ICD 10 Training: icd-10 implementation project plan

Assembling an ICD-10 Project Team

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 Assembling an ICD-10 Project Team to oversee your organization's shift 
to ICD-10 is instrumental to a successful transition. This team will be 
responsible for overseeing the ICD-10 planning and implementation 
process.<br />
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 <strong>Select Your Team</strong><br />
 Since ICD-10 will affect nearly all areas of your practice, project 
teams should consist of representatives from key areas of your 
organization, including:  </div>
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  Senior Management</li>
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  Health Information Management/Coding</li>
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  Billing/Finance</li>
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  Compliance</li>
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  Revenue Cycle Management</li>
<li style="text-align: justify;">
  Information Systems and Technology</li>
</ul>
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 This multi-disciplinary team provides the cooperative environment 
necessary to address your organization's needs. If you run a small 
business or practice, several of these functional areas may rest with 
the same individuals, making your transition team smaller.<br />
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 <strong>Appoint a Project Manager</strong><br />
 Once members of the project team have been selected, appoint one team 
member to serve as the project manager. As the manager, he or she will 
be responsible for establishing accountability across the ICD-10 
implementation team and making business, policy, and technical 
decisions.<br />
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 <strong>Your Team's Initial Tasks</strong><br />
 With an established project team and a designated project lead, you'll 
be ready to begin planning for ICD-10 implementation. Project teams 
should: </div>
<ul>
<li style="text-align: justify;">
  <strong>Establish regular check-in meetings to discuss progress and address any issues. <br />
  </strong></li>
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  <strong>Conduct an ICD-10 impact assessment to help you determine how the transition to ICD-10 will affect your organization</strong>, and allow you to schedule and budget for all ICD-10 activities. </li>
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  <strong>Plan a comprehensive and realistic budget.</strong> This should include costs such as software upgrades and training needs. </li>
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  <strong>Identify and ensure involvement and commitment of all internal and external stakeholders.</strong> Contact vendors, physicians, affiliated hospitals, clearinghouses, and others to determine their plans for ICD-10 transition. </li>
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  <strong>Develop and adhere to a well-defined implementation timeline</strong> that makes sense for your organization. </li>
</ul>
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 <strong>Communicate Regularly</strong><br />
 Remember to communicate regularly with your entire ICD-10 project team!
 Keeping the lines of communication open will help make sure everyone is
 kept up to date on the implementation progress. It may be helpful to 
establish and circulate a calendar of internal tasks, milestones, and 
deadlines to help keep day-to-day activities running smoothly and on 
schedule.</div>
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Assembling an ICD-10 Project Team to oversee your organization's shift to ICD-10 i...

