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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH August 26, 2015 S:\Managers Working Files\BOH\Agenda & Abstracts\2015 Agenda & Abstracts/ August Page 2 Ms. Walker began by defining the ICD-10-CM. The ICD-10-CM, International Classification of Diseases, 10th Edition, is a clinical cataloging system that will be replacing its predecessor, ICD- 9-CM. All entities covered under HIPAA must transition to ICD-10CM coding and be in compliance per U.S. health care regulations by October 1, 2015. ICD-10 consists of diagnosis coding for all U.S. health care settings and inpatient procedure coding for all U.S. hospital settings. The ICD-9 codes will be changing from 3-5 alphanumeric digits to the 3-7 alphanumeric digits used in the ICD-10 coding. Next, Ms. Walker explained the reasoning for the transition which includes: • Improving clinical communication; • Capturing data to better describe the clinical services overall; • The ICD-9 cannot accommodate the addition of codes to reflect new diagnosis and procedures; and • Exchanging information across country borders. Ms. Walker continued by introducing the ICD-10-CM Implementation Team. She also presented budgetary, system and business impact assessments. First, she began with the budgetary impact. The total anticipated cost of the ICD-10 transition is under $1,000.00. This includes staff training cost, new code books and/or coding assistance software and modification of processes and forms. In regards to the system impact assessment, she stated that Patagonia and Office Ally tested claims on behalf of the health departments with all test claims submitted passed; although, some test claims are still pending. Ms. Walker also stated ESB and Claims side entry of ICD-10-CM code have been tested as well as clinical documentation. The new ICD-10 codes are in Patagonia waiting to be uploaded on October 1st. When asked if dental codes were affected, Ms. Walker responded that they’re not affected by this transition. Lastly, she spoke about the minimal business impact that the transition has caused on Administrative Services and the clinical areas. There has been the implementation of cheat sheets in all exam rooms which include commonly used codes. Manuals have been created for providers. There is also a code lookup system in Patagonia. The BOH members had several questions that were addressed by Ms. Walker and Dr. Bridger. B. 4th Quarter Financial Reports Dr. Colleen Bridger reported on the 4th Quarter Financial report which was included in the packet. Average YTD monthly revenue in FY15 after the 4th Quarter is $205k/month or $2.5M YTD, representing 100.15% of our overall budgeted revenue for the year. This is an increase from an average of $174k/month in FY14. Year-end revenue is in line with initial budget projections ($207k/m, $2.5M/y). Due to slightly exceeding our anticipated revenues, budgeted Medicaid Maximization funds were not transferred into the budget at the end of the fiscal year, which is in accordance with Health Department practices. Expenses were lower than budgeted at 93%. The BOH members had questions that were answered by Dr. Bridger. C. 4th Quarter Billing Dashboard Reports Dr. Bridger also reported on the 4th Quarter Billing Dashboard. After surpassing our billing accuracy goal of 80% in FY 13-14, we set a new goal of reaching 90% in FY 14-15. The