Tuesday, February 2, :00 8:30 AM Registration, Continental Breakfast Texas Foyer. Proposed Agenda Updated

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1 2 nd WEDI 5010, ICD-10 Implementation Forum Advancing Down the Implementation Highway: Ensuring a Strong Foundation February 2-4, 2010 Hyatt Regency Austin Austin, TX Proposed Agenda Updated Tuesday, February 2, :00 8:30 AM Registration, Continental Breakfast 8:30 9:15 AM 5010 Issues 101 This session is open to all 5010 registrants and will offer background on some of the basic requirements of 5010 as well as a high-level review of current issues identified with This session will set the stage for the interactive discussion throughout the forum. Discussion Facilitator: Gail Kocher, Director, Health Information Technology, BCBSA; WEDI SNIP Co Chair 9:15 9:30 AM Welcome, Introductions Opening Comments, Overview of Sessions Moderator: 9:30 10:30 AM Claims: NPI and other Provider Reporting Changes The claim transactions standardizes the reporting of the Billing Provider Loop and also requires providers to use the same NPI enumeration strategy with all trading partners. As a result, a number of providers will need to review and potentially adjust their current NPI enumeration and then communicate their NPI enumeration changes to their trading partners. This session will address the necessary steps required by both the provider and the payer when this situation occurs. 1

2 10:30 10:45 AM Break Discussion Facilitators: Laurie Burckhardt, EDI Manager, WPS Insurance, WEDI SNIP Transactions Workgroup Co Chair 10:45 12:15 PM Subscriber/Patient Reporting This session will provide an interactive discussion on the challenges resulting from the change in the (claim) requirements to report a patient having a unique health plan identifier as a subscriber. What are the challenges for provider community? What is the impact if a health plan s patient id card and eligibility response are not insynch when reporting a unique patient identifier? Are there other impacts? Discussion Facilitators: Jim Whicker, Director of EDI, Intermountain Healthcare, Past WEDI Board Chair Donna Campbell, Supervisor-B2B Operations and Production Support, Health Care Service Corporation; WEDI SNIP x SWG Co Chair Debbi Meisner, VP Regulatory Compliance Strategy, Emdeon Corporation, WEDI SNIP WC/Auto, Property & Casualty SWG Co Chair 12:15 1:15 PM Lunch Texas Ballroom 4-7 1:15 2:15 PM Remit Challenges Health plans create 835 transactions today, so why haven t all providers implemented these remits? This session will cover some of the current 835 issues and how 5010 helps to clarify the requirements. What are the key modifications some health plans will need to do to be 5010 compliant? Discussion Facilitators: Debra Strickland, Senior Solutions Architect, Foresight Corporation, WEDI SNIP 835 SWG Co Chair Jim Whicker, Director of EDI, Intermountain Healthcare, Past WEDI Board Chair 2:15 3:15 PM 5010 Testing Participants will discuss types of work products and tools the WEDI SNIP Transaction Testing SWG could focus on to help facilitate a collaborative approach to the Level II migration challenge. Among the possible work products are: Creating partner migration test plans Identifying and pursuing migration pilots Scheduling partner migration activity 2

3 3:15 3:30 PM Break Monitoring partner readiness Applying lessons learned from pilot migrations Readying both front-end and application systems for partner testing Operating both 4010A and 5010 during the 2011 transition period Discussion Facilitator: Ed Hafner, CTO, Foresight Corporation, WEDI SNIP Transactions Workgroup Co Chair 3:30 4:30 PM Early Adopters Hear from a couple of 5010 early adopters regarding their early adoption strategies, including lessons learned to date. Forum participants will be encouraged to ask questions, inquire into success strategies and discuss implementation challenges. Discussion Facilitators: Fred Richards, VP of Healthcare Strategy, RelayHealth Betty Gomez, VP IT Operations Support, ZirMed, Inc. Doug Renshaw, HIPAA Consultant, Highmark Mary Rita Hyland (Moderator), Assistant Vice President, Regulatory Affairs, The SSI Group, Inc.; WEDI SNIP 5010 Early Adopters Sub Work Group Co Chair 4:30 5:00 PM Closing Comments Wrap Up, Adjourn Moderator: 5:15 6:10 PM Vendor Informational Session Ingenix, Inc and ICD-10: Opportunity Knocks! How to Leverage the Mandates with a Unified Strategy Join us for a compelling presentation on 5010 and ICD-10 and the opportunity that lies within these federal mandates. We ll investigate the missed opportunities and root causes and what the 5010 and ICD-10 standards promise for organizations. In addition, we ll discuss an integrated approach to implementation of 5010, ICD-10, and HITECH, including how the HIPAA mandates lay the groundwork for other key initiatives such as meaningful use, value-based purchasing, pay-for-performance and HITECH funding. 3

