3M Mendota

N/A Pana

NA Kirby

Nuance Communications, Inc

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18

Denial Management software

No answer Boyd

Clay County Fairfield Hamilton Kewanee Salem Township Sparta

Meditech\LSS Kirby

N/A Pana

(19)

Case Management software

No answer Boyd

Clay County Fairfield Hamilton Salem Township Sparta

CPSI Kewanee

McKesson Interqual Mendota

Meditech Kirby

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20

Clinical Decision Support software

No answer Boyd

Kirby Salem Township Sparta

CPSI Hamilton

Kewanee

HMS Clay

County McKesson Paragon/Allscripts EHR Pana

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E Prescribe

No answer Boyd

Clay County Hamilton Salem Township Sparta Allscripts EHR (Surescripts) Pana

CPSI Kewanee

DrFirst Kirby

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22

Outpatient pharmacy billing system

No answer Boyd

Clay County Salem Township Sparta

Compusolve Fairfield

Computer RX Kewanee

CPSI Hamilton

McKesson Paragon Pana Meditech, Pyxsis Mendota

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Lab OE interface system (Sunquest etc.)

No answer Boyd

Salem Township Sparta

CPSI/Medhost Kewanee

HMS Fairfield

McKesson Paragon (Data Innovation) Pana

Meditech Mendota

Meditech/LSS Kirby

Orchard Hamilton

Orchard Harvest Clay County

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24

'Authorization service (list all if payor specific) &

Pre-Authorization Service Vendor (list all if payor specific)

No answer Boyd

Clay County Fairfield Hamilton Kewanee Kirby Salem Township Sparta

All Salem

Township

N/A Pana

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Other

Boyd Clay County Fairfield Hamilton Kewanee Kirby Mendota Pana Salem Township Sparta CPSI Clientware (used for Home

Health and receivables pre-9/2011) Pana HPF nka MPF (used as our Electronic Pana

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26

Implementation schedule and timetable

We will create facility specific timetables / schedules covering July

2013 through March 2014

Schedule will create ownership and accountability through

specific assignment of tasks

Schedule will be the Steering Committee management tool

Timetables will identify all aspects of implementation to include

topics such as:

Scheduling of vendor and payor calls

Vendor testing

Payor testing

Employee surveys, education and testing

Integrated testing

(27)

Timeline example

Aug-13

•Schedule initial Steering Committee call

•Schedule Sept / Oct Meetings

•Review Group Vendor Information

•Obtain OP Ancillary billed data by MD

•Create employee surveys

Sept-13

•Participate on site BO Training / Education

•Review Revenue Cycle Information

•Place known Vendor variables in timeline

•Create BO Cohort

• Identify employee training and

education

Oct-13

•Review community ancillary ordering procedures

• Develop plan for Ancillary leadership to visit practices

•Contact all payors with vendor questionnaire

•Finalize timeline for billing system update

•finalize timeline for MD Practice

Management system updates

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28

Next webinar

Topic:

Best Practice Denial Management

Date:

August 21, 2013

Time:

12:00 – 1:00 pm CST

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September / December Seminars

Business Office Cohort Seminar

Date:

September 26, 2013

Location: SIU School of Nursing Building

Time:

9 am to 3 pm

Physician Practice Cohort Seminar

Date:

December 10, 2013

Location: Northfield Inn Conference Center

Time:

9 am to 3 pm

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