Title: MHS Execution of ICD-10 .


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Objective. Give familiarity with TRICARE Management Activity\'s (TMA\'s) ICD-10 arrangements. 2. 2. Foundation. 3. The Department of Health and Human Services distributed a Final Rule on January 16, 2009, ordering across the nation transformation to ICD-10 coding from current utilization of ICD-9 by October 1, 2013. ICD-9.
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Title: MHS Implementation of ICD-10 – Status Update Session: R-2-0900

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Objective Provide familiarity with TRICARE Management Activity\'s (TMA\'s) ICD-10 arrangements 2

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Background The Department of Health and Human Services distributed a Final Rule on January 16, 2009, ordering across the country transformation to ICD-10 coding from flow utilization of ICD-9 by October 1, 2013 ICD-9 ICD-10

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TMA Approach to Implementation An Integrated Requirements Design workgroup created introductory abnormal state necessities for costing An ICD-10 Integrated Project Team (IPT) was sanctioned and stood up in October 2010 with the accompanying destinations: Implement ICD-10 in all MHS frameworks that as of now utilize ICD-9 by the consistence date of October 1, 2013 Determine Purchased Care effects and issue relevant TRICARE Manual overhauls and contract changes Determine preparing needs and suggest preparing materials Conduct ICD-10 correspondence and mindfulness Identify affected DoD Directives, Instructions, Policies, and Forms, and work with Primary Offices of Responsibility for making/following upgrades to these productions

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ICD-10 IPT Members SLIDE REDACTED

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IPT Current Status IPT commenced on October 6, 2010 Four sub-workgroups (SWG) have commenced to address the targets of the IPT Training and Communication Forms and Publications Purchased Care Functional Requirements

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Current Status – Training & Communication Working with Services Representatives, UBO, and UBU to decide preparing needs Researching no-cost instructive and preparing assets that can be posted online for access as required by coders, clinicians, and others Providing correspondence to partners in regards to status of TMA\'s ICD-10 availability exercises notwithstanding above SWG exercises: ICD-10 preparing is given at the UBO/UBU yearly meetings 3M Coding & Compliance Editor (CCE) contract incorporates an arrangement for ICD-10 reference and preparing material 7

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Current Status – Forms and Publications To date,19 productions that right now reference ICD-9 codes have been recognized. This incorporates DoD Directives, Instructions, Policies, and Forms Working with Primary Offices of Responsibility for making/following redesigns to these distributions

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Current Status – Purchased Care The TRICARE Operations Manual (TOM) and TRICARE Systems Manual (TSM) were checked on and dialect drafted to deliver ICD-9 change to ICD-10. TRICARE Policy and Operations Directorate is as of now setting up this bundle for coordination. Draft dialect for the TRICARE Policy Manual (TPM) evaluated to be finished before the end of March 2011. Draft dialect for the TRICARE Reimbursement Manual (TRM) wanted to start in June 2012 to permit fuse of the most recent ICD-10 code set overhauls. Plan to be prepared for coordination in October 2012.

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Current Status – Purchased Care (cont\'d) Cost evaluations to be asked for once manual changes go into coordination. Attempting to get the direction changed so TRICARE mediates claims in light of release date rather than confirmation date. Evaluating ICD-10 effects to the TRICARE Grouper.

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Current Status – Functional Requirements SWG Detailed examination of 24 MHS halfway oversaw frameworks is in progress. Recognize and index each present example and utilization of ICD-9, including outside interfaces. Decide least basic prerequisites to move from ICD-9 to ICD-10 without negative effect to current procedures. Give cost variables toward precise remediation gauges.

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ICD-10 System Analysis

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Issues, Risks and Mitigations Issue Initial Industry benchmarks created by NCHICA/WEDI prescribed that secured substances finish affect evaluations by end of 2 nd quarter 2010 and start inner framework plan/advancement amid 3 rd and 4 th quarters of 2010 TMA is presently finishing an effect appraisal and working under a packed course of events Risk Increased danger of not completely meeting the consistence date of October 1, 2013 Mitigation IPT was stayed strong with DASD oversight to give exhaustive administration to all parts of ICD-10 execution in the MHS, including Direct and Purchased Care Operations Systems that are relied upon to require the most broad changes (AHLTA, CHCS) are being tended to first to permit more opportunity for improvement, testing, and so on., in those frameworks

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Issues, Risks and Mitigations (cont\'d) Issue The ICD-10 framework alterations are required to be expensive; financing is restricted Risk Delays in distinguishing subsidizing may expand danger of not completely meeting the consistence date of October 1, 2013 Mitigation DASD is routinely educated of subsidizing needs ICD-10 has been recognized as an "unquestionable requirement support" spending thing Working with Portfolio Management to distinguish accessible subsidizing Working to recognize and actualize just those necessities esteemed basic for meeting consistence

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Q&A 15

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