by Carl Natale
Posted on Fri, Jan 25, 2013 - 08:57 am
The Workgroup for Electronic Data Interchange (WEDI) is conducting a survey of ICD-10 preparedness. The questions are geared toward an organization's status and how the one-year delay affected plans.
Information will be used to inform WEDI, the Centers for Medicare and Medicaid Services (CMS) and other organizations the state of ICD-10 readiness. It also can help plan how to assist vendors, health plans and healthcare providers meet the Oct 1, 2014 deadline.
All types of healthcare organizations are encouraged to participate in the WEDI ICD-10 Progress Survey online.
The survey closes Feb. 20. Contact Samantha Holveyat WEDI (202-618-8803).
A survey says there are vendors who aren't going to have ICD-10 compatible products ready until fourth quarter 2014. (ICD10 Watch)
Speaking of surveys, NueMD surveyed physicians, office managers, billers and coding experts in 2012 about their perceptions of ICD-10 implementation:
- Most respondents come from 0ne to three physician medical practices.
- They are resigned to government regulation or want the government to regulate less.
- They rely on vendors and the American Medical Association (AMA) for information on ICD-10 implementation. (What? They're not reading this blog?)
- And vendors are the most important player in the ICD-10 transition.
Computer-assisted coding (CAC) promises to many great things for healthcare providers but it may fall short on those promises. (ICD10 Watch)
Bonnie Cassidy explains how avoid making the wrong decision on a CAC system:
- Define the "Core Clinical Documentation Record Set for Coding Compliance."
- Is the right information in an electronic format?
- Set clear goals and define the gaps.
- Cassidy is hosting a Feb. 5 webinar, “Are you REALLY ready for Computer-Assisted Coding?"
- Yes, medical practices will continue to use CPT codes for outpatient procedures.
- But you will still need to use ICD-10-CM codes for outpatient diagnoses.
A couple perspectives on working from home as a medical coder. (ICD10 Watch)
Ray Desrochers, executive vice president of sales and marketing at HealthEdge, discusses a recent healthcare payer survey.
- 90 percent of respondents said they will be ready for ICD-10 compliance on Oct. 1, 2014.
- They're also preparing for new payment models and Obamacare reforms.
- Technology upgrades and automation are major concerns.
Betsy Nicoletti lists four things that medical practices should avoid when planning ICD-10 transition projects:
- Relying on crosswalks
- Depending on partners and vendors
- Not being prepared for decreased productivity, increased queries to physicians
- Not planning ahead for a shortage of trained ICD-10 coders at the time of implementation
Bonnie S. Cassidy, the senior director of HIM Innovation for Nuance and past president of AHIMA, offers some tips for a better ICD-0 transition:
- The healthcare organizations that prepared for an Oct. 1, 2013, compliance deadline will have a year of testing and refining.
- It's important to collaborate closely with other healthcare initiatives.
- Health information management (HIM) leaders are the essential change agents in healthcare organizations because of the technological challenges and growing importance of data.
HIM professionals need to prepare for:
- Retraining all medical coders
- Longer account receivable cycles
- 10 percent to 50 percent productivity losses
- Increased backlog of medical claims and more time needed
- Decrease in reliance on memorized diagnosis and procedure codes
- More emphasis on anatomy, physiology and terminology
- Shortages of medical coder
- Nuance will demonstrate a virtual assistant at this year's HIMSS conference.
- "Start with the basics. Understand your patient population and your mission."
- "Grasp how well your organization deals with the current coding systems."
- "Be extremely aware of your hospital's publically reported data, using this as a guide to isolate crucial improvement areas."
- "Understand other initiatives that may incorporate ICD-10-CM/PCS."
- "Network - don't be afraid to learn from others."
Excerpts from the white paper "How to Prepare for ICD-10 in Medical Practices: Overview and Checklist":
- "Be up-to-date with practice management systems, billing companies, EMR software and the clearinghouse."
- "Coders and billers who do not have a background in Anatomy and Physiology should take a course in A&P this year. "
- "Review the use of ICD-9 codes in the practice."
- "Print out a list of the fifty most commonly used diagnosis codes and try to code those services in ICD-10."
- "Set a training schedule, and plan to train more than one key staff member."
- "Once trained, practice using the codes every week."
Sally Beahan, Director of Health Information Management at University of Washington Medical Center discusses the hospital's ICD-10 transition:
- Physician leaders have been identified.
- A coding team is reviewing clinical documentation and identifying where there isn't enough specificity to support ICD-10 coding.
- That review includes documentation templates - which are important tools for helping physicians improve documentation.
- A physician engagement strategy includes peer-to-peer training and communicating best practices.
- Communication includes educating physicians on importance and impact of ICD-10 coding in healthcare reform initiatives.
- Medical coders are accepting yet nervous of the changes.
- Specificity is the biggest hurdle for proper documentation.
- ICD-10 codes also will require non-physician documentation.
- The goal is to help physicians overcome documentation challenges to overcome ICD-10 resistance.
- Dual coding is planned to begin six months before the ICD-10 implementation deadline.
- "Development of a thorough testing strategy and partnerships with payers around testing are crucial and have proven to be challenging."
Nadene Bradburn sums up something that the AMA seems to be missing:
"Evidence-Based Medicine--The most compelling reason for adopting the coding system now used by the rest of the world is greater specificity in the data out there on patient conditions. Because treatments can be refined based upon demonstrated outcomes, the better the data, the better the refinements."
Leslie Ann Fox, MA, RHIA, FAHIMA and Patty Thierry Sheridan discuss the six building blocks of the ICD-10 transition:
- Clinical Documentation
- Coding Education
- Information Technology
- Revenue Cycle
- Post Go Live
This post lists and counters two myths. If you want to read about a third myth and its "reality," you need to register to download an article. It's up to you if it's worth it. Here are three "debunked" myths:
- The increase in documentation required by ICD-10 will involve a huge amount of added content to the medical record.
- All codes in ICD-10-CM will be complex, 7-character codes.
- ICD-10 requires knowledge of unnecessary and unknown details of a patient’s illness or condition.
We keep saying that medical practices and hospitals need to be prepared for an increase in physician queries. Laura Legg covers some guidelines for creating queries. (ICD-10 Trainer)
Steve Sisko finds a job description for someone who makes sure the ICD-10 transition doesn't ruin your revenue cycle. (ICD-10 Impact to Health Care Payers & Providers)
Press Release: GE Healthcare Announces Centricity Practice Solution 11
"GE Healthcare today announced the release of Centricity* Practice Solution 11, the next generation of its fully integrated EMR and Practice Management solution. With a dynamic search engine and one-click problem entry, Centricity Practice Solution simplifies the data entry required for medical providers to comply with new the ICD-10 coding requirements and reduces the number of clicks required to enter a problem by 75%." (GElectric News Center)