ICD-10 Consulting

"Your Solution On The Business Side Of Medicine"

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Comprehensive ICD-10 Consulting Solutions!

October 1, 2015 WILL BE HERE BEFORE YOU KNOW IT.

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01 October 2015
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ICD-10
Assessment Service
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ICD-10
Implementation Services
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ICD-10
Transitional Services
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ICD-10
Collaborative Services
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About Us

Learn who we are and why we do this
Our Mission

To provide resources to medical providers and medical practices to ensure their success today and into the future. .


Who We Are

Consolidated MD's ICD-10 consultants are AAPC Certified Medical Coders, Auditors and are up to date with ICD-10 certifications.


Our ICD-10 Services
ICD-10 Assessment
ICD-10 Rediness and Impact Assessment
  • Our ICD-10 Consultants will identify the workflow, systems and business areas where additional training is needed.
  • Our ICD-10 Consultants will provide projections of important organizational processes and the estimated duration
  • Our ICD-10 Consultants will provide an analysis report and estimates based on what is discovered
  • Our ICD-10 Consultants will provide an assessment report detailing our findings and provide recommendations
ICD-10 Implementation
ICD-10 Implementation Services
  • Our ICD-10 Consultants will determine your training needs and develop your training strategy.
  • Our ICD-10 Consultants will provide project planning and oversight of your ICD-10 implementation
  • Our ICD-10 Consultants will provide assistance in development and design of your ICD-10 training materials
  • Our ICD-10 Consultants will provide an assessment report detailing our findings and provide recommendations
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ICD-10 Speaking Engagements
  • Our ICD-10 Speakers speak on "Strategies Your Practice Should Perform For A Successful ICD10 Implementation".
  • Our ICD-10 Speakers speak on "ICD9 To ICD10 - Front End Changes To Clinical Documentation".
  • Our ICD-10 Speakers speak on "Performance Improvement With ICD10 Code Set - Yes, Your Practice Can Succeed With The ICD10 Implementation".
  • Our ICD-10 Speakers speak on "Quality Of Care and Reimbursement - ICD-10 Clinical Documentation Explained".
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ICD-9 To ICD-10 Mapping Assistance
  • Our ICD-10 Consultants will assess your current ICD-9 codes and provide a comprehensive crosswalk to ICD-10.
  • Our ICD-10 Consultants will analyize current ICD-9 codes to ensure you are maximizing reimbursements.
  • Our ICD-10 Consultants will provide processes to ensure ICD-9 to ICD-10 mapping is successful.
  • Our ICD-10 Consultants will provide an impact study bases on ICD-9 to ICD-10 transition.

ICD-9 to ICD-10 Implementation Services

Our ICD-10 consultants can help in specific area or help with your entire ICD-10 implementation.

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ICD-10 ASSESSMENT SERVICES
Our ICD10 Assessment Services include but are not limited to practice awareness, current business processes, both a organizantional and technical impact analysis, reporting on current business partner rediness, gap analysis and stategy, effective strategy/solution and planning.

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ICD-10 IMPLEMENTATION SERVICES
Effective strategies/solutions for (CDI) clinical documentation Improvement, (CAC) computer assisted coding. Pinpoint business partners which have not met the criteria for ICD10 and effectively work to upgrade or replace. Develop in-office processes for providers and staff and train based on these custom processes. Crosswalk ICD9 to ICD10 medical coding development, training and testing.

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ICD-10 TRANSITIONAL SERVICES
Go live planning, current business partner testing, resoliving issues and support for ICD 10 medical coding.

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ICD-10 COLLABORATIVE SERVICES
Don't do it alone, let our ICD 10 consultants help minimize mistakes and errors with your practices ICD 10 assessement, implementation and transition.

When is the compliance deadline for ICD 10 code set?

– OCTOBER 1, 2015

Who does ICD 10 code set affect?

– ICD10 COMPLIANCE IS MADATORY FOR ALL HIPAA COVERED ENTITIES.

What does ICD 10 compliance mean?

– ICD 10 COMPLIANCE MEANS THAT HIPAA COVERED ENTITIES MUSTUTILIZE THE ICD 10 CODE SET FOR HEALTHCARE SERVICES RENDERED ON OCTOBER 1, 2015 OR AFTER.

