What's the problem?
John Lynn writes that there is a difference between an EHR that says it's ready for ICD-10 and one that is ready. The EHRs that figure out ICD-9 codes then suggest ICD-10 codes that could work are going to be problematic.
Which sounds like a really good reason for end-to-end testing. Find out if EHRs and practice management systems (PMS) can create medical claims with the proper ICD-10 codes.
And that's why many people think it's important that the Centers for Medicare and Medicaid Services (CMS) conduct thorough end-to-end testing with ICD-10 codes. After all, that's why HealthCare.gov failed.
And The HHS) Secretary Kathleen Sebelius that urges to mandate end-to-end ICD-10 testing. What's more important is that "end-to-end testing is the only practical method practices will have to accurately predict and respond to Medicare coding edits and fully understand the impact that ICD-10 will have on reimbursement."(MGMA) makes that case in its letter to Health and Human Services (
Of course CMS has said that it has designed the ICD-10 DRGs to be revenue neutral.
And your EHR is ICD-10 ready.
Robert Tennant, senior policy adviser in the government affairs department for the Medical Group Management Association (MGMA), shares tips for ICD-10 implementation:
- Start training medical coders about six to nine months before the ICD-10 compliance deadline so they don't need retraining.
- Team up with other medical practices and pool resources to train trainers.
Contact clearinghouses and ask:
- What ICD-10 services will you provide?
- Is my submission format appropriate?
- What will be the cost of the service?
- When can you accept test claims?
- Are you offering any training opportunities?
- Contact health plans about assistance and testing.
- Monitor government sources and health plans for compliance announcements.
- "Look to the past to understand the future"
- "Get down into the detail"
- "Prioritize by risk"
- "Fix what you can today"
- "ICD-10 documentation isn’t a one-and-done activity"
Phoenix Health Systems surveyed 101 hospitals of various sizes and found:
- Most large hospital systems — 600 to more than 2,000 beds — have little doubt that they will be ready by Oct. 1.
- Although only a third report their ICD-10 plans are more than 50 percent complete.
- 58 percent of hospitals with 400 to 600 beds have initiated their ICD-10 implementation projects.
- 36 percent of hospitals with less than 400 beds have not begun an ICD-10 impact assessment.
- 60 percent of hospitals with less than 100 beds have not begun an ICD-10 impact assessment.
Three takeaways worth mentioning:
- Many hospitals reported that they did not have ICD-10 compliance budgeted until 2014.
- No surprise that the largest healthcare providers are the best prepared.
- This means there is going t be a lot of work being done in 2014. Expect ICD-10 consultants and trainers to be booked.
- Russell P. Branzell, President and CEO of CHIME, doesn't think the meaningful use extension will mean much in terms of making the ICD-10 deadline.
- But extending compliance could help healthcare providers recover productivity after Oct. 1.
- Healthcare providers can start using the claims Jan. 6.
- There is a field to designate whether ICD-10 or ICD-9 codes are used.
- Other changes maded to accommodate alpha-numeric codes.
- The conventional wisdom says to order the new forms now before printers are backlogged.
This is kind of a dense post explaining the need to prepare for ICD-10 compliance. The takeaway is that it has to be done. (HIMSS Blog)
Rhonda Butler has a pretty thorough look at how ICD-10-PCS was developed and how the language is used. (3M Health Information Systems)