Elvis sang it best: “A little less conversation, a little more action.” And that’s my late summer advice on ICD-10. No more meetings, no more “why ICD-10 will trim the fat from your waistline and improve your spirits. “ No more talking, let’s get down to work.
A few weeks ago I described a gap analysis I had done on a group of Women’s Health claims, and described the process. If you missed it, you can learn the process of a gap analysis in the previous post. With the date for ICD-10 implementation a year away, it’s time to stop talking about ICD-10 and start learning ICD-10.
For most small to mid size practices, this means:
- Sending two staff members to one or two day ICD-10 training program. A program with ICD-10 books. Larger practices and multi-specialty groups will need to adjust this recommendation up.
- Coders without training in Anatomy and Physiology should take an on line course or community college course right now.
- Plan to train your clinicians later in 2014.
- Buy an ICD-10 book.
- I don’t recommend the mapping book from ICD-9 to ICD-10.
- Use an on-line or integrated translation program. Icd9data.com to icd-10data.com is one, but there are others. In a perfect world, your mapping/translation program would be integrated in your electronic health record.
- Read the general guidelines in the book.
- Print out your ten most frequently used diagnosis codes. Try to code those diagnoses in ICD-10. Can you?
- Select ten records that correspond to your most frequently reported diagnosis codes. Based on the medical record documentation, can you select ICD-10 codes?
- Give your providers two specific tips a week about what needs to be in the documentation for specific ICD-10 code selection. Post them in the lunch room.
- Show your providers a few diagnosis conversions each week, focusing on codes that don’t have a direct crosswalk.
- Use specific ICD-9 codes. The transition will be much easier.
- Have cash on hand for the transition.
Let’s just get started. As Elvis so wisely said, “ A little less conversation, a little more action, please.”