Where can I find a list of the ICD 10 CPT codes?

– THE ICD 10 CODES ARE PROVIDED FREE OF CHARGE AT CMS.ORG

How can providers get ready for the ICD 10 code set transition?

– START NOW! WHETHER YOUR PRACTICE PERFORMS ALL THE NECCESARY STEPS FOR AN EFFECTIVE IMPLEMENTATION OR YOU CONTACT A CONSULTANT.

ICD-10 Resources

Links To Helpful Resources (All Data Provided By CMS)

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Our Corporate Office

Located in beutiful downtown Saint Petersburg, FL
447 3rd. Ave. N., Suite 306, Saint Petersburg, FL 33701

Contact us today to see how we can help your practice with your ICD-10 Implementation


ICD 10 F.A.Q.

Frequently Asked Questions About ICD-10 Codes
WHEN is the compliance deadline for ICD-10?
On April 1, 2014, the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. No. 113-93) was enacted, which said that the Secretary may not adopt ICD-10 prior to October 1, 2015. Accordingly, the U.S. Department of Health and Human Services expects to release an interim final rule in the near future that will include a new compliance date that would require the use of ICD-10 beginning October 1, 2015. The rule will also require HIPAA covered entities to continue to use ICD-9-CM through September 30, 2015.
WHO does ICD-10 compliance affect?
ICD-10 Compliance is mandatory for all HIPAA-covered entities, including those who do not handle Medicare claims. There are no exceptions to any HIPAA-covered entities. Organizations that are not governed by HIPAA who use ICD-9 codes should be aware that their coding may become obsolete in the transition to ICD-10. For guidelines on what qualifies as a HIPAA-covered entity, please visit http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/index.html.
WHAT does ICD-10 compliance mean?
ICD-10 compliance means that HIPAA-covered entities must utilize ICD-10 codes for healthcare services rendered on or after the compliance date.
WHERE can I find a list of ICD-10 codes?
The ICD-10-CM and ICD-10-PCS code sets, as well as the official ICD-10-CM guidelines, are available free of charge on the “2014 ICD-10-CM and GEMs” and “2014 ICD-10-PCS and GEMs” pages of the CMS ICD-10 website. Additionally, it is important to contact your payers and trading partners to request a copy of the crosswalk mapping tool they are utilizing to ensure its accuracy.
HOW do providers prepare for the transition to ICD-10?
The best way to get started is…to get started! There are five major areas your practice needs to address. Click on the “build your action plan” button on the home page to begin and track your practice’s ICD-10 implementation.
DUAL CODING: Does my practice need to use both code sets during the transition?
Practice management systems must be able to accommodate both ICD-9 and ICD-10 codes until all claims and other transactions for services prior to the compliance date have been processed and completed. Promptly processing ICD-9 transactions as the transition date nears will help limit disruptions and will limit the timeframe when dual code sets need to be used.
TESTING: What type of system testing does my practice need to perform?
It is essential for providers to engage in both internal and external testing in order to ensure compliance by the compliance date. Practices should plan to test claims, eligibility verification, quality reporting, and other transactions and processes that involve ICD-10 codes from beginning to end. For more information on testing, please explore the Test Your Systems and Processes section in your action plan for step-by-step instructions.
TRAINING: What type of training does my practice need and where do I find it?
ICD-10 training is typically organized into three categories. The type of training required by each member of your team depends upon their roles and responsibilities within the practice. Following are general guidelines to help you identify the type of training that is most suitable for each member of your practice: Documentation training for physicians, nurse practitioners, physician assistants, and other staff who document in the patient medical record. Coding training for staff members who work with codes on a regular basis. Overview training for staff members engaged in management and/or administrative functions. The degree of training required can vary based upon: Your specialty The number and type of diagnosis codes you commonly use
PAYERS & VENDORS: How should my practice ensure their compliance?
It is important to ensure that all payers and technology vendors are ready for the ICD-10 compliance date. In order to help you assess their implementation plans, we have created, within the portal, easy to follow action steps and prepared ICD-10 readiness assessments to review with your business associates. Ultimately, however, it is your responsibility, as a provider, to maintain compliance, regardless of the actions of your payers and vendors.
