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ICD-10 Preparedness: Survey results
ICD-10 Preparedness: Survey results
ICD-10 Preparedness: Survey results
ICD-10 Preparedness: Survey results
ICD-10 Preparedness: Survey results
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ICD-10 Preparedness: Survey results

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Have physician practices started planning for the ICD-10 transition? Has any communication taken place between practices and their payors or vendors? Gain industry insight into how medical practices …

Have physician practices started planning for the ICD-10 transition? Has any communication taken place between practices and their payors or vendors? Gain industry insight into how medical practices nationwide are approaching the ICD-10 transition. Over 900 medical professionals surveyed.

For additional resources and information please visit: http://sites.mckesson.com/practiceconsulting/kc_coding.htm

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  • 1. EXECUTIVE SUMMARY ICD-10 PREPARDNESSEXECUTIVE SUMMARYICD-10 PREPAREDNESSWhen will practices start to prepare for the ICD-10 transition? Has any communication taken placebetween practices and their vendors and payers? A survey sponsored by McKesson PracticeConsulting Solutions in July 2011 on Modern Medicine.com, showcased the pulse of what practicesacross the nation are doing in regard to the ICD-10 transition. The survey results represent 921respondents.Key Area of Focus1. Assess the current and future state of ICD-10 transition planning among medical practices2. Determine the degree of vendor to practice communication about the ICD-10 migration3. Determine the degree of payer to practice communication about the ICD-10 migrationWho Would Find the Results of Most Interest? • Physicians • Practice Managers • Coding Managers • Hospital executives with employed physiciansRespondent Profile • Physicians • Residents • RN • PAs • Healthcare Professionals • Nurse PractitionersTop Findings • A Majority of the groups intend to start planning in 12 months or more • Sixteen percent of practices have the new ICD-10-CM draft code set • Eighty percent of the groups have not heard from and are unaware of their vendor’s ICD-10 migration plan • Eighty-one percent of respondents have not communicated with their payers Copyright ©McKesson Corporation and/or one of its subsidiaries. All rights reserved. All product or company names may be trademarks, service marks orregistered trademarks of their respective companies. 1
  • 2. EXECUTIVE SUMMARY ICD-10 PREPARDNESSICD-10 Preparation Majority of groups intend to start planning in 12 months or more.With ICD-10 closing in, the ICD-10 transition will have a monumental impact on the healthcareindustry. Have practices started preparing for this significant change that will impact the clinical andfiscal performance of a practice? A majority of respondents indicated their practices will startpreparing in 12 months or more. Twenty-four percent indicated a start time of 3 -6 months fromJuly. However, 21% also indicated that their practice had already started preparing for the ICD-10transition. Preparation 0 Months (already started) 25% 21% 1-3 Months 15% 15% 24% 3-6 Months 9-12 MonthsICD-10-CM Draft Code Book 16% of practices have the ICD-10-CM code set.With the 5x increase in clinical modification (CM) codes from ICD-9, it is essential practices havethe official ICD-10-CM draft code book/set to properly train their coders and office team on thenew code set. Only 16% of physician practices have this book in their practice. Over half of therespondents do not have this book in their practice. ICD-10-CM Draft Code Book 28% 16% Yes 56% No I dont know Copyright ©McKesson Corporation and/or one of its subsidiaries. All rights reserved. All product or company names may be trademarks, service marks orregistered trademarks of their respective companies. 2
  • 3. EXECUTIVE SUMMARY ICD-10 PREPARDNESSVendor Communication 80% of groups have not heard from and are unaware of their vendors ICD-10 migration planPractices must understand their vendor’s ICD-10 migration plan. The transition is not as simple as aflip of the switch by the vendor. Vendors and practices must communicate when the vendor willstart testing, what upgrades need to be implemented, and when the final migration to the newsystem will occur. Forty-one percent of respondents were unaware of any communication fromtheir vendor, while 39% hadn’t heard from their vendor in regard to a migration plan. Vendor Communication 20% 41% Yes No 39% I dont knowPayer Communication 81% of respondents have not communicated with their payers.An assessment of how ICD-10 will affect payer contracts is vital to a smooth transition. Practicesand payers must be in sync with the implementation schedule. Eighty-one percent of surveyrespondents have not communicated with their payers to discuss the full scope of the transition. Payer Communication 19% Yes 81% No Copyright ©McKesson Corporation and/or one of its subsidiaries. All rights reserved. All product or company names may be trademarks, service marks orregistered trademarks of their respective companies. 3
