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ICD-10: It’s Alive and Well!

ICD-10You may have heard about it before and, while we can never be 100% sure until the day it actually happens, we have every indication that the conversion to ICD-10 will really take place this time. The most significant hurdles we have encountered in the past are behind us and we are moving full speed ahead.

So what is ICD-10?

ICD-10-CM is the 10th revision of an international coding system used around the world. The United States, which currently uses ICD-9, will be one of the last major developed countries in the world to move to ICD-10. The rest of the world has been using ICD-10 for the past 12 years or so.

ICD-10 is a product of the World Health Organization (WHO) for official collection of diagnostic data for world use. The United States uses the ICD system to code diagnoses for all health care encounters. When ICD codes are tied to the American Medical Association’s (AMA) Common Procedure Terminology (CPT) codes, appropriate payment can be returned to the practicing physician and health care institution.

What are we doing to prepare? 

While ICD-10 won’t convert until October 1, 2015, it is important that we take steps to ensure that our business health and our day to day operations are impacted as little as possible. To help with the transition, we have brought in Laurie Lange to lead the efforts of the ICD-10 conversion. Laurie will be working closely with Sanin Rahman, director IS Integration Strategy, throughout the process along with all of the key stakeholders and team members. This project is being sponsored by Felix Mercado, vice president of Finance

By category, our primary areas of attention are listed below. Many departments will be involved and included in planning and execution within each of these areas.
  1. Training –This is one of the biggest areas of impact. We are working with key people across departments to identify and execute our training plan. Training is expected to kick off in June and be available for a couple of months.
  2. System Readiness – We will be reviewing all of our systems to validate their readiness with the vendors.
  3. Payer Testing – We are doing as much testing with payers as possible to ensure as little disruption to claim payments.
  4. System Testing – Planning is going on to do as much testing as possible in advance of the actual cut over to document system readiness.
  5. Cash Flow – We will evaluate and plan for any impacts.
  6. Physician Documentation – We are working closely with the team working on physician documentation improvements to ensure that we have ICD-10 represented.
  7. Forms, Reports, Data Extracts and Interfaces – We are actively working with resources to identify and catalog any that may be impacted and plan to map and translate as necessary.

More information will be coming in future communications but if you have any questions, concerns or thoughts about the ICD-10 conversion, please feel free to reach out to Laurie at 978-683-4000 ext. 2882 or email Laurie.lange@lawrencegeneral.org.

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