Addressing ICD-10Implementation Challenges
Challenge: Expense
• AMA estimates cost for 3-MD  practice = $83,290• You can’t budget for your  organization until you understand  what it w...
Impact Analysis  • What systems / workflows does    ICD-9 touch today?  • Who needs training?     • Coders, billers, physi...
• Budgeting may require you to  make educated guesses on  expenses that cannot be  calculated  • Ex: Diminished productivi...
Challenge: Vendor    Readiness
• Ask vendors about their ICD-10  prep and anticipated timelines.• Not confident your EHR vendor  will smoothly transition...
Challenge: Productivity        Impact
• BCBS Association estimates coding  errors will increase 10-25% in 1st  year of transition• Improving clinical documentat...
• More codes means more  documentation• Documentation Considerations  • Linking relevant conditions  • Initial Encounter →...
• Documentation Considerations  • Subsequent Encounter → 7th    Character Extension “D” for    Routine Injury Care during ...
• Clinical Documentation Assessments  • Do random samples support ICD-     10 coding?• Implement Documentation  Improvemen...
Challenge: Cash Flow       Impact
• The ICD-10 transition is likely to  cause disruptions in cash flow for  a number of reasons.  • Clean claims may take lo...
• Take steps to protect cash flow  during the transition:  • Budget for additional cash    reserves  • Ask major payers ab...
• Take steps to protect cash flow  during the transition:  • Improve clinical documentation    to minimize denials  • Plan...
Challenge: Testing
• Plan to conduct testing using the  ICD-10 codes as a critical step in  preparing your organization for  the ICD-10 trans...
Want to learn more      about ICD-10?  Watch a free recorded       webinar atsuccessehs.com/archived-        webinars.
Need a health IT partner       to help you achievesuccess with ICD-10, Meaningful          Use & more?     SuccessEHS can ...
Addressing Top ICD-10 Concerns
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Addressing Top ICD-10 Concerns

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Get tips for addressing top ICD-10 concerns and planning for a smooth ICD-10 implementation.

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Addressing Top ICD-10 Concerns

  1. 1. Addressing ICD-10Implementation Challenges
  2. 2. Challenge: Expense
  3. 3. • AMA estimates cost for 3-MD practice = $83,290• You can’t budget for your organization until you understand what it will involve: • Conduct an impact assessment • Budget time and resources accordingly
  4. 4. Impact Analysis • What systems / workflows does ICD-9 touch today? • Who needs training? • Coders, billers, physicians • How will EHR adoption impact practice mgmt., billing, coding, reporting, etc.?
  5. 5. • Budgeting may require you to make educated guesses on expenses that cannot be calculated • Ex: Diminished productivity for coders and providers during the transition
  6. 6. Challenge: Vendor Readiness
  7. 7. • Ask vendors about their ICD-10 prep and anticipated timelines.• Not confident your EHR vendor will smoothly transition your system to ICD-10? • Consider switching to an EHR partner that is committed to ensuring your success.
  8. 8. Challenge: Productivity Impact
  9. 9. • BCBS Association estimates coding errors will increase 10-25% in 1st year of transition• Improving clinical documentation is one of the best ways to prepare for the transition’s impact on productivity of physicians and coders.
  10. 10. • More codes means more documentation• Documentation Considerations • Linking relevant conditions • Initial Encounter → 7th Character Extension “A” for Patient under Active Treatment
  11. 11. • Documentation Considerations • Subsequent Encounter → 7th Character Extension “D” for Routine Injury Care during Healing / Recovery • Sequela → 7th Character Extension “S” for Complications / Conditions resulting from an injury (E.g., Scar resulting from a burn)
  12. 12. • Clinical Documentation Assessments • Do random samples support ICD- 10 coding?• Implement Documentation Improvement Strategies • Train → reassess → train again• Appoint an ICD-10 Implementation/ Documentation Champion
  13. 13. Challenge: Cash Flow Impact
  14. 14. • The ICD-10 transition is likely to cause disruptions in cash flow for a number of reasons. • Clean claims may take longer to be submitted due to productivity declines. • Denials may spike due to mapping or coding errors.
  15. 15. • Take steps to protect cash flow during the transition: • Budget for additional cash reserves • Ask major payers about their readiness to process claims coded in ICD-10
  16. 16. • Take steps to protect cash flow during the transition: • Improve clinical documentation to minimize denials • Plan your strategy to manage denials before, during & after ICD-10 implementation
  17. 17. Challenge: Testing
  18. 18. • Plan to conduct testing using the ICD-10 codes as a critical step in preparing your organization for the ICD-10 transition. • Internal testing • External testing
  19. 19. Want to learn more about ICD-10? Watch a free recorded webinar atsuccessehs.com/archived- webinars.
  20. 20. Need a health IT partner to help you achievesuccess with ICD-10, Meaningful Use & more? SuccessEHS can help. Visit www.successehs.com to request a demo.
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