A Little Less Conversation, a Little More Action, Please

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.” 

2 thoughts on “A Little Less Conversation, a Little More Action, Please

  1. Pingback: Medical Billing | Breaking News: ICD-10? Not Going Away | Online ICD-10 Training: ICD-10 Coding Courses & Classes For Medical Coders | Online ICD-10 Training: ICD-10 Coding Courses & Classes For Medical Coders

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