7 Tips for a Less Stressful ICD-10 Transition

9:56 PM Unknown 0

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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjR8qMR02Q1QMHtctjXvvXPTIkjt4QA_TDnX_f8oFx3k7GHk3V-4skpPmwqDnosgos48ZSAAWdmvy5sACgQxW1lziFLAKyWx87g_NOnLWW4SEfytb5Nrx8tPJKV6COb4Wum7xhl_plMuw/s1600/icd-10-Transition.jpg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto; text-align: justify;"><img alt="ICD-10 Transition" border="0" height="145" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjR8qMR02Q1QMHtctjXvvXPTIkjt4QA_TDnX_f8oFx3k7GHk3V-4skpPmwqDnosgos48ZSAAWdmvy5sACgQxW1lziFLAKyWx87g_NOnLWW4SEfytb5Nrx8tPJKV6COb4Wum7xhl_plMuw/s320/icd-10-Transition.jpg" title="ICD-10 Transition" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><b>ICD-10 Transition</b></td></tr>
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<b>1. Know what is required.</b> The version of ICD-10 being adopted in the United States is not the same as in other countries. While the World Health Organization collaborated with the U.S. on a specific version for our country, it is not the same as the WHO version used in other countries. If vendors say they are ready for ICD-10 because they downloaded it from the WHO site, they are incorrect. You need ICD-10 PCS for procedure coding, billing of inpatient procedures and reimbursement.</div>
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<b>2. Improve physician documentation.</b> Physicians will need to improve clinical documentation on the front end. It will be a much more onerous task for coders to go back and retrieve information they were not provided with originally. Engage medical leadership now and have them strive for more thorough, detailed and complete documentation to ensure a smoother transition.</div>
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<b>3. Thoroughly communicate.</b> Share your ICD-10 code interpretation from testing with colleagues to minimize confusion and miscommunication. Involving all the necessary people and thoroughly communicating will cut down on problems once the new system goes lives.</div>
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<b>4. Check your EHRs compatibility.</b> If you already have a certified electronic health record system, make sure the ICD-10 upgrade is covered in your contract. Here are some questions to ask your vendor about options and pricing.</div>
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<ul style="text-align: left;">
<li style="text-align: justify;">Will there be additional costs to accommodate ICD-10 codes?</li>
<li style="text-align: justify;">Will my contract need to be modified to include ICD-10 codes? What are the terms? </li>
<li style="text-align: justify;">Will my system be ICD-10 ready by 2013 so I can begin ICD-10 testing? </li>
<li style="text-align: justify;">What level of customer support and training is offered? Are those costs included in the contract?</li>
</ul>
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<b>5. Consult with decision makers in your organization. </b>Any big changes in a healthcare organization will require involvement from all levels of personnel. It's crucial to have executive decision-makers on board to affect any change. Have all necessary people involved from the start to ensure the smoothest, most cost-effective transition. Get their feedback and make sure it's incorporated as much as possible.</div>
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<b>6. Think about education and training now.</b> Despite the implementation deadline extension, don't put off employee training. Experts suggest starting education now and working with coders in small increments. Physicians will also need to change the way they document procedures. Starting now can help them slowly adjust until 2014.</div>
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<b>7. Prepare for initial glitches.</b> Expect that not everyone will be ready by the implementation date of October 2014, including vendors or payors. Prepare to have to use ICD-9 and ICD-10 simultaneously at first until all parties have completely transitioned. </div>
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7 Tips for a Less Stressful ICD-10 Transition

icd 10 codes ICD-10 implementation in 2012 icd-10 implementation project plan ICD-10 Training ICD-10 transition steps for icd-10 implementation 7 Tips for a Less Stressful ICD-10 Transition

ICD-10 Transition 1. Know what is required. The version of ICD-10 being adopted in the United States is not the same as in other cou...