4 It s an interactive dialogue so come prepared to ask questions and help discover the opportunities for your organization! All infomercial attendees will be eligible to participate in the Netbook drawing. You must be present to win. Presented by: Larry Watkins, Vice President, Ingenix Consulting Wednesday, February 3, :30 8:00 AM Registration, Continental Breakfast 8:00 8:15 AM Recap of Tuesday s Discussion & Review of Morning Agenda Moderator: 8:15 9:45 AM Transition Issues This session will cover some of the transition issues stakeholders may encounter as the industry transitions to 5010 over the next year and half. Many in the industry will need to be able to exchange transactions in both the 4010A1 and the 5010 format. Migrating with different data content requirements, field length changes and other challenges will be discussed. Discussion Facilitator: Debbi Meisner, VP Regulatory Compliance Strategy, Emdeon Corporation, WEDI SNIP WC/Auto, Property & Casualty SWG Co Chair 9:45 10:00 AM Break 10:00 11:30 AM Updates from Medicare and Medicaid Hear updates from Medicare and Medicaid on their 5010 efforts and readiness Christine Stahlecker, Director for Division of Medicare Billing Procedures, Office of Information Services at CMS Susan Ackley, Executive Consultant, Arizona Health Care Cost Containment System (AHCCCS); Chair, National Medicaid EDI Healthcare (NMEH) Work Group 11:30 12:00 PM Wrap Up, Next Steps, Adjourn White Papers, Work Products, Tools where to find them, how to use them 4

5 Forum facilitators will review some of the tools and/or work products that various WEDI SNIP sub workgroups have developed to help with the 5010 implementation Moderator: Forum Facilitators to present work products 12:00 1:00 PM Lunch Everyone is invited Texas Ballroom :00 1:00 PM Registration 12:30 1:00 PM ICD This 101-level class open to all ICD-10 registrants and is meant to offer background on some of the basic elements and assumptions of ICD-10. Speaker: Jim Daley, Director, IT Risk & Compliance, BC BS of South Carolina; WEDI SNIP ICD-10 Workgroup Co Chair 1:00 1:15 PM Welcome Introductions, Overview Andrea Danes, Senior Principal, CSG Government Solutions; WEDI SNIP ICD-10 Education Sub Workgroup Co Chair 1:15 2:00 PM Results of WEDI Industry Surveys on Readiness This session will report results of the WEDI survey and how industry is doing in comparison to the industry timeline. The audience will discuss areas of concern and what should be done to catch up in areas where industry is behind expectations. What contingency plans should individual organizations have to meet the October 1, 2013 deadline? Kathryn Huyck, Healthcare Consultant, PricewaterhouseCoopers, LLP; WEDI SNIP ICD-10 Timeline Sub Work Group Co Chair Stanley Nachimson, Principal, Nachimson Advisors, LLC; WEDI SNIP ICD-10 Timeline Sub Work Group Co Chair 2:00-3:30 PM From Assessment to Action - Translating Your Assessment to Achievable Objectives Is your assessment complete enough to be actionable? What does the output of your assessment look like for public and private payers? 5

6 3:30 3:45 PM Break Providers? Vendors? How do you blend your assessment with your business goals, identify areas of greatest change or impact and mobilize resources? Hear from organizations who have completed assessments, learn what surprises and hurdles they discovered and what they have done to overcome them. The panel and fellow attendees will address common problems encountered during the assessment phase and the characteristics of a good, actionable assessment. Steven Benjamin, Sr. Project Manager, The Regence Group; WEDI SNIP ICD-10 Implementation Sub Work Group Co Chair Laurie Darst, Senior HIPAA/ Industry Relations Coordinator; WEDI Education Co Chair Kathryn Huyck, Healthcare Consultant, PricewaterhouseCoopers, LLP; WEDI SNIP ICD-10 Timeline Sub Work Group Co Chair 3:45 5:15 PM Appropriate Use of Mapping and Crosswalks in Transitioning to ICD-10 Mapping and Crosswalks alone are not a complete compliance strategy for ICD-10. What are the issues and limitations of using maps and crosswalks? What is lost or assumed when using these tools? Are you sure your translation represents the proper diagnosis and/or procedure? What is the impact of improper representation on the payer, provider and patient? How will your historical and trending data spanning October 1, 2013 be impacted? This session will explore the appropriate use of maps and crosswalks both for reimbursement and for diagnosis and trending. The audience will discuss areas to be mindful of when using such tools. Anne Boucher, Clinical Research Content Manager, 3M Health Information Systems Wimpie DuPlessis, CEO, XeoHealth/MediKredit Joe Nichols, MD, Medical Director, ViPS, a General Dynamics IT Company; WEDI SNIP ICD-10 Crosswalks Sub Work Group Co Chair 5:30 6:25 PM Vendor Informational Session Edifecs/InfoSys Getting to 5010 and ICD-10 Compliance External testing for HIPAA 5010 is expected to be completed by January 1, 2012; implementation of ICD-10 will need to be completed by October 1, How ready is your organization to meet these deadlines? Do you need some help getting ready for HIPAA 5010 and ICD-10 compliance? 6

