● Roundup: ICD-10
ICD-10 conversion Industry experts recommend steps to smooth the transition. By Phil Colpas
many areas of technology; the U.S. is ranked 37th globally in healthcare, according to the New England Journal of Medicine; and though we continue to struggle with ICD-10 conversion, many other coun- tries made the switch decades ago. Full compliance to ICD-10 remains federally mandated in the U.S. for Oct. 1, 2014, delayed a year from its initial deadline. Meanwhile, the fi rst version of ICD-11 is slated to debut in 2015. Can we really call ourselves healthcare IT adoption
dmittedly, the United States is not often painted in a favorable light where health- care is concerned. In general, healthcare lags behind its business counterparts in
Ensuring a successful
leaders when we’re still struggling with implementing ICD-10, a system that many other countries have been using for at least 10 years? T e American Medical Association estimates the administrative transition costs for physicians will be $87,000 to $2.7 million per practice – far higher than initially thought – plus potential losses in reimburse- ment due to incorrect coding. We’ve all heard the ICD-10 backlash: Deadlines are too tight; conversion will disrupt workfl ow and rev- enue; training coders is too costly and labor intensive. Here now, commentary from our select panel of
experts on the steps to take to help ensure a smoother transition to ICD-10.
Summer Humphreys, executive consultant, Beacon Partners
Five lessons learned for a successful conversion strategy Is your organization properly positioned to meet the ICD-10 conversion deadline? It’s clear that there won’t be any more delays. ICD-10 will be critical to the success of all healthcare organizations following the deadline. Here are five steps to take to plan for a successful, on-time conversion. 1. GAP analysis to guide your organization. A GAP analysis starts with understanding how the ICD-10 coding touches each area within your organization and will allow you to develop a road map of what areas need to be tackled.
8 September 2013
2. Governance key to integration. Because there are so many working parts and the deadline is fast ap- proaching, a key component to success is a structured governance model and a detailed project plan with specifi c assignments and deadlines.
3. Make physician engagement a priority. Physicians will need to have a deep understanding of how the codes will aff ect their clinical documentation. While they may not be doing the coding themselves, they are going to have to be much more detailed in their clinical documentation.
4. Avoid ICD-10 budgeting pitfalls. Your budget needs to factor in the following: training needs, IT upgrades, system remediation costs, consulting needs, coding audits and clinical documentation audits.
5. Project management is critical to a successful con- version. Areas aff ected by this change include patient access, revenue cycle, physician documentation and patient care. You need a project manager to coordinate all of the activity.
HEALTH MANAGEMENT TECHNOLOGY www.healthmgttech.com