ECG Management Consultants, Inc

April 26, 2015
Leading Healthcare Forward

When addressing any new project, thinking through the various steps – from discovery to planning to testing to implementation – will help your organization identify key areas of concern, as outlined in the figure below.October 1, 2014, marks the compliance date for ICD-10. Because the government first introduced the proceed to ICD-10, health care organizations have observed a well-recognized selection of feelings – anger, anxiety, negotiating, denial. Most organizations are finally getting into the acceptance phase. However, regardless of the compliance date being moved from 2011 to 2014, many organizations either haven’t made much progress on their own implementation plans or haven’t began making one yet. With different recent study through the MGMA, under 5% of practices reported making significant headway when rating their overall readiness for ICD-10. This gap poses significant risk, thinking about that ICD-10 can impact both short- and lengthy-term income and expenses otherwise mitigated properly. To that particular finish, planning for that switch to ICD-10 now's essential. The apparent first real question is, “Where will we start?”

Creating the Framework

Thinking through the life cycle of an ICD-10 code can help define the scope of your project plan and potential areas of impact.When creating an ICD-10 implementation plan, it will likely be vital that you:

  • Evaluate existing IT systems/connects, clinical and financial work flows, and reviews that presently use ICD-9 codes to be able to get the transition intend to ICD-10.
  • Create a technique for methods to improve diagnosis capture and just how the information is going to be used.
  • Assess training needs and develop programs to aid both initial and then any ongoing training pre and post October 1, 2014.
  • Manage anticipation regarding productivity loss, and concentrate on change management.

It will likewise make a difference to make sure that an adequate finances are readily available for training, assets (e.g., third-party programmers to assist offset elevated coding demands throughout the very first 30 to 3 months from the ICD-10 implementation), and unforeseen financial contingencies.

Tailoring the program

Past the standard factors, for example whether your practice’s IT systems, suppliers, reference, and payors will have the ability to support ICD-10, it's also important to recognize the less apparent ways the transition will impact staff. To illustrate the result of elevated documentation standards on physician productivity, a minimum of in the start, and also the subsequent effect on physician compensation plans which are driven by volume metrics. Another example may be the additional communication between programmers and doctors to recognize the right diagnosis codes throughout the very first 3 months.

Finally, searching in the experience that other nations have experienced in applying ICD-10 might help identify impacts on staffing, finances, IT systems, and partner organizations. The earlier your business starts evaluating the outcome of ICD-10, the earlier you are able to develop your approach and risk minimization strategy.

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