ICD-10 code
What do health care providers need to do?
To receive payment from payers, providers must begin using ICD-10 diagnosis and procedure codes on the compliance date. If you're a health care provider, you will need to prepare for the transition in several steps:
Already completed (Ideally) - Complete a gap assessment to understand the breadth of your ICD-10 needs
- Convene an executive-level committee to oversee the ICD-10 transformation throughout your organization
- Develop an ICD-10 budget and timeline
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Today - Talk with vendors to find out their plans for transitioning to ICD-10, what it will cost and how they can lessen the financial impact on your organization
- Talk with payers to understand how they are working to ready their systems for ICD-10
- Appoint a physician champion to help bring physicians on board
- Educate physicians on increased demand for thorough documentation
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By January 1, 2012 - Update to EDI 5010 - "Update to Electronic Data Interchange (EDI) 5010"
- Assess your coding staff needs
- Enhance electronic health records (EHRs) to accommodate the new codes
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By June 30, 2012 - Train coders in ICD-10, preparing for potential coding delays and increased error rates as coders learn the new system
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By October 1, 2012 - Update core and secondary computer programs to accept ICD-10
- Reengineer business processes to support the new ICD-10 documentation standards and redesign coding and billing forms
- Begin practice coding in ICD-10 so that any problems are worked out well before launch date
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Ongoing - Monitor progress toward goals, focus on highest priorities and develop a risk mitigation program to help deter any setbacks in implementation
- Use leading practices in change management to minimize staff resistance and mitigate the high risk of downtime and staff disruptions
- Identify resources to support the system post-go-live, should any problems develop
- Plan to drive business value from the transition
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