subject: Some Simple Steps for ICD 10 implementation for Payers [print this page] Implementing ICD-10 may seem a big trouble for most payers in the healthcare industry. It is primarily because of the several misconceptions related to ICD-10 implementation. Payers can successfully implement ICD-10 with the following steps.
Identify Current Use Identify your current systems and work processes that use ICD-9 codes.
This could include clinical documentation, encounter forms/superbills, practice management system, electronic health record system, and contracts.
Wherever ICD-9 codes now appear, ICD-10 codes will take their place.
Practice Management System Talk with your practice management system vendor about accommodations for both Version 5010 and ICD-10 codes.
Ask what updates they are planning to your practice management system for both Version 5010 and ICD-10, and when they expect to have it ready to install.
Check your contract to see if upgrades are included as part of your agreement.
If you are in the process of making a practice management or related system purchase, ask if it is Version 5010 and ICD-10 ready.
Implementation Plan Discuss implementation plans with all your clearinghouses, billing services, and payers to ensure a smooth transition.
Be proactive, don't wait. Contact your payers, clearinghouse and billing service and ask about their plans for the Version 5010 and ICD-10 compliance.
Ask when they will be ready to test their systems for both projects.
Payers Discuss how the ICD-10 implementation might affect your contracts.
Because ICD-10 codes are much more specific than ICD-9 codes, you will need to work with payers to determine if the use of ICD-10 codes will require a modification to existing contracts.
Work Flows Identify potential changes to your work flow and business processes.
Consider changes to existing processes such as clinical documentation, encounter forms and quality forms.
Training Assess staff training needs.
Identify staff who code claims in your office or need to know how to assign ICD 10 codes.
There are many training opportunities and materials available through professional associations, online courses, webinars, and onsite training.
Coding professionals recommend that training take place approximately six months prior to the October 1, 2013, compliance date.
Budget Estimate time and costs related to ICD-10 implementation, including expenses for system changes, resource materials, and training.
Assess the cost impact of any necessary software updates, reprinting of superbills, training and related expenses.
Testing Conduct trading partner testing for both projects.
Allow enough time to test that your Version 5010 transactions and claims containing ICD-10 codes can be successfully exchanged with trading partners.
Check to see when they will begin testing, and coordinate and schedule your testing accordingly.
Some Simple Steps for ICD 10 implementation for Payers
By: gssmktng
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