CURRENT NEWS: Where do I find it?
Visit www.cms.gov/ICD10 and sign up for the CMS ICD-10 Email Updates to receive the latest news and resources on ICD-10. Also, stay informed by following CMS on Twitter. Additionally, please check the list of upcoming ICD-10 events.
VERSION 5010: What is it and how is it related to ICD-10?
Version 5010 refers to the revised set of HIPAA electronic transaction standards adopted to replace the current Version 4010/4010A standards. Every standard has been updated, from claims to eligibility to referral authorizations. 5010 establishes a platform for the adoption of ICD-10 codes by accommodating the increased size and complexity of the new code set. Therefore, providers will not be able to submit ICD-10 codes unless the transition to 5010 has been completed.
CODING CERTIFICATION: Will coders need to gain additional certification for ICD-10?
Contact the association through which you acquired your certification. For AHIMA certified professionals, please visit http://www.ahima.org/~/media/AHIMA/Files/Certification/ICD10_CEU_FAQs.ashx. For AAPC certified professionals, please visit http://www.aapc.com/icd-10/faq.aspx#proficencyassessment.
ICD-11: Why doesn’t HHS skip over ICD-10 and implement ICD-11?
The history of updating the ICD system in the United States indicates that skipping directly to ICD-11 implementation could take too long. The World Health Organization published ICD-9 in 1978 and endorsed ICD-10 in 1990. The first draft of ICD-10-CM was released in 1995, but HHS did not propose the rule for ICD-10 adoption until 2008. The WHO is not slated to release ICD-11 until 2015. Based on the historical timelines of implementation, it will be 2039 until the United States is fully transitioned to ICD-11-CM. It is also important to note that the gap between ICD-9 and ICD-10 is not nearly as large as the gap between ICD-9 and ICD-11. At this point in time, a transition directly to ICD-11 would be an even larger and more dramatic undertaking for the US healthcare industry.
NATIVE CODING: What is it?
Native coding means to assign an ICD-10 diagnosis code directly based on clinical documentation. Practices are encouraged to natively code using ICD-10 code reference sources instead of using crosswalks, which should be used for general knowledge. Specific codes reflecting the most appropriate level of certainty known for an encounter should be evaluated first: Specific diagnosis codes should be reported when they are supported by the available medical record documentation and clinical knowledge of the patient’s health condition. If a definitive diagnosis has not been established by the end of the encounter, it is appropriate to report codes for sign(s) and/or symptom(s) in lieu of a definitive diagnosis. When sufficient clinical information is not known or available about a particular health condition to assign a more specific code, coding should comply with the payer guidelines for the use of unspecified codes.
NCDs and LCDs: What are they, and how will ICD-10 impact them?
The vast majority of Medicare coverage is provided on a local level. Coverage policies are typically developed by clinicians at the contractors that pay Medicare claims. However, in certain cases, Medicare deems it appropriate to develop a National Coverage Determination (NCD) for an item or service to be applied on a national basis for all Medicare beneficiaries meeting the criteria for coverage. Medicare Administrative Contractors (MACs) are Medicare contractors that develop and/or adopt Local Coverage Determinations (LCDs). Medicare contractors develop LCDs when there is no National Coverage Determination (NCD) or when there is a need to further define an NCD. The Coverage and Analysis Group at The Centers for Medicare & Medicaid Services (CMS) is the Federal entity that oversees National Coverage Determination (NCD) and Local Coverage Determination (LCD) policies. In light of HIPAA as it relates to ICD-10, CMS is responsible for converting the ICD-9 codes to ICD-10 codes in NCDs and LCDs as the Agency finds appropriate. CMS has determined which NCDs/LCDs should be translated and is in the process of completing the associated systems changes. CMS change request (CR) transmittals and Medicare Learning Network Articles (MLN Matters®) are the vehicles used to communicate information regarding NCD/LCD translations. Please see the following link for information on NCD ICD-10 conversations, as of 3/18/13: http://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html.

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Contact Info

Consolidated MD, Inc. 447 3rd. Ave. N. Suite 306 Saint Petersburg, FL 33701

P. (800) 933-5190
F. +62 (123) 456-7890
E. info@consolidatedmd.com
W. consolidatedmd.com


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