Top 3 stories that shaped ICD-10 implementation in 2012

8:57 PM Unknown 0

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There were a lot of announcements and events in 2012 that influenced the ICD-10-CM/PCS transition. But there were three major events that were key in shaping how and when we implement ICD-10 coding.<br /><br />Here's what happened:</div>
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<br /><b>The ICD-10 compliance deadline is moved - again</b><br /><br />The Department of Health and Human Services (HHS) announced it would consider delaying ICD-10 implementation past the Oct. 1, 2013, deadline. This came after the Centers for Medicare and Medicaid Services (CMS) spent 2011 insisting that the deadline was set in stone. Nothing was going to move it.<br /><br />The major argument against delay came from large hospitals and healthcare vendors. They said publicly that any delay would signal that CMS wasn't serious about the ICD-10 transition and healthcare organizations might procrastinate further because another delay could be possible.<br /><br />The American Medical Association (AMA) expressed joy that its concerns about readiness were being taken seriously. It also advocated leapfrogging ICD-10 implementation to ICD-11 implementation.<br /><br />After a few months of thousands of comments submitted, it announced a new deadline - Oct. 1, 2014. Despite what the really organized healthcare organizations said, this gave everyone a little more breathing room. Small healthcare providers get an extra year to get ready. Some hospitals announced they would stick to the Oct. 1, 2013, deadline and use the extra year for testing. Healthcare payers needed the extra year despite what was claimed publicly. And healthcare vendors got more time to sell their systems and training.<br /><br />This made 2012 a fun year for bloggers like me. I got to cover an endless amount of debate and speculation. And the delay ensured that this blog got to exist another year.</div>
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<br /><b>HIPAA 5010 has a rocky start</b><br /><br />First, HHS announced it will give healthcare organizations extra time to get their act together. That ended meaning a six-month enforcement delay. Which wasn't a major factor compared to the reimbursement delays.<br /><br />What was supposed to be a simple, administrative change resulted in an avalanche of medical claim rejections and reimbursement delays. It took a few months to figure out why so many claims were being rejected and how to properly submit.<br /><br />There was a good chance these problems persuaded HHS that an ICD-10 compliance delay was necessary. If this simple, administrative change could be so disruptive, then ICD-10 implementation could be a disaster. Giving the healthcare system an extra year to get systems upgraded and test the new medical codes could make a major difference.<br /><br />HIPAA 5010 taught us a lot about testing that's going to shape how we test ICD-10 use in medical claims.<br /> </div>
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<b>Obama wins the election and Supreme Court</b><br /><br />If President Obama lost the presidential election to Mitt Romney or the Supreme Court decision on the healthcare reform law known as Obamacare, ICD-10-CM/PCS would have become a casualty.<br /><br />The ICD-10-CM/PCS code set almost didn't survive 2012. Here's what happened:<br /><br /><b>The ICD-10 compliance deadline is moved - again</b><br /><br />The Department of Health and Human Services (HHS) announced it would consider delaying ICD-10 implementation past the Oct. 1, 2013, deadline.<br /><br /><b>HIPAA 5010 has a rocky start</b><br /><br />First, HHS announced it will give healthcare organizations extra time to get their act together. That ended meaning a six-month enforcement delay. Which wasn't a major factor compared to the reimbursement delays.<br /><br /><b>Obama wins the election and Supreme Court</b><br /><br />If President Obama loses the presidential election to Mitt Romney or the Supreme Court decision on the healthcare reform law known as Obamacare, ICD-10-CM/PCS would become a casualty. On the surface, the Patient Protection and Affordable Care Act (PPACA), has nothing to do with ICD-10 implementation. The mandate predates the Obama administration. But the ICD-10-CM/PCS code sets could become collateral damage in political battles.<br /><br />First, Romney pledged to repeal Obamacare. This wouldn't have affected the ICD-10 mandate. But it wouldn't be a stretch for a Romney administration to see it as an unfunded mandate that placed financial and bureaucratic burdens upon physicians. Republicans can be sympathetic to arguments about upgrade costs and administrative requirements that time away from treating patients. <br /><br />Of course Romney would want to enact his version of healthcare reform. What that would look like is anyone's guess. But there's a good chance that killing ICD-10 implementation could be a way to woo the AMA to support Romneycare.<br /><br />It is possible that a Romney-appointed HHS leadership could see ICD-10 coding as a tool for trimming waste and fraud from the healthcare system. Republicans do love fighting waste and fraud because no one wants to be seen as in favor of it.<br /><br />Second, if the Supreme Court rejects the PPACA, Obama needs to go back to the drawing board. He may need the support of the AMA to create a new reform. And ICD-10 implementation could be a bargaining chip. He might need to scuttle it or offer meaningful use type incentives.<br /><br />Without a Supreme Court victory, all healthcare initiatives are on the defensive. <br /><br />Now that Obamacare is alive and well, it's going to need the ICD-10 data to achieve its goals.</div>
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Source: <span style="font-size: xx-small;">http://www.icd10watch.com/blog/top-3-stories-shaped-icd-10-implementation-2012</span></div>
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Top 3 stories that shaped ICD-10 implementation in 2012

ICD 10 Updates ICD-10 implementation ICD-10 implementation in 2012 icd-10 implementation project plan Top 3 stories that shaped ICD-10 implementation in 2012

There were a lot of announcements and events in 2012 that influenced the ICD-10-CM/PCS transition. But there were three major events that ...