7 Edifecs and Infosys Technologies possess the products, technologies, consulting resources and expertise to help you meet these critical deadlines. We invite you to a discussion about the key challenges facing the healthcare industry in planning for these impending milestones and how capabilities provided by Edifecs and Infosys together can help. Thursday, February 4, :30 8:00 AM Registration, Continental Breakfast 8:00 8:30 AM Recap of Wednesday s Discussion + Today s Agenda Andrea Danes, Senior Principal, CSG Government Solutions; WEDI SNIP ICD-10 Education Sub Workgroup Co Chair 8:30 10:00 AM The Clinical Impact of ICD-10 - The "Life Cycle" of the Creation and Use of Codes Often overlooked in assessments is the impact of ICD-10 on the clinician's medical workflow. How does a clinical observation, patient examination or procedure result in the proper ICD-10 coding of that diagnosis or procedure? What if documentation is not adequate to allow for proper coding using ICD-10? How is the patient s medical history affected by ICD-10 coding. This session will provide a case history and illustrate from "end to end" the importance of workflow analysis and training of providers, coders and payers. Joe Nichols, MD, Medical Director, ViPS, a General Dynamics IT Company; WEDI SNIP ICD-10 Crosswalks Sub Work Group Co Chair Caroline Piselli, Caroline Piselli RN, MBA, FACHE, 3M Health Information Systems 10:00 10:20 AM Break 10:20 11:50 AM Using ICD-10 to Gain Competitive Advantage Budgets are tight and resources strained. Time is running out to take full advantage of the opportunities presented by the migration to ICD-10 but how do you engage your Executives and encourage them to do more than the bare minimum for compliance? Where are the opportunities for increased data value and competitive advantage? Join a facilitated discussion to identify these opportunities and begin building your business case to leverage ICD-10 for strategic gain. Facilitators: Andrea Danes, Senior Principal, CSG Government Solutions; WEDI SNIP ICD-10 Education Sub Workgroup Co Chair 7

8 11:50 1:00 PM Lunch Texas Ballroom 4-7 1:00 2:30 PM Preparing for a Successful Transition and Implementation After completion of your Impact Assessment how do you plan for a successful transition and implementation? How do you keep all stakeholders involved with the project to address the myriad of decisions and tasks that must be completed for successful results? How do you address the needs for knowledgeable project resources when ongoing production operations must continue simultaneously? Learn how organizations are beginning to address these issues. Discuss your concerns and ideas with our speakers and attendees. Steven Benjamin, Sr. Project Manager, The Regence Group; WEDI SNIP ICD-10 Implementation Sub Work Group Co Chair Kristine Weinberger, Manager of Consulting, ASC, Inc.; WEDI SNIP ICD- 10 Crosswalks Sub Workgroup Co Chair 2:30 2:45 PM Break 2:45-4:00 PM Closing ICD-10 Town Hall This interactive, moderated Town Hall-type session with address a number of the issues from the forum. Potential topics include a discussion on testing issues, non-covered entities and their use of ICD-10; ICD-10 on paper claims and more. Facilitators: Jim Daley, Director, IT Risk & Compliance, BC BS of South Carolina; WEDI SNIP ICD-10 Workgroup Co Chair Lisa Miller, Chief Information & Compliance Officer, XeoHealth; WEDI SNIP ICD-10 Workgroup Co Chair Robert Stallings, PricewaterhouseCoopers, LLP; WEDI SNIP ICD-10 Workgroup Co Chair 4:00 PM Adjourn 8