  • 4. EXECUTIVE SUMMARY ICD-10 PREPARDNESSSummarySurvey results indicate practices aren’t fully prepared. Based on survey results, the urgency for ICD-10 transition planning isn’t evident and will not become evident until the end of 2011 or early 2012.A majority of survey respondents indicated that they did not have the official ICD-10-CM draft codebook in house, and most have not received or initiated communicated with their vendors or payersin regard to the transition.According to two advisory groups, the North Carolina Healthcare Information and CommunicationAlliance and the Workgroup for Electronic Data Interchange, it is not too early to start preparing.They estimated that the entire ICD-10 conversion process will take providers 966 days to completeand therefore practices should have started the planning process on January 18, 2010. To date,practices should have already conducted a readiness assessment of their Information Technologysystems and practice operations, as well as created a roadmap for a smooth and compliant ICD-10transition process. Unfortunately, the consequences to delayed planning for training and testingmay result in higher claims rejections and a negative impact on a practice’s cash flow.Methodology: The online survey, conducted by Modern Medicine and McKesson Practice Consulting Solutions was heldwithin the United States between July 1 and July 27, 2011. They survey sample size of 921 respondents (Physicians, PA’s,Nurse Practitioners, Residents, Healthcare Professionals, Hospital Executives, Medical Support Staff, Registered Nurses)who completed all the questions is comprised of blind individual responses.McKesson thMcKesson Corporation, currently ranked 14 on the FORTUNE 500, is a healthcare services and information technologycompany dedicated to helping its customers deliver high quality healthcare by reducing costs, streamlining processes, andimproving the quality and safety patient care. Over the course of its 178-year history, McKesson has grown by providingpharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technologyfor hospitals, physicians, homecare and payers; hospital and retail pharmacy automation; and services for manufacturersand payers designed to improve outcomes for patients. For more information, visit http://www.mckesson.com.Modern MedicineModernMedicine brings together best-in-class content and tools from credible and trusted information sources and from aleading group of advisors, consultant, and key opinion leaders to create a web community for health professionals.ModernMedicine is an editorially neutral information resource; a diverse group of content affiliates that provide the toolsand information which populate over 65 resource centers on ModernMedicine—covering medical and surgical specialties,the business of medicine, and education/learning programs. Visit: www.modernmedicine.com Copyright ©McKesson Corporation and/or one of its subsidiaries. All rights reserved. All product or company names may be trademarks, service marks orregistered trademarks of their respective companies. 4
  • 5. EXECUTIVE SUMMARY ICD-10 PREPARDNESSFor questions or to sign up for future research briefings, contact McKesson Practice ConsultingSolutions at 1.800.789.6409 or email consultinginfo@mckesson.comMcKesson Practice Consulting Solutions has been helping physicians for more than 20 years. Ourphysician-focused consulting experts include MBAs, MHAs, CPAs, practice administrators,compliance experts and certified coders. We also have specialists in managed care, practicemanagement and financial operations. Consultants work nationally with physicians across multiplespecialties. Our work is based on specific, measureable, attainable, relevant, time bound (SMART)objectives for the highest measurable impact on strategic growth and enhanced practiceperformance. Visit: www.mckesson.com/practiceconsulting Copyright ©McKesson Corporation and/or one of its subsidiaries. All rights reserved. All product or company names may be trademarks, service marks orregistered trademarks of their respective companies. 5

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