Three action steps for ICD-10 implementation

1:54 AM Unknown 0

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With the compliance date for ICD-10-CM/PCS implementation finally set in stone, all that's left to do is plan, plan, and execute plans. To help you, we asked Deborah <b>Grider, CPC, CPC-I, CPC-H, CPC-P, CPMA, CEMC, COBGC, CPCD, CCS-P, CDIP,</b> senior manager at Blue and Company in Indianapolis, an industry expert on ICD-10, for preparation tips and action steps for ICD-10 implementation.<br /><br /><b>Keep stakeholders informed of ICD-10 progress</b><br /><br />You have an ICD-10 steering committee and have set subcommittees. That's great. But are they active enough? Are they communicating with the true stakeholders?<br /><br />"In talking to many HIM directors, what I am finding is that these committees and subcommittees aren't always as active as they need to be," Grider says. "They need to stay engaged. Some hospitals have gotten together their stakeholders only once, and some others are doing a little bit but not really following key steps and following through."<br /><br />Keep your ICD-10 committees active and busy, meeting at least once a month. Help everyone understand the role of the steering committee.<br /><br />"They're the ones that are going to be driving ICD-10 implementation," Grider says. "That steering committee is in charge, and that committee's chair has to make final decisions and lead the implementation process. I don't think enough people understand what their true roles are."<br /><br />Stakeholders need to know that ICD-10 implementation doesn't just involve coding or information technology (IT). Your board of directors ultimately "holds the purse strings," Grider says, so educate the board as much as possible about what's involved and where your team is in the process.<br /><br /><b>Who's on the steering committee?</b><br /><br />Typically, the CFO is the chairperson since he or she drives the organization's dollars and has to approve spending. HIM directors and the information systems director form a solid comanaging team for the steering committee and project management. If that doesn't work at your organization, a consultant who project manages ICD-10 implementation may be helpful for those who have the budget for one.<br /><br /><b>Include staff from the following departments on a steering committee:</b><br /><br /><b>You'll also want to include the chief medical officer, physicians, and physician champions.</b><br /><br />As for subcommittees, organizations can choose, for instance, to have the radiology department manager head the communication committee. Staff members who don't serve on the steering committee can sit on these subcommittees.<br /><br /><b>Grider says organizations may want to set up these types of subcommittees:</b></div>
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<li>Budget (allocating funds)</li>
<li>Forms (developing orders and templates in the EHR that may need to be changed, or tweaking paper orders)</li>
<li>Education (determining focus areas and training dates)</li>
<li>IT (assessing impact on all current systems)</li>
<li>Communication (developing and executing the communication plan)</li>
</ul>
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<b>Conduct monthly steering committee meetings</b><br /><br /><b>How should you run an effective steering committee meeting?</b><br /><br />First, there needs to be a clear agenda, Grider says. "I always like to start with what's going on with ICD-10 in the industry," she says. "Talk about what the AMA is up to and what the industry is talking about. It's the project manager's responsibility to find out and keep up."<br /><br />Stress that the meeting is mandatory and not optional. Failure to do so could result in a slow death of the committee itself.<br /><br />Some members may just not show, "and that's the best way to kill this whole process and kill the committee quickly," Grider says. "It's a good idea to create the meeting well in advance."<br /><br />Take minutes at each meeting, and review all action items from the prior meeting's minutes. If Mary Smith was identified as establishing the framework for an education plan at one meeting, have Mary Smith describe her efforts in that regard during the subsequent meeting.<br /><br />Review project plan timelines and next-meeting items. Leave a slot on the agenda for the steering committee chairperson to review the budget.<br /><b><br />"Always have a budget review," Grider says. "Each meeting should be fairly consistent."</b><br /><br /><b>Complete impact assessment and identify all areas/departments and systems affected</b><br /><br />Have you thought about sending out a survey to get the pulse of department systems and processes? You may not want to, Grider says, because you may never get the results back or it may take too long to get a response. Instead, create an interview schedule and meet with each department head for 20 or 30 minutes. Go over work flow, how staff use codes, and what reports and systems they use. Find out whether their documentation is effective.<br /><br />"From all your questions, more questions can evolve," Grider says. "We've found systems and process issues that could have been a compliance or Joint Commission issue and were able to fix them by interviewing department heads."<br /><br />Through the interviews, you'll be able to collect information on all the systems and software on which your organization operates. You'll be able to determine which departments see patients, who is responsible for checking patients into the facility, what type of orders the physician provides, whether the orders and the applicable codes assigned meet medical necessity, and how these various processes are carried out. You'll gather information about scheduling and whether the facility uses electronic forms or paper within their various workflows.<br /><br />Collect all the information from the interviews and develop summaries for each department. You may learn in these types of impact assessments that one department performs services without a physician order and one follows up to ensure a physician order came through. Create a list of all software and records which departments use in their operations. </div>
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Source: <span style="font-size: xx-small;">http://www.hcpro.com/HOM-287459-6962/Three-action-steps-for-ICD10-implementation.html</span></div>
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Three action steps for ICD-10 implementation

icd 10 codes ICD 10 Updates ICD-10 implementation icd-10 implementation date cms icd-10 implementation project plan icd-10 implementation training steps for icd-10 implementation Three action steps for ICD-10 implementation

With the compliance date for ICD-10-CM/PCS implementation finally set in stone, all that's left to do is plan, plan, and execute plans...