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ICD-10: TOP 10 THINGS TO DO NOW

January 13, 2014
Use of ICD-10-CM diagnosis codes for all settings and ICD-10-PCS procedure codes for inpatient services will start on October 1, 2014. For convenience, this paper will refer to these two code sets collectively as ICD-10.

If you are just starting to address ICD-10 or are unsure where to start, this checklist should help jump start your impact assessment and remediation planning. References to further information are available on the WEDI web site www.wedi.org under “Topics”. 

  1. Read background information on ICD-10 (please see WEDI web site for additional resources)
  2. Assign someone to lead your ICD-10 effort. (office manager perhaps)
  3. Identify every place your office uses ICD-9-CM diagnosis codes or procedure codes and determine the impact (e.g. applications, forms, records, contracts, etc.) 
  4. Determine if there are any clinical documentation implications (e.g. laterality or use of unspecified codes) and training that may be needed.
  5. Discuss ICD-10 with all your vendors (e.g. billing companies, clearinghouses, etc.) to determine their readiness and how it impacts your business operations. Determine what your vendor can and CANNOT do for you. 
  6. Identify trading partners, health plans, public reporting requirements, etc. and potential impacts to these interactions
  7. Identify any budget impacts (do you need to purchase software upgrades, how much will training cost?). 
  8. Compile a list of all the things you will need to do (action list) or verify (test)
  9. Form a project team; assign responsibility with timelines for completion (compliance plan).
  10. Begin your remediation.

Being ready on time is critical to assuring your cash flow is not disrupted and business can continue as usual. Note that testing will be critical to assuring you have successfully remediated all items.

The Workgroup for Electronic Data interchange (WEDI) is a nonprofit organization focused on the use of health IT to improve healthcare information exchange — enhancing quality of care, improving efficiency and reducing costs. WEDI is a named advisor to the U.S. Department of Health and Human Services under